[ectopod]

Not to defend the system, but I don't think they were trying to fraudulently get her 48 hour payment. Rather, if they accepted advance bookings (which was, after all, the old system) then almost nobody would be seen in 48 hours. They could have offered advance bookings for follow-ups, but since most appointments are taken by the sickest people, many of them will be follow-ups, so this probably wouldn't have helped.

If you want to reduce the queuing time in a system you need to reduce the processing time (i.e. the duration of an appointment) or increase the number of servers (i.e. doctors). You can't do it by edict.