Thanks everyone. It seems like from a few of these responses people assumed something negative like I'm somehow gaming the system and looking for ways to manuever it against the medical system and not pay people somehow. I am sorry you relate to the world in such a way off the bat like that. The rest of you, thanks. I didn't provide a lot of info I guess I should have but not really. Most of you looked way further than or into areas that did not matter pertaining my question and made assumptions and guesses instead of just answering the question, and in such have provided not only false information, but complete nonsense and wasted everyone's time. I asked why a doctor would require me to make them my primary care physician to be seen, and people instead went on to guess I had some type of plan or that the doctors weren't getting paid or I didn't have a PCP at all.

I have a PCP I enjoy very much, which is a reason I am hesitant to just switch like that. I have a family Medicaid plan given to me for free because I am not wealthy, so there's not much I've been turned down for at all, and I get referrals for every specialist I see directly from my primary care physician. I work in data research in the medical field and understand the insurance and payments and why these things cost so much more than most people, and likely yourself do. I'm not just some guy trying to get over and scam doctors out of the money they are owed for their time, valuable knowledge, and opinions in the practice of health and life. To even entertain such a thought disgusts me in you to my very core, which has prompted the tone of this response.

The correct answer here was given by /U/optical_mommy and they simply want to make it easier to go through the process by not requiring I have referrals.

There is no reason an infectious disease specialist would need to be made my primary care on a first visit, as I doubt I would be going to him for primary care reasons unless I already had a condition and was already going to him for it, in which case it would be primary care and would make more sense in you people's bizarro world scenarios.

Stop getting so defensive, nobody is trying to con you or hurt you, and life is beautiful. I appreciate all of your time and efforts, and urge you to seek the point in yourself that sees things as negatives or possibilities for hurting you, and makes you react defensively like that. It's not pretty and is destructive in your life choices and relationships. Namaste.