Looking at Canada, looking at the UK-I am actually not at all interested. Canada sends her higher risk patients here (where will we go?) otherwise they wait months for care.  The UK simply has the Haves (wealthier folks) paying retainers each year for their own private doctors, their own private hospitals. The Have-Nots are not welcome nor assisted there. They sit in a taxi, outside the doors of the UK  "Have Not ER's."  

 Build a couple of state run clinics, people who do not pay for insurance go there, period. The only exception would be emergency care to stabilize in a life or death situation in a ER. Once stabilized, not ongoing treated, send them home or to their clinic immediately. No hospital room bed.