I typically show up an hour late at the doctors office if my appointment is in the afternoon. It gives the doctor some time to catch up on patients and when I show up I’m the next in line. It benefits both of us.

If you did that in the USA, you would lose your appointment and possibly be billed for a no-show.

A bill for healthcare? Foreign concept in Europe.

Hm? They have the Ausfallhonorar in Germany for if you miss a scheduled appointment.

It's not a bill for healthcare. It's a punishment for wasting resources. Like at buffets where they charge you for uneaten food on your plate when you leave.

HCPs in socialized medicine often still get reimbursed based on activity, so a missed appointment means they miss out on reimbursement. Makes sense you ought to owe them for costing them money.

Don't know about "Europe", but in France they're looking into setting up something similar for no-shows. Not sure where the law's at, but it's being considered at least.