In my country we do have single payer health care, but I wouldn't step foot into a state hospital unless I would have a terminal disease.

The infrastructure is old and crumbling, people get infections during operations and walk out more sick than they entered.

Sometimes you are asked to bring your own medicine, and basic medical supplies because hospitals don't provide you with anything. The system is overcrowded and no one gives a shit about you unless you bribe them.

I think the key-word is functioning universal health care.

While I do support paying for universal health care and think it is a basic necessity of a civilized country, you need a good culture and competent people to make it work.

I think a good culture makes shit work, not the process itself. (just like applying Scrum / Agile won't make you solve anything without the right people)