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.