Originally Posted by SteinUmStein

There's a difference between demanding reliability and expecting reliability. The key difference is that Americans will go to whatever physician or NP is easiest to schedule an appointment with and who is covered by their insurance, and they will expect everything to go perfectly. When something goes wrong, then it's time to sue. A minority of the population will seek out quality and reliability on their own, but the majority of Americans will expect it anyway without any effort or extra expense on their part.