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In the medical scenario, having medical workers sit around waiting for the train after they've driven to the station would be a problem if their presence is needed quickly. Or did you also want everyone to cram into high rises clustered around stations?

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The point is that use of public transit by ordinary people helps free up the road for EMS vehicles.

What I see on the rail in Houston are health-care workers and office people, but looks like very few doctors or executives.

Idk, man, Europe and like... half of Asia seem to have figured this out, and their healthcare outcomes are better. But sure, this contrived pro-car scenario is why trains don't work.

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