> - Next day MRI for my wife after she injured her back at the gym. Had it been more serious she would have been seen the same day.

I had same-day CT for suspected diverticulitis/kidney stones. I had same day x-ray, ultrasound for hyperextension of my wrist (steering wheel airbag going off pushed my hand backwards towards my elbow)... all good. I was told to start PT immediately...

... "we can see you in 8-10 weeks." "We're not accepting new patients". "In 3 months, does that work?"

I've also worked for 14 years as a paramedic and EMT, and seen first hand the sheer number of simple things that become acute care issues requiring the ER that could have been prevented by simple access to a primary care provider.

> Nice pharmacies all over the place, which also provide things like vaccinations. Lots of our medications are now just shipped to our house directly

My insurer will only authorize 90 day prescriptions if you use their wholly owned pharmaceutical subsidiary. Otherwise they will deny anything longer than 30 days for no medical reason. They still charge precisely 3x30 days, but they just want exclusivity with their own vertical integration (which, conveniently, is exempt from laws on insurer profit margins - the only way for an insurer to make more money per capita is if healthcare, including pharma, costs go up).