[p_l]

It is a problem with funding when you need to break it down into smaller pieces because some very expensive things that are used by less patients now do not have support of budget for a larger area, and become an extra drain on the administrative region - because you still need to maintain neurosurgery units etc.

Suddenly there's less money for smaller, cheaper things.

And what is the alternative? For-profit systems?

[nvm0n2]

Sure. Most parts of the world don't have the government run the entire healthcare system. It's an obviously bad idea everywhere To everyone except Brits.