It all depends on the area one is at from my perusings online in different sites. Different locales can be night and day. I believe the corruption in our Government is so vast and so imbedded it would be like walking uphill in the sand to conquer it in one term. I have gone through 3 Doctors in 5 years, and I had to reinvent the wheel with each one. Frustrating, but my needs pale in comparison to many Vets!