I accept that you believe your system is a better system for you. I don't believe your claim that it's the best care in teh world holds up. I think bypassing a GP and going directly to a specialist has at least as many pitfalls as benefits, and apart from being able to do that I'm not convinced that the level of care you're getting is any higher than the basic care you would get in the public system here. And I wonder if the level of care provided by one of these premium health places that includes care beyond what the basic system here provides is actually significantly better than what you're getting. Yes, they charge an extra fee, but if you add that to the per capita cost of public health care it only adds up to about $7000 per year (only $3000 of which is billed to you directly), which is very close to the per capita cost of health care in the US. You system is inherently inefficient and wasteful (see the OECD link) and that means that you need to pay much more for he same level of care, and since many people can't afford that the average level of care ends up being lower than other first world countries. http://www.oecd.org/dataoecd/46/2/38980580.pdf