I almost hate to enter this fray, but..
As an attempt to try to explain some things... because honestly, I think there's lots of misconceptions and some pretty almost bordering on hurtful things have been said on both sides, imho..
Anyways:
1) Supply <> Demand. Things, wait times depend on lots, including where you live, what insurance you have, what specialist you're seeing.. only one specialist + lots of patients = long wait. Just like economics of all other things - simple as that. (like plumbers, lawyers, dentists, etc)
See as example:
https://archinte.jamanetwork.com/article.aspx?articleid=1857092
See as example:
http://www.merritthawkins.com/uploadedFiles/MerrittHawkings/Surveys/mha2014waitsurvPDF.pdf
2) Primary care isn't what other specialists are like.. and are among the "worst" in job satisfaction, pay, hrs wrk, vacation, pay/hr,
See informal simple poll:
http://blog.sermo.com/2014/03/10/physicians-would-choose-their-specialty-all-over-again/
See Washington post article from last week:
http://www.washingtonpost.com/national/health-science/a-growing-number-of-primary-care-doctors-are-burning-out-how-does-this-affect-patients/2014/03/31/2e8bce24-a951-11e3-b61e-8051b8b52d06_story.html
See collection of source that are not trying to sugar coat anything: i.e. worse hours than pcp in other nations, less vacation, less $/hr, and most debt..
http://blog.sermo.com/2014/03/14/infographic-how-much-do-doctors-really-earn/
Primary care shortage is nothing new (see 2009) and imbalance in pay is nothing new.. PCP 30 minutes = $89. One Colo, 30 minutes = $422. You decide
http://www.washingtonpost.com/wp-dyn/content/article/2009/06/19/AR2009061903583.html
If you really wanna see fireworks and discussion about what doctors make or don't make - see here.. lots of more crazy info and discussion.. makes this conversation actually look tame I think...
http://benbrownmd.wordpress.com/
3) As mentioned in previous posts, you could have a combination of any of the following: (nurses, PA, NP's, EMT's, whomever probably would agree with this)
a) High stress
b) Draining environment (i.e. having to deal with sickness)
c) poor work/life balance
d) The doctor is always the 'rate limiting step' - systems may be in place, but still the doctor has to get things going/moving - that is lots of pressure
e) Financial reimbursement is usually a 3rd party player (and doctors usually aren't trained about this in med school.. the focus is clinical care, not running a business)
f) Just a 'lawsuit waiting to happen' in the back of the mind
g) Politics (how can this not play into things anyways)
h) Electronic medical record and documentation
i) emergent patient - doesn't matter when/how/where/what - something is going to happen.. and if it happens to be you, or your family member loved one.. (you or your loved one) will be the one wanting that attention at that moment and to heck with what everyone else thinks/needs/wants
j) messages (phone calls, e.mails)
k) tasks and forms (insurance form, FMLA form, fill out medication over-ride/justification, prior auth form, disability form, return to work/school form, reimbursement for home health form, authorization for medial equipment form...)
(joking now)
4) And of course, for people who think we are really goofing off a lot, you caught us and you're right.. we are actually:
a) On the DIS, surfing and reading posts so we an plan our next Disney vacation
b) ...trying to get one more level playing candy crush, or one a higher score on 'duet' for ios
c) ...at our son's baseball game at 10am this weekend (but only because I started my day at 4am)
d) ...purposely schmoozing the drug rep for a pen (since I can't get free trips to Hawaii anymore)
e) ...trying to figure out why we really aren't doing #a-d
(serious now)
So honestly, just like any "wait" - we wait at the DMV office (we all hate that, and that's so inefficient).. we wait in the ER (another whole story about how our health care system is messed up and people use the ER for non-emergencies).. we wait at Disney World in line... there's going to be some amount of wait for a doctor
Sometimes you get lucky, some are more efficient, some are great, some are not.. it's a free country so you an do whatever you want - so if you're happy, thanks for understanding and we're trying our best.. if you're not, then you can make another choice too...
Not all doctors are 'arrogant' and feel like 'their time is more important than yours". Some might, but certainly not "all".. Similarly, not all patients show up late "on purpose" -- just as every patient is different, so is every situation, every response, every way that doctors deal with things.. it is not fair to imply that either patient or doctor is at fault, and the grass isn't always greener on the other side.
Doctors for the most part go in to the profession to help people (there are tons of other ways to make more money these days)... we seriously do not sit around thinking about how to aggravate our patients by making them wait longer.
I'll add one last comment: everyone wants a great doctor, with bedside manner, spend a lot of time, listen to them, be correct about therapy and suggestions, and be available, etc (no brainer...) I would think there should be an inherent understanding that the more people who want "that" (for their visit) in a certain constrained "time limit" (in whatever system of care or otherwise), is easily inherently impossible, right?
my $.02 and hope that helps you understand a few things - thanks for reading