Next time you go to a GP's office for no reason other than to gatekeep a specialist you know you need ask yourself what all those people are being paid for any why the situation deserves anything more than someone on the order of an RN saying "yeah looks like an infection to me" via a screen, to pick but one example.

Like all bureaucracy, every single part of the system has some skin deep reason to justify its existence or scope but when you take a step back and look at it all you'll find that huge swaths are either redundant or completely unnecessary, and that the industry is rife with this BS from top to bottom and we're all made effectively poorer for it.