[pastacacioepepe]

I mean, the roman empire, ancient greece and in modern times Britain. Britain is European as much as USA is. Not really common in contemporary Europe.

The article itself notes that it's common practice only in North america, and when it is used outside of USA it's in a different way:

>In the United States, the endowment is often integral to the financial health of educational institutions. Alumni or friends of institutions sometimes contribute capital to the endowment. The use of endowment funding is strong in the United States and Canada but less commonly found outside of North America, with the exceptions of Cambridge and Oxford universities

> Government-provided healthcare also has an income, expenses, and a budget. They don't just spent whatever they want with no planning and no income.

Of course, but there is a big difference in having a regular accountability and starting to think in terms of business. Suddenly intensive treatment beds become "centers of cost", not vital but expensive tools required to save lives.