Docs set up shop mostly where they went to school. They're lured away to other areas by big money. There's no big money in Vermont. There are barely any docs here. Expect to wait 6 mos to a year for any appointment, maybe 3 mos if it's a important. Otherwise it's the ER or urgent care and they won't be too happy to see you. Then they'll reference you somewhere for a followup in 6 months. It's insane - I say that coming from Raleigh where you can get in same day or week to see most docs.