My point of course is that everyone is welcome to see a geneticist if they meet criteria, but our numbers are limited and the waits are long. Also, as you say, even many physicians, let alone families, don't know of our existence.
Data portals like Orphanet can help. Tools to get an earlier diagnosis can help. We can leverage technologies; we're already using them. Our clinics are very involved in outreach. I travel throughout the province to see patients. We use telehealth when it makes sense. There are ways to bring ourselves to the patient. There may be ways through more democratic availability of sequencing or using computer algorithms to get diagnoses more quickly.
You may never be able to replace the geneticist or genetics counsellor as being the doctor or the person with the most expertise in that disorder, who still needs to talk to you about it and walk you through the natural history. That may always be a bottleneck, unless we can train more of us, but there's a variety of ways in which we can get information out to people so that they can at least get to us, or so we can start working with them to get the information we need, so that when we do see them it's not a wasted visit.