This case in particular is misleading. She already had the surgery she was looking for and it was not successful. Additionally, specialists.health.gov.sk.ca/specialist-d... , it seems that there are specialists with low wait times available.

Agreed. There are a lot of conventions that you need to know if you want your game to have a specific feel. Also the sheer amount of splat books also makes it hard to know exactly what you want. Knowing which options to restrict or what to recommend as skill sets for parties takes some finesse.

Is this about how the projects and investment seem focused on resource projects? Or about the lack of focus on research development and higher education? Or some third thing?