The quality of service in North America has gone down across nearly every service, whether wholly governmental, or wholly private, since the pandemic.
It’s very likely the quality of service is heavily affected by the same general forces.
In addition to that, any effort which greatly increases access to services to a broader spectrum of people will usually lead to a short term reduction of quality as the supply catches up with the new demand. A logical solution to this would be to phase in the demand, but unfortunately it’s not politically viable at all (politicians of all stripes want to be credited for the changes they make, and phasing it in over a period of time means the costs impact the budget almost immediately, but the benefits take time to filter through, which will likely be a political disaster).
It’s very likely the quality of service is heavily affected by the same general forces.
In addition to that, any effort which greatly increases access to services to a broader spectrum of people will usually lead to a short term reduction of quality as the supply catches up with the new demand. A logical solution to this would be to phase in the demand, but unfortunately it’s not politically viable at all (politicians of all stripes want to be credited for the changes they make, and phasing it in over a period of time means the costs impact the budget almost immediately, but the benefits take time to filter through, which will likely be a political disaster).