Access is not that good. I've got decent insurance and a great primary care doc. I have a long list of indications for taking a GLP-1 but the insurance is fixated on A1C. He says he's had trouble getting the drugs paid for by insurance and pointed me to a specialized clinic with an 8 month wait to get an appointment. My last A1C was barely high enough to qualify, I'm expecting my next one to be better and I might not qualify but who knows, the rules might change by then or that specialist clinic might be able to talk up everything else on my chart.