My friend needs to see an orthopedist for a thigh issue. Doctor gave her a reference paper (required to see specialist) and she called and there is a 2 year waiting list...when they take new patients. On the other hand, if you go private, you cough out the $ and you can see one rapidly. Or if you truly have good connections (like I do) I can see one quickly, if needed. But you need to be ready for him (he's not wasting anytime) - have all tests, etc on hand. We have excellent hospital system here, but the problem is not enough generalists, even less specialists.