No, I am summarizing my experience with several different primaries and around 8 specialist practices, much of it gained from advocating for several older family members.

Yes, you can request your next appointment with the same doctor (modulo having to wait even longer). But that doesn't change the overall dynamic where they've been set up to give you mere slivers of time while outsourcing their working memory to janky computer systems. And while you can develop an ongoing relationship with one doctor, they can still leave suddenly because they've hit their individual breaking point from the practice's continual screw turning.

I know there are some good doctors out there. For example our pediatrician has been great (after a bit of a bumpy start due to overall industry-wide CYA dynamics). But a few shining examples, if you can even manage to invest the effort and find them, don't really change the quality of the overall system. Especially when many situations basically require relying on the whole system.