Wait and travel times for healthcare services on average are higher than those of any other professional service, from vehicle repair to getting a driver’s license, according to a new study released Friday by the nonprofit research and consulting group Altarum. The industry has failed to lower travel and wait times over the 11 years between 2006 and 2017.

In the study, Altarum found that time spent traveling and waiting for medical care exceeded the time spent actually receiving care by about 50 percent. The value of work or leisure time foregone in order to travel to or wait for healthcare professionals amounts to about $89 billion annually.