to be honest i'm quite happy with the 2nd option. i allways get to see a doctor even if he's on holliday or sick. if your not happy with there opinion then you can get a second opinion. i don't believe the example you have given is really in the same league. but i see where your coming from.

but if i want my forklift repairing i want it up and running erning money end of! i don't want a friendly conversation. buisness is buisness.

but like i said, there will allways be a need for both. the proof is there