I would say naive folk fucked by the system.
In Europe it is kind of similar, but not as bad. My relative has non-lethal cancer. It was diagnosed by private doctor and waiting list for operation is a few months. So he called ambulance and went to public hospital with 'unknown pain'. The very same doctor (who also work in public hospital) diagnosed cancer second time and bumbed him on top of the list, since it is an 'emergency'.
Just in case someone ask about morals: it is very commom here. This guy has bellow average salary, worked 40 years and got medal for rescuing 5 soldiers in combat.