My GP is often running 15-20m late, but the flipside of that is that there's not really a sense of urgency during the appointment. Doctors here take their time with you, which is very pleasant.
Yes, it's utterly stupid. One reason I can point to is that the US never really had a national ID system. The social security number is a hack to get something along the lines of an ID, but it's not reliable enough to make it viable for elections.
I usually play on easier difficulty. The fun in the game for me is trying to optimise everything, and not having to worry about money running out at all times makes that a lot easier.
My GP is often running 15-20m late, but the flipside of that is that there's not really a sense of urgency during the appointment. Doctors here take their time with you, which is very pleasant.