Majority of Americans continue to favor moving away from Electoral College
stopthatgirl7@kbin.social to 
pewresearch.org
65% of U.S. adults say the way the president is elected should be changed so that the winner of the popular vote nationwide wins the presidency.
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In small towns yes there are problems with waits sometimes of course, in my opinion this is largely due to anti-competitive laws like certificate of need and due to the strictest licensing requirements in the world. Also, urgent care waits usually aren't bad. As for whether a place is covered by your insurer, yeah that's pretty annoying, but there is a reason insurers don't cover certain things from certain providers- the insurer doesn't want to pay exhortationate fees just like an uninsured patient would have to so negotiate the cost with the providers ahead of time, and if they don't reach an agreement they can't pay for it.
I don’t know what the standard is in the US, but to me 80k is definitely not “a small town”. Like, here in Italy we only have 66 cities with more people than that. Someone in an 80k city not finding a gastroenterologist to visit him in three months within 1 and a half hour of driving seems absurd to me.
If having private healthcare causes all these issues with insurance I think it’s really not worth it at this point. I don’t think the quality of the service would decline either since even in free healthcare countries doctors earn a lot and are a coveted job.