In my experience a big part of the problem is specialists. I remember many years ago people were saying that we shouldn't go to a Canadian style single-payer s

In my experience a big part of the problem is specialists. I remember many years ago people were saying that we shouldn't go to a Canadian style single-payer system because Canadians had rationed care and they had to wait six months for a hip replacement. Well, guess what? I now also have rationed care. I have to wait six months just for a colonoscopy, plus I pay twice as much for the privilege!