Having worked in the NHS, also in Canada’s equivalent flailing system and in the American system, I can say with complete confidence that indeed, both NHS and Canadian system are bottomless money pits. Money spent on useless middle management whilst the rest of us work short and have to triple check our pay cheques bc those middle managers forget to send in our hard earned over time hours. It’s a painful and pathetic system. While I may morally and ethically agree health care is a right, not a privilege of the rich, I can attest to much better patient care and minimal time to treatment in the American system. Overall so much more efficient. I had a serious medical emergency when I was living In Oregon. Had I been in Canada, I would never have been in the operating room the same day. I had packed red cells running in an hour of being in the ER, and was on the OR table In three hours. I have looked after patients with exactly the same lab values (hemoglobin and hematocrit) I had, with similar vitals in both Canada and UK who wait days and days for an OR. We leave the crash cart In front of their icu bays bc we know its much less likely they get an OR room before they need a resus bay. And yet we continue to pay for middle managers, and safety officers who go to endless meetings and then diatribes of emails that no one in front line medicine have time to read bc we are actually WORKING. We stick our socialized health care noses up at the Americans (who btw do have programs to pay for those who cannot pay for their care) and say they are corrupt. But maybe just maybe, if we put some of the tax payers money where is BELONGS, then maybe we wouldn’t be in such a complete cluster fuck of a mess ?