I think 'balkanized' is good word to describe some health-care systems in Europe.

However I think there is a basic difference in approach. Hospitals in europe are usually uber clean, everything is desinfected and there is a small army of cleaners. My impression from US is that McDonnald was cleaner than hospital.

Second difference is post-operation treatment. People in weakened state are left in hospital for a few days for monitoring. With broken immune system (after chemotherapy) you get into strict hermetic isolation. In US leukemia patients go to hotel after treatments.