Self paid?
I think it is a balance.
Auctioning this work to private companies should theoretically make it more cost efficient - and I think it is.
At least I hear that workers a much more stressed than they were historically, so I don't hope this comes with no benefit...
I personally find it hard to reconcile the concept of socialized healthcare with UnitedHealth Group being apparently the 7th company by revenue in the world, at least I don't think that's what Europeans would mean by "socialized".