All are scrambling to introduce private insurance or direct-pay practices to supplement the over-run government systems and to please restive citizens and constituents seeking timely affordable care, and all are unsustainable economically because of demand and aging populations.
Yet government must account for every penny. Constituencies must be satisfied. Bureaucracies grow. People within the bureaucracies seek to please fellow bureaucrats rather than to serve patients. Bureaucrats will get their bonuses and keep their jobs regardless.
"The fact is long waits for care is common to government-run, taxpayer-funded health systems. Think of all the complaints you've read about long waits for care in the socialized medical systems in Britain and Canada. They are what happens when the government owns and operates the hospitals, pays the doctors and nurses, and finances it all out of a central budget."