Canada

I would have to suspect if they haven't already reduced hours or closed the facility it's in small towns. They often can't find enough staff so they close down and residents then need to make drives to the next major city to get treatment.

Often this involves multiple hour drives on icy and snow covered roads this time of year.

That said in the greater Vancouver area it's not uncommon to wait 8+ hours in the ER for less severe cases. Often the ERs become overflow for drop in clinics that cannot handle the volumes.

Often the ER is the stopping place for those needing prescription renewals too as GPs (if one has one) can be 3-6 weeks out for bookings and I'm told there's a mismatch to the renewal length maximums.

Ideally, never get sick, old, or need meds and there's no issues... /s