Tried getting an appointment in Denmark. “We don’t take any new patients”. A familiar story when trying to reach many specialists in European countries (Germany, Belgium). Except I doubt they’re getting 500k.
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In USA, with PPO insurance, you can see specialists without a referral. Direct specialist appointments without seeing your primary doctor for a referral.
It's a matter of "current patients have filled the schedule indefinitely."
If high-skill jobs are compensated (relatively) less, workers are less incentivized to pursue those jobs, or they move to other markets.
B. Capitalist countries like the U.S. are not completely immune to his phenomenon either.