In America, ostensibly the richest nation in the world, we ration healthcare whilst the right wing politicians jeer about Canada’s system as a slippery slope to “death panels” denying care. Whilst UHC and the gang do the same thing, and that’s ‘controlling cost’ or ‘delivering efficiency’.

Distribution on a timescale is about capacity - if it’s slow for you to receive a service, that’s likely because there isn’t capacity. That capacity may have never existed because a bean counter deemed it more profitable to not hire nurses/buy dialysis machines/build a new hospital wing/etc. and have a backlog of cases.

Or that capacity exists, but is sequestered and reserved for those who pay even more; personal doctors, private clinics, or specialists who are kept idle on contract for demand surges.