It was by far one of their most unrelatable escapades. The commentary on the US healthcare system was good, but everything else just felt like Hollywood problems. I think Matt and Trey no longer inhabit the same space as everyone else, and it's showing.

(Other comments: the character interactions felt wrong, Kyle was too willing to help Cartman, and Butters was too willing to help without being cajoled into it first, the shootout scene felt clunky and even gratuitous. It felt very low effort towards the end.)