You should not have to be ill or have to explain why you need to take a day off. Just have sufficient undesignated PTO to maintain good mental and physical health.

My US doctor is pretty good about telehealth visits. I can send them messages online, or schedule video appointments for certain things. it makes it much easier to get questions answered or schedule visits with some more flexibility. I know many states still don't allow any medical access via phone/video/online.

In Mexico, I can ask questions and talk to my doctor over Whatsapp. I don't need to log into a healthcare website to ask for the minor requests.

The US is such a backwards place and the healthcare system is incredibly broken.