I find it is about the right cost (location depending)

I've been seeing a specialist for six years under this system, and he has had to close his books for the past two years

There are genuine shortages for a lot of specialists - they personally seem very over worked to me (well paid though)

If a disease is as extreme as the OP though I'm sure the ~$400 max isn't a life altering barrier to entry to a second opinion though