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Proles in the U.S. be like: "First time?"
This sounds like the class discrimination that comes with U.S. states' medicare programs. A state here never has enough funding to meet the high financial cost of many medical practitioner fiefdoms, so the poor and most needy get de-prioritized and kicked to the curb. Waiting times for care are long and few places will take such patients, in addition to giving only the bare minimum of material assistance (i.e. the cheapest "get them out the door" fix for their ailments). Story as old as time under privatized capitalist healthcare regimes.
Being a citizen of Burgerland I twitch reflexively when I see that in healthcare discussion.
Yep, that sounds like how it is here more and more nowadays.
Sadly, I do remember ~15 years ago when everyone could actually rely on decent public healthcare from the NHS.