House calls vs. institutions?

In the old days (vey old days), physicians carried a black bag to each sickly person's humble abode, filled with simple instruments for diagnostic purposes. This 1 on 1 interaction has been touted as "the good old days" of doctor/patient personalized care. Granted, you couldn't carry an MRI machine in your back pocket, but I'm talking about that initial BOND that seems to have diminished throughout the years.

This brings me to the possible correlation with audio.

How many of you, think that there should be a similar relationship between the designers of high-end audio equipment and each prospective client? Now, I'm not stating that they should "fly" to our homes/businesses and take a survey. I am specifically referring to a 1 on 1 interaction where the opportunity for specific design implications are sculpted to each clients unique circumstances.

Keep in mind that I'm not suggesting that Pass, Rowland, Levinson et al can realistically do this. I'm implying towards other smaller entities than CAN and DO prefer this sort of relationship.

Now, one could interject that "dealers" are the interface between designer & client. You would be correct I think.

Let’s look at examples where one could have their own unique tube amp designed for their specific needs. Or preamp. Or speakers. Or something much easier to implement like CABLES.

Cost factors come to mind I would think. This type of 1 to 1 is usually associated with higher cost. But what if that were not the case?

Would we all prefer this relationship? Does this mean that "dealers" would not have a place in the industry (GENERALLY SPEAKING OF COURSE). Would we be more satisfied with the outcomes? How would are ideologies be affected when feeling that this 1 on 1 could steer our subjectivities one way or another. Maybe we would come to the conclusion that the "sound" we have helped to sculpt (through the designers) IS better than just buying and trying out equipment? How would our subconscious deal with this???

Now, after all my ramblings, I would like to focus on an area where I think this would be the easiest and most practical of the bunch to visualize and put into practice...CABLES.

Please feel free to comment. As far as my personal opinion...I would welcome these opportunities.