@marinaaisa i feel like this is the tradeoff that you get in situations like this - either there's no centralization and everything's "market-based" and costs skyrocket when people realize that you can charge whatever the heck you want for something that people can't say no to (e.g. here in the US),

or there's some socially-acceptable amount of centralization, but still kneecapped by market thinking, and there's some baseline of care, but cost-cutting and austerity etc leave the system completely threadbare and unable to care for anyone who falls outside the norm (e.g. over in the UK)

and while i would love to see a socialist revolution and a proper resource allocation for the public good, i also don't expect it to be well tolerated by the US or EU 🤷‍♀️