Universal healthcare doesn't need to be UK/NHS-style, and indeed NHS, while working great for a lot of people, still has a lot of inefficiencies and dysfunctions. What would work better is...
- a system that *isn't* totally free (to avoid hypochondriacs overwhelming the system), but you want a very low entry threshold (copayment) that won't discourage poorer people (or have social assistance for poorer people that will cover the copayment
- a system where the public hospital system has to be at a very high standard, and have short wait times that means there is little incentive to pay more for better/faster service. Having rich elites being participants in the system means its more likely to be properly funded. If all the rich elites get their healthcare at private clinics anyway they have zero incentive to fund the public system. One way to achieve this is to oblige any healthcare provider to serve everyone participating in the national system o the same terms as any other hospital. Or charge a hefty fee (you could call it a license) for exclusive clinics to work only with privately-paying clients, and use that to subsidise the public system.
- All emergency care and basic healthcare and medicine including reproductive and psychiatric has to be covered
- allow the system generally or individual hospitals / clinics to get additional funding through extras eg patients can pay more for a room with less people or a private room instead of a ward, or for better standard of (doctor-approved) meals
- Stop dicking around with central IT systems that hoover up everyone's data. Instead, allow every clinic or hospital to use whatever IT system they want, as long as it works with a standard API / data format for patient records. People would have their master record at their GP. If they need to visit a doctor somewhere else or a hospital, the record can be sent there, and any updates sent back once finished
- All of this requires money, and it has to be properly funded. It IS expensive, but it's also worth it. Taxpayers should be aware of what it really costs and understand that their taxes are going into a system that works for them. It should not be a political football.