Best Medicine: Why Fox's Doc Martin Remake Only Became a Hit After It Left Fox

Fox's American Doc Martin remake barely registered on network TV, then hit Netflix's Top 10. Why the cozy medical show only clicked on streaming.

 

Josh Charles as the brusque Dr. Martin Best in his small-town clinic in Best Medicine

Something odd happened to Best Medicine on its way from Fox to Netflix. Earlier this year it aired on network television as a gentle medical show that runs, does fine, and slips out of the conversation by the next morning. Then Netflix added the complete first season on August 4, and it walked straight into the US Top 10 at number seven. Same thirteen episodes, same short-tempered doctor, same tiny coastal town. The only thing that changed was where you happened to find it, and that turns out to be the point.

Lobster boats and traps crowd the small coastal harbor that stands in for the show's Maine town in Best Medicine

The British Institution It Copies

Best Medicine is an American remake of Doc Martin, which is worth pausing on, because Doc Martin is not a small thing to remake. The British original ran on ITV from 2004 to 2022, ten series across eighteen years, with Martin Clunes as a gifted London surgeon who develops a sudden phobia of blood and retreats to a fictional Cornish village to work as its grumpy local GP. That premise sounds like a one-episode joke, and instead it became one of Britain's most durable comfort institutions, a show a country kept on in the background for the better part of two decades. It belongs to the same undemanding category that made Little House on the Prairie a rerun American viewers still leave on: warmth you can walk into at any point and never feel lost.

Dr. Martin Best examines a patient's throat with a penlight in his clinic in Best Medicine

What the Remake Keeps, and What It Moves

The American version, created by Liz Tuccillo, a writer who came up on Sex and the City, keeps the engine and swaps the scenery. Josh Charles plays Martin Best, a brilliant Boston surgeon whose new blood phobia ends his operating career and lands him as a general practitioner in a close-knit town off the coast of northeastern Maine. Cornwall's cliffs and fog become lobster traps and Atlantic gray. Abigail Spencer, Josh Segarra as the town's puppyish sheriff, and Annie Potts as a salty aunt who sees right through him fill out the village. Each week pairs a small medical emergency with the town's low-grade chaos, and the pleasure lives in the pattern more than the plot. Casting Josh Charles is its own small argument for the show. He spent years as a prestige-drama fixture, the smooth wounded lawyer of The Good Wife, and here he is a rumpled doctor who scowls at children and dreads a paper cut. Watching a serious actor commit fully to grumpy small-town comedy is a real part of the pleasure, a texture you only catch when you are actually paying attention.

That preserved oddity is the giveaway. When a network remakes a foreign hit, it usually sands off the strange part and keeps the format. Best Medicine does the reverse. It relocates everything cosmetic and guards the single strangest thing at the center, a healer whose own body rebels against healing, because that wound is what makes the coziness stick. A flawless small-town doctor would be dull. A great one who faints at the work is someone you can watch for eighteen years.

Dr. Martin Best has a testy exchange with an older local resident in Best Medicine

Comfort TV Changed Its Address

So why did it barely register on Fox and then click on Netflix overnight? Because comfort television has changed address. A show like this was built for the old rhythm, one warm episode a week, half-watched while you fold laundry. That rhythm is fading. On Fox the show had to fight for a live audience that no longer gathers at a set hour; on Netflix it does not have to fight at all, it simply waits to be chosen. Comfort is now something you queue and let run for hours, an entire season waiting in a single row. American TV has mined British comfort before, most famously turning a small UK sitcom into The Office, but those remakes were still made for the same weekly grind. Best Medicine arrives into a different machine, the same streaming logic that keeps Ransom Canyon idling on a shelf of romance novels, an endlessly renewable comfort with no urgency to it.

The reviews, for what it's worth, are mixed and a little beside the point. Best Medicine holds a respectable 77 percent from critics, many of whom found it cutesy and missing the original's kookiness and heart. They are not wrong. That split is the usual fate of comfort TV, which critics judge as drama and audiences use as furniture. But comfort TV is not graded on greatness; it is graded on reliability, on whether it does the same soothing thing every time you reach for it. This is not a show that changes your week. It is one that fills a slow evening without asking anything of you. Netflix has already ordered a second season, which is the streaming era's way of saying the format works as designed. Doc Martin proved comfort could run for eighteen years. Best Medicine is proving it can also just sit there, warm and ready, for whenever an American audience decides it is finally time to press play.


Watching slowly. Writing about what I find. Essays on prestige TV, films, and the stories that stay with you long after the screen goes dark.

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