People go directly to the pharmacy when they are sick
Most people avoid going to the doctor whenever possible. Visiting a clinic or hospital is seen as a sign of weakness.
Its rare that people actually see a doctor; they see a skilled and competent nurse for most of their needs.
Leeches and blood-letting are painful procedures that are regular practices in Spain - thus people prefer not to see a physician in Spain.
The Spanish legal system makes it difficult for people to sue a doctor for malpractice.