Sounds like the doc is clueless or an asshole.
My Doc did not want to do it for me as well. Here's what I did.
I told him " I am sick of all of these other regiomens, which really hardly work. I am sick of taking tetracycline for years and years, ad it seems to not work. I am sick of being a slave to creams, scrubs, gels, and having enough skin-care crap to furnish some supermodel chick. I have had enough.
I KNOW that accutane is for serever cases, buit I am determined. I want this acne problem to END. Now.
Now, I AM going to do this. I have made up my mind.
I would MUCH rather do it with YOU, my regualr doc, overseeing the process, and, legitimately, have my insurance pay for it.
However, as much as I want it that way, I will not let it stop me if I cant.
I will pay for it out of pocket if I have to.
I will find some doc, someonwhere, who will write the script.
I WILL MAKE THIS HAPPEN, one way or another.
So, please, I understand your apprehension. And I thank you for your concern. But I AM going to do this, I would much rather do it with you than without you.
So - which way wilkl it be?"
Say that in a determined but respectful manner.
I did, and my doc sighed ........ and the said "ok, lets get the blood tests started to check your baseline cholesterol.
And we went from there.