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The stupider stuff to me is just because there's public Healthcare doesn't mean there can't also be for profit services. Just that they have to compete on something other than simply existing. It's like k-12 school. There's public school, or you can pay for private school if you want to and can afford it.
People dunk on the VA, and it's not good, but you have to compare it to the existing alternative in the US, and honestly it's not really worse than the average for profit where I live (which is rural NY for context). Something like 95% of primary care might as well be like going to Urgent Care, just with more waiting and lower prices. But it's not like you ever see the same person, or a doctor usually. Just whatever Nurse Practitioner happens to be there, and no one reads your chart so you're just explaining from scratch each person each time, even in the same visit.
And I think I've seen more get it moved along at some local mechanics drive up than at ERs. At this point about the only place to go is either shut down facilities or up IMO.