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What's wrong with proctologists? That's like hating oncologists. Sure, no one actually wants to get cancer, but when you do, an oncologist is necessary and can save your life. The oncologist didn't cause you to get cancer, and the proctologist didn't cause you to have bowel problems.

A bit off-topic, but why are proctologists despised in America? I can understand it's not an encounter you're looking forward to, but why put them in the same category as care salesmen and lawyers? Are they known for using shady tactics, being extremely expensive or untrustworthy, or something else?

It is actually an (older) figure of speech/idiom. Nobody actually has problems with proctologists.

Car salesmen are the lowest of the low for sure.

But what people don't talk about much is how recruiters and real estate agents belong on the same list.