[dnissley]

Isn't it pretty bad to be a zebra in general though? Certainly there isn't any place where zebras have it better than horses.

[sgent]

Yes but if you're at Kaiser in San Francisco and have a zebra there may only be one doc (or a small group) at UCSF that can treat your zebra, and they are not in the Kaiser network, so you go to Los Angles where Kaiser's specialist is, get treated by a lesser doc with a virtual visit assist from LA, or pay cash out of network.

[savanaly]

I think their point is that it's relatively better under another system, not that it's amazing there.