Basically, you go to walk in clinics for minor things. The waits are atrocious. If it's somewhat serious you usually go to the ER. From there they will send you to whatever specialists you might need. The wait for those is even worse. If I were closer to the border I would consider paying a doctor in buffalo, but I am not close enough.

Universal healthcare is great, don't have to pay a thing generally, but it sucks for wait times and access to family doctors.