Whenever I have a (PCP) doctor appointment, I always end up being seen by the PA...

Traffic. That's all. PA's reduce the doctor's load and allow practices to see more patients.

And while PAs are licensed and with minor differences very much physicians in their own right, they are not physicians. If you schedule with and pay for a visit with a licensed medical doctor, then you have the right to demand and appointment with that doctor. Otherwise, offer to pay for 75% of the visit, as that's what you received.

The doctor makes more money if they can get their PA to do part of their job.

Hey. Glad to see you here.

Unfortunately due to pay structure/ profit margins many offices have found it more financially effective to have 1 physician overseeing one or more PAs in a practice.

PAs are more that just an assistant to the physican actually. They have either a Masters Degree in general medicine or some have Phds although more rare. They are trained to work independently much as a physicaian would but they must work under the authority of an MD.

I totally get why you may want to see the Dr. You can ask in advance but often these practices kind of reserve the Dr for more complex issues.

If they act like its annoying or try to steer you back towards seeing the PA you might want to find a more old fashioned office where the Dr sees his/her own patients.

Also her bedside manner has nothing to do with her education level. Maybe the PA is just not very good.