@anarchopunk_girl @AnCuRuadh @kayeluvian Eh, the US system is heavily centralized in its own way. Shit we have individual insurance companies that have more clients than the entire population of England. And all these massive companies tend to move in unison, because they're driven by the same goal -- maximizing profits. If this care is easier to get, it only means it's more profitable. They're not doing it because they think it's important or even because they think people want it -- most Americans have no choice in who their provider is or what services are covered anyway (side note: the whole thing of not being able to quit your job or you'll lose your healthcare really sucks too). Which I guess is about the same as the NHS, except at least your vote presumably influences the NHS a bit?