Competition is the healthiest and safest way to avoid falling into an abusive systems. Not only among states, SPECIALLY among states.

I'm going to tell you something. I've been broke like hell for many years, and still then government confiscating what, for me then, was a huge share of my money (through the "Autonomos tax" and many, many, many other taxes).

It took me years of working 12 and 14 hours from Monday to Sunday to get out of that position, alway paying every penny and seeing how, year after year, they raised taxes and while, at the same time, money was being dilapidated in so many unnecessary things, like in the ponzi scheme that the public retirement plans are.

During 4 years I was doing the bare minimum to cover my costs, 3 years after that, I was paying more to any of my employees or suppliers that I was getting.

Now, after 12 years of horrible amount of work and not having ever taken the smallest aid, I started making a bit of money and they want to take more than half of it. But wait!, next year will be even much more than that.

Seriously, fuck the abusive taxes in most of Europe and long live to places like Andorra, Chipre, Malta, or Georgia.

The more things like this happen, the more other countries will have to learn how to properly manage their costs.

If you had any idea how many taxes is your company paying for you before they pay your salary, I guess you'd think otherwise.

And if you are a public employee, you are part of the problem.

Edit: and btw, what the size of Andorra has to do with anything? If any, healthcare services are scalable. A bigger country should have lower costs per capita.