Government health care programs around the globe are failing

In summer 2012, about 27 million Britons tuned in to the London Olympics’ opening ceremony, dreamed up by the Oscar-winning director Danny Boyle. Central to the show was an homage to the National Health Service (NHS), the United Kingdom’s single-payer health care system, that featured hundreds of volunteer nurses dancing around bedridden children. Transcending political affiliation, support for the NHS may be the strongest uniting force in the United Kingdom. As the Conservative Party politician Nigel Lawson put it in a thinly veiled shot at the Church of England, the NHS is “the closest thing the British have to a religion.”

Less than a decade after the London Olympics, the COVID-19 pandemic deeply strained the system’s human and financial resources. The number of British doctors considering early retirement doubled over the first year of the pandemic. More than half of the NHS’ doctors worked extra shifts, over a quarter of which were unpaid. Total health care spending was 24 percent higher in 2021 than in 2019.