I was not making a judgement about whether the current system in the US is good (it's not).
However, there are *always* going to be limits to how much healthcare you get from a shared pool. If you're 6 feet tall but feel that you ought to be 6'-2", there is no conceivable healthcare system anywhere that is going to pay you to get bone extension surgery. Likewise, no insurance plan is going to pay to get you a Michael Jackson-style nose. However, you could have those things done on your own dime. So what I said is 100% accurate.
"But those aren't medically necessary!". Well, that's a judgement that's always going to be made somewhere. People disagree on what is necessary enough to draw resources from the shared pool, so it becomes a political process. But no matter what, somebody making decisions on coverage is not going away.