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what should I do about my frustrating acne problem?

I've recently finished a 3 month treatment of both Tretinion .5 mg and Doxycylcline and my acne is just as bad, if not worse.

It's beyond frustrating when I've had acne since I was ten years old (I'm turning 19 in september). I've stressed it to every Dermatologist I've seen that I've been on every treatment minus birth control and accutane since then but it seems like they think it's just a superficial problem. My physicians who I've been with since I was born have prescribed me everything they can and have told me it's more than just a bacterial problem but it seems that these dermatologist think otherwise.

I've tried;

Benzoyl peroxide cream (twice)
tretinion .5 mg
tretinion 1.5 mg
Doxycylcline 125 mg (4 3 month treatments that only worked the first time but for some odd reason they keep giving it to me anyway)
benzoyl peroxide washes

I've had it with all of these treatments that don't work and yet I'm supposed to "have faith in them".

I've done my research and I've heard that birth control is an affective solution because I break out the most when I'm menstruating and my doctors said that they refuse to negotiate with my medical insurance to cover them.

Today they gave me ANOTHER treatment of tretinion cream with doxycycline with a benzoyl gel and I almost blew a gasket.

Would you agree with me when I say that I should find another dermatologist, even if my medical insurance doesn't cover it? I honestly don't care anymore, I don't wanna spend another year with the same treatments and the same acne anymore.
yeah let's all use an exacto cutter and create infectious wounds on our face. nice loser
my physician and the other dermatologist said accutane is good too but I am against using it due to it's side affects. but today for some odd reason another showed up rather than the one I had when I was first referred to the office.
I've also tried almost all over the counter treatments out of curiosity and it was just like splashing water on my face, it was pointless.
Kirsh; I know it's an internal issue and I have changed my diet, wash with gentle washes, change clothes various times a day to prevent bacteria to saturate my skin. I know my solution is birth control, but my doctors don't want to ask the insurance company to cover it even though in this case, they would.