I dont necessarily agree there entirely. Americans are demanding fast (ever heard someone bitch in a waiting room?) and reliable (malpractice... 'nuff said). And then getting all butthurt when it turns out to not be cheap..... but I think otherwise we are basically on the same page
I think honestly the only reasonable way to go is to loosen our grip on "fast" and go the way of canadia. Sure they have plenty of PCP... but if you wanna see a specialist you better predict your hip replacement 15 years in advance and schedule then