As someone who lives in a major city in the US with a dense walkable city center, the health care system in cities is frequently a mess of bureaucracy and compl

As someone who lives in a major city in the US with a dense walkable city center, the health care system in cities is frequently a mess of bureaucracy and completely overwhelmed by demand. The suburbs (not rural though) have much more accessible… everything really. Go to a Target (a “basically anything that’s not food but also some food” store) in an inner city and they’ll either be out of half the things you need or simply not stock them at all. Suburban stores are fully stocked and prices are lower, with larger sizes available. The same dynamic exists in healthcare to the point if I actually have real healthcare needs, I go out to the suburbs. I went to the ER in the city one time because I had cut myself pretty badly while cooking. The person who was stitching me up had to stop halfway through to rush and deal with 3 gunshot victims who had all come in at the same time. I sat there with a bleeding, half-stitched hand for 2 hours until they could get someone else. Much of this was driven historically by racism, redlining and white flight, but it still doesn’t change the fact that health care in cities is more expensive, significantly more burdened and way more of a bureaucratic machine.