@ChrisMayLA6 The DE healthcare system breaks even every year. The system uses computers & billing. The bills are paid behind the scenes by the institution that has agreed or is obliged by law to pay for it. The institutions get their money from contributions. The contributions come from employers & employees. It works. When a health system breaks even it acts as a long-term functioning insurance system. That is not politics. It is boring, rational governance. Not suited to the UK? Might agree.