He was talking about the performance of the procedure as a whole. He's saying most tests are unacceptably slow in the US because the labs doing the testing aren't paid less for being slow, so they take in more customers than they can handle reliably.

Actually, he blames reimbursement and has this to say "Because the federal government sets that reimbursement system."

That is not an accurate statement. Yes, the government sets reimbursement for Medicare and Medicaid, but not for private insurance which is ~60% of Americans.

Exactly when it takes 2+ weeks to hear back about a test it's pretty much pointless as the person is probably either close to recovering or in the hospital.