Like if there's a waiting list for years but you can pay to get in earlier (presumably to the detriment of everyone who has to wait)?
Like if there's a waiting list for years but you can pay to get in earlier (presumably to the detriment of everyone who has to wait)?
Under the framework of capitalism, no - it is not unethical. The incentives all around are all shit, and everyone is acting "ethically" in the sense that everyone involved in the transaction is doing the most "efficient" thing. The kind of doctor that gives priority to cash generally only takes cash payment anyways.
Being a martyr and doing individual consumption stuff does not change the fundamental relationship there.