I don't get it. You are saying you don't actually have to go see a doc "in reality" then how are you complaining that you have to see a doctor before getting treated.
I don't see why you can't have the Doc/Pt relationship you are speaking about.
Have you stuck with one GP or GI doc? Have you jumped around a lot? It takes time to build the relationship you are talking about. You can't ask for a "partnership" and then dismiss the other side ("priesthood").