This is a huge amount of work, Malkabeth. Very informative and full of information on health care. Your own situation is so complex. I don’t see how this situation can be considered “world’s best” and is completely unacceptable to anybody. I doubt even the podiatrist who spent so little time with you about your feet would say he did a good job, or it was any kind of way to provide care for a patient in his specialty, or any other.