If people are queueing in an ambo for 12 hours why isn't that a sign of collapse?

If people are dying of stroke or heart attack at greater rates, because they can't get ED care, why isn't that a sign of collapse?

> Almost 333,000 hours were lost by ambulance crews because of handover delays in the 12 months to July 2022 – 18 TIMES higher than the 17,600 hours lost during the same period in 2019 to 2020.

What's this if it's not collapse?