For years, Alton Multispecialists was the facility our family looked to whenever we needed to go to the doctor. It is a large practice that tended to have the doctors with the best reputation. The well-known problems that Madison County doctors have had with malpractice insurance have taken a toll on the Multispecialists. Turnover is high. It's hard to keep track of which doctor one has been assigned to before the next takes her place. Waits are long and it's difficult to make a connection on the phone. All local doctors are struggling with similar issues, but the sheer size of the Multispecialists practice seems to make getting care more difficult and frustrating than it is in a smaller practice.