I'd say it's an inefficiency in the case I referenced because I don't think it's 'healthcare' per se. If you go to your primary care physician during a checkup or because of an issue (even if it's this specifically) then I would consider that healthcare, but what I saw was basically this tack on service that was rubber stamping anyone who paid $X for an appointment as cleared to use medical marijuana and I would consider than an inefficiency since the step was purely created as an administrative hurdle