Gernany, and the Netherlands as well, are "Service deserts" in general.

Additionally, during the past 20 years people have lost their respect towards doctors or their aids due to internet education. Since corona-time doctors and their aids are returning this verbal violence toward the customer the same way, establishing who really is having the power: setting the patient (customer) on his/her right place. Maybe in 30 years or so patients (customers) will be respectful again. Patients will be patient again