It is by design.
Decades of sabotage. It was managed by and for the doctors. Under the threat that they would leave the province, we gave them everything. They operate as private entities within the hospitals and can bill whatever medical acts they want with little surveillante.
My kid would need an appointement with a specialist: the waiting list was six months. Or I could see THE SAME FUCKING DOCTOR at his privately owned clinic the next week.
Obviously, when you're ill and have the mean and access, you will pay. In the end, it's the poors that pay the price of a worse service.
I could rant about Bonjour Santé and their shady businees practice, but let's just say the private sector has its foot, and more, in the door for a long time by now.