Not sure that all the Docs are like you describe Kap.
Have had a different Dr every year for 12 years. And that includes that period where we had to go twice a year.
Only one has been a pain in the ar$e with lectures and rants. All the others have been very good and brief.
A retired director of AME's in Oz has recently been quite critical of how the department there is cracking down on some silly areas that are popular at the time.
He argues that pilots self certify every time they turn up for work, that they are fit to fly. Yet in one 30 minute appointment, once a year, with an AME can have them lose their medical for some minor and correctable ailment.
I think most Dr's here are quite pragmatic in their view of how it all works.
And l'm not sure about any pressure from fleet.
Have a look on the portal under medical and read the Dr's bios and make up your own mind.
halas