I could be wrong, but it seems to me that decision-makers all over the planet are absolutely horrified at the idea of making any sweeping changes whatsover to health care system, whatever it is. Because they fear the very real possibility that they will cause masses of deaths due to complications during the transition and then that will be their legacy.

If we take at face value that there exists a change that one can just simply make to the healthcare system, and then it will all be better, there's still going to be some kind of transition.