r/it feels like dermatology is a scam?

Honestly I don't understand this new trend of online derms recommending 3 or 10 steps skincare routine while the one that I struggle to find and appointment and go to doesn't give my any specific products with the name or so. She says use a moisturizer so I end up doing all the testing myself. I feel like there's something off with this skincare online trend where derms are recommending 100 products per week claiming they have tested them. Knowing that some products require 3 months of testing, how are they recommending them based on personal use?? I mean it doesn't work. Also how is it that it's a worldwide phenomenon not to be able to find a derm appointment ​To talk about your skin with the doctor? Cs most of them are now esthetic derms and have 0 care about consulting with patients.