At the end of your presentation you gave us a whole lot of questions to which I have no answers, so I'm coming back to you with them to ask for your best guess, or something like that.
You talked about the doctors who work together. They wouldn't necessarily be independent of each other. How do you get a second opinion or a psychiatric opinion?
You talked about patients who can't travel safely. You also asked what happens when everyone knows everyone, or what happens when there are radically differing medical views in the same community.
I don't know the answers to those questions. Can you give us a bit more help, beyond just stating them?