It’s just luck. In NYC my relative (w/ terrible insurance) got a biopsy, saw a surgeon the following week, was offered a spot for surgery 3 days later. Pretty

It’s just luck. In NYC my relative (w/ terrible insurance) got a biopsy, saw a surgeon the following week, was offered a spot for surgery 3 days later. Pretty fast, but the system is confusing and opaque. I complained vociferously to the doctors in my family. Basically they have a sales quota to meet which requires them to work long billable hours. One told me the Cleveland Clinic has a very efficient system. Why don’t other hospitals copy it? The answer was a bunch of lame excuses. Basically, hospital management is usually excellent MDs but incompetent business people. After hours of discussion, my conclusion is it’s easy to make incremental improvements to the current system because it so obviously sucks. But it needs a revolution to handle universal health care.