F?%k, this is way to relatable. Same as the author I'm an expat which hasn't had a GP check in 5 years, not counting getting a dermatologist procedures. I feel like this is an experience of a lot of expats. Those of us coming from small towns mostly had a GP from when we were 6 all the way until we left the town for good. It's difficult to get that relationship with someone else and I'm afraid that it might be a contributing factor to people getting less checked. Also, in my case all the family members went to him, so he kinda knew the family history. I still mourn for him, he would always greet me at the door of his office with something like "wtf, you again? why are you here?". He was an excellent diagnostician...