I work in a public hospital in Australia. There's a private hospital across the road. I'm very glad that we give a high quality service to people regardless of whether they can afford it. Our service is so good that people with private health cover often choose to be treated by us, even though they pay the same premium. Unfortunately, no one has found a way to limit the ever escalating cost of our service without driving everyone who provides it to complete exhaustion. Suggestions welcome!