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The population of Scotland is ~5.5 million. Say 1% are trans and they all need a gender clinic appointment. Assume one person operates one clinic for all of Scotland, let’s call this person Angus. Angus works an 8 hour day for 250 days a year. Each appointment is 1 hour.
That gets you 2,000 appointments in a year - so you would work through the entire population in ~25 years. Obviously terrible… but how do you get to 200+ years?! Angus would basically need to see one patient each day and then just go and do something else for the next 7 hours.
Obviously there’s a lot wrong with my example, but remember I’m assuming only one provider for all of Scotland.
I would reckon that most patients needs more than one appointment. And then all the time of Angus' workday is probably not spent on appointments, even if he works full time in the gender clinic.
Angus is doing his best but he simply can't keep up with the workload.
Yeah Angus is probably a full time endocrinologist working on a range of things and he only works the gender clinic on a Wednesday morning.
Probably this.