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I think you watch to much TV. That's not how medicine works. How do you imagine it? I go to a doctor with migraine and he starts thinking real hard what could be the cause? And if he 'despises' me he just doesn't think as hard?
There are procedures doctors have to follow. If they fail to follow the procedures it's malpractice. The procedures are the same for all doctors. There's no 'look, I did the bare minimum, you can't punish me'. Either you did what was required or you didn't. Each time a doctor would mistreat someone on purpose because he 'despises' them they would open themselves for investigation and a court case. That doesn't mean there are no shitty doctor making mistakes, they would just have to be really dumb to do it in purpose.
Doctors are just humans. If they have a good day (hopefully often), they go out of their way to help you. I had a doctor call me on his personal time because he cared, and looked into literature to figure something weird out. But I also was there when he had a bad day (he was sick himself and a shit ton of patients to go through) so he just gave me a sick note, quick checkup and let me go. Doctors aren't machines who work in an objective and reproducible way.
You're talking about a basic GP visit. The standard/expected practice is to prescribe 'best guess' medication and see if it improves. As you said you can get the equally bad treatment from a tired/sick doctor as from one who 'despises' you. It's just a common risk everyone accepts so you're comments about not wanting doctors who despise you treating you makes little sense. You can tell the doctor isn't very good and go to another one. Where it could be important is a hospital visit and there are procedures to follow there. Doctor can't just give you a sick note and send you home. If he does that's malpractice.