While I understand your point, I don't know if it could be distilled that succinctly. I have friends who have worked in European countries with universal healthcare that was sub-standard by a U.S. perspective. What I'm curious about is whether this is directly attributable to the healthcare system structure or if it's more causally related to other factors like GDP, access to a trained workforce, or basic infrastructure. Meaning, if we look at two very similar countries that happen to have different healthcare systems would the same effect you outlined still hold?