Gotcha, sorry if I came off as condescending up above.
I think the point I was making though is that ratings do convey information to the person conducting them, whether you're referring to a film critic, a doctor measuring pain, or pollsters using ratings to measure whatever. I rate movies since I think they help me. To other people who come across those ratings and are unsure of what the numbers mean though, it's a different story. For instance, if I hear someone measured a 7 for pain, I'd maybe consider prescribing some kind of medication since that seems like a fairly big number. I don't have a medical background though, so I'm not sure if that's what a doctor would do. If I was a doctor though, that number would be valuable for me.
It has to informative to the patient first, as the patient must successfully interpret the question. And the patient is "John Q. Public." If if the scale works for them in terms of application, then the scale is universally providing useful information even before the score is reported back to the doctor or the nurse and recorded in a chart or a spreadsheet. Ditto for Likert items in those polls. The public must universally recognize what is being asked of them before they can report back to the pollster who tabulates those responses. In short, yes that scale should make sense to you as well as the doctor, because first it must makes sense to the patient (who is usually not a doctor either). Whether or not to prescribe medication is a consideration downstream and detached from the subjective assessment (what to do with information as a medical professional stands apart from our general understanding of the level of pain which is being reported).
Of course there are hypochondriacs and people who misinterpret (e.g., who think that anything less than a five is a "thumbs down") so there is noise mixed in with this signal. There is slop and idiosyncrasy. You're absolutely right about that. But it is also quick and dirty and gives more information than "yes/no" binaries without getting lost in a sea of wine-tasting adjectives. They're a quick assessment. You can read various reviews from critics or you can look to aggregated scores. And you can do both. It's all a question of how interested you are and how much time you have. It has it's place.
Again, I think that you could make the case for an improved scale and/or an improved rubric standardizing what scores mean and/or improve responses through training (normalization) within a community. That would probably increase the signal a bit, but there will always be noise with which we must contend.