There is literally no emergency declaration in your hand being broken in three places, it just means you can’t use it, and that is not life threatening, hence contrary to your point, it will not be set period, until you locate such a doctor and get seen.
Of course the fact that your hand will be crippled for life due to loss of function is not an “emergency” either.
Even the fact that you believe that such inaction is okay-fine shows that the system is not only broken, but is the very epitome of absurdity.
Following specialties is part of free enterprise, is part of Western liberty. If you don’t like the payment system and the contractual and regulatory agreements, that is a separate issue.
In areas where an orthopedic surgeon does not exist, a broken bone presents as an emergency and another doctor will set the bone. In areas where there are specialists of every stripe on board, they tend to their areas. You don’t have GPs performing trauma surgery in the ER. It’s good that each choose their own path.
If the government tells you that one weekend a month you have to hop on the back of a garbage truck, are you going to be happy having to diversify your experience like that, or are you going to protest that you have better things to do with your time? If you choose to collect garbage on the side, that’s fine. And that’s all I’m talking about. People choosing to do what they want to do.