With Universal Coverage, No More Votes to Buy
Once the whole population is covered [by health insurance], there is little political incentive to increase spending on medical care. Once the bulk of costs have been taken over by government, as they have in most of the other OECD countries, the politician does not have the carrot of increased services with which to attract new voters, so attention turns to holding down costs.
MP: How to hold down costs? Think Canada. Long waiting lines, fewer MRI machines and fewer physicians per capita compared to the US, etc.