you have a fixed pool of resources and more demand than there is availability. do you sort the queue by a impact on quality of life heuristic or do you sort the queue by willingness to pay money? in one system, people are more inconvenienced; in the other system, people with no money die or are saddled with debt.

anyways the crazy thing to me was recently learning that americans often still have to wait long periods of time in ERs and to see specialists. you're telling me y'all waste dozens of hours navigating insurance plans but you still have to wait an average of 50 days to see a dermatologist or wait for 6 hours in the ER?

believe it or not i don't wait that long here in canada

This of course does lead us to our next question, which is "why is there more demand than there is availability?"

Also for what it's worth, in all of my recent ER visits in the States (which, to be honest, are not often, perhaps 3-4 in the last decade), did not have long wait times at all. I was always seen by an initial triage doctor within a half hour