yaG HE debate on health services access generally focuses ^ on the difficulties members of certain social groups (the poor, uninsured, uneducated, etc.) encounter in I 1 5 identifying and subsequently obtaining prompt, high quality, services through appropriate channels. Con&Q*' versely, little attention is addressed to the opposite phenomenon, namely the ability, or rather "excessive ability," of some citizens to shorten their own waiting times. We present the results of our inquiries concerning factors-non-clinical and perhaps unclear-implicated in "queue management."