This is the case for many things in the US, not just healthcare.
https://pedestrianobservations.com/2019/03/03/why-american-costs-are-so-high-work-in-progress/
https://www.constructiondive.com/news/why-building-us-highways-expensive/724730/
I’m in Canada and I can never trust my doctor to have any conversation with anyone, at any time longer than five minutes at a time for anything
The best tactic I’ve found if you want to get anything done for yourself or someone close to you is for you to do the legwork and make calls, contacts and literally hound people to do their job.
This is my experience in the US as well. Also nobody knows anything about anything.
Doctor A puts you on a medication, doctor B doesn’t know until you tell them and then he says “he put you on that!? You shouldn’t be on that, I’m taking you off it.”
You go to have a surgery and say “hey guys, did you know that I’m difficult to intubate? Because I could die if you don’t take that into account”, they didn’t know.
“Hey guys, I have reason to believe that the insurance card I was issued in the mail isn’t completely correct, can anyone help me with this?”, 4 different people at the company that issued the card have no idea what’s going on, don’t even know about the policy tied to the card in question and think you must have accidentally called the wrong company (you didn’t).
“Hey guys how much is this going to cost?” it is literally impossible to say.
The first STALKER game. Near the beginning when I had hardly any ammo.
I saw a pack of feral dogs in the distance and while they didn’t sound friendly I didn’t know whether they would be hostile or how close I could get before they would aggro. Since I had so little ammo I resolved to not take any shots unless they got close.
Well, one of them did start running towards me, but before it got that close it cut off and ran away at a 90° angle. Then another, and another did the same thing. “Maybe they’re not hostile?” I thought to myself, “Do they just run around randomly?”.
Then I realized I was being circled. Which was an extremely unnerving realization. I went from thinking about aggro ranges and AI states to being thrust into a situation that I sometimes have to worry about not falling into in real life.
There’s an opportunity cost associated with using land for parking, particularly in dense urban areas.
In many cases a parking spot uses more space than the person who parked there uses to do their job (if they work in a cubicle for example). But they also need to be able to park not just at their job, but at their home, at the store, at their doctor’s office, etc. In the US there can be as many as 8 parking spaces per car, which collectively take up one third of the urban area.