You clearly have never experienced medical gatekeeping. It can be really frustrating to be forced to change doctors or insurance and have to fight for years to continue the treatment regimen that actually works for you.

Your PCP is the tier-1 tech support of the medical world. They have basically zero specialized knowledge to evaluate different medications outside the brochure the sales rep gave them. There's a reason PCP's punt the responsibility for a diagnosis to a psychologist and then play the game of "spin the wheel of stimulants" to find something that both alleviates their symptoms and has tolerable side-effects. Having to go through the process all again for no reason other than weird politics or a doctor on a power-trip is the worst.

Ugh.