If they have enough patients they dont really like to accept new one unless of course its an emergency then they are obligated to attend to one.

Doctors in private practice are no different to any other independent worker.  They offer skills acquired by training and practice in return for remuneration to buy groceries, put their offspring through school and perhaps even pay back the loans they took out three decades earlier.  A patient may decide to change practitioners:  likewise, a doctor may decide not to begin or continue a professional relationship.

That said, a busy doctor will often suggest the name of a colleague who might have more space or a promising newcomer who has just hung up his own brass plate.  In any event, no doctor is likely to risk tarnishing his reputation by recommending  someone who doesn’t measure up.

And if you are refused by a doctor because  his list is full, be grateful that he’s not putting himself – or you – at risk by not following his own advice of all things in moderation.

All good wishes, Ritchie