and that data entry is the number 1 source of burnout for medical professionals. (https://www.beckershospitalreview.com/hospital-physician-rel...)
There are services now which allow the doctor to film their interaction with a payment and then a lower paid person transcribe and do data entry. It's remarkable that we've come to that.
On the other side, PAs and NPs are taking on an ever increasing amount of healthcare responsibilities and are rapidly growing professions that barely existed a few years ago. (https://www.aanp.org/news-feed/nurse-practitioner-role-conti...)
This is what happens when the government regulates hospitals just like they do banks. At this point they might as well single payer the whole thing. It save everybody loads of time and energy. Not to mention the abhorrently massive data entry.
Frankly walking the 20 miles should be your last option, not driving it.
Also being America, home of what feels like the home of capitalism which a lot of Europeans make it out to be, since the law only prosecutes you if you get caught, people take the risk. Because there is that cultural precedent, cab's don't bother competing cause nobody pays for it anyway.
Also for reference, you're only getting a cab in an area that is within city limits no further than like 5-10km outside of it. Any further, you're on your own.
You'd think that there'd be a "thriving" cab market, but cabs literally only exist in major cities. They do not exist in the places 20-30km out. Why would I go to those bars? Well...weddings, events, parties, where people live, etc. Also cabs charge out the ass so risking a DUI is oftentimes worth it. If you take a cab, you're out like $30-$50 bucks sometimes in those rural areas. If you get a DUI, in my state, it's like $150 for a first time offense. So in essence people drive normally, avoid main highways or take backroads where cops don't camp out.