Then it'll come down to an individualist vs a collectivist take.
Triage priorities in referrals are an acceptable trade-off for broadly improved access to health care. The reality is that my eczema doesn't need to be seen before someone else's melanoma.
While I appreciate being able to see a specialist earlier in the US with my health insurance, I know that many ordinary American citizens aren't able to at all and that my insurance displaces incentives to serve underserved communities. I'm not yet an American citizen so I will not preach what the US should or should not do, but I do think it is unfortunate that is the case and I hope that improves.