Last I checked no one from America is telling the UK how to run their health care. Yet people around the world seem to feel its their duty to tell the US how to run ours.

That may be how you see it. Others may see that people like you slam foreign systems and then make complaints like this if somebody asks for substantiation.

You're not seriously bringing up medical tourism in as a did a America's health care are you? Want to take a guess at the numbers who come here vs those that go elsewhere?

The medical tourism point was about COST. You ignored that and converted it to numbers crossing borders to receive first world care. You can be sure that few if any people in the target medical tourism countries cross to the US to receive the same procedure at 400% of the cost. Wealthy people may well cross to Seattle or LA or whatever to attend a centre of excellence for special care, something you *definitely* want to preserve and encourage, but that does not mean that an ordinary hip replacement needs to cost 400% as much. We're talking orthopedics, general surgery procedures. Bread and butter stuff that adds up to billions of $ of first world healthcare expense.

You have once again distorted my argument. I have never claimed that the existing system has "all the merit".

But you only consider PROBLEMS in other systems. You've said that seven times now. Every time I say other systems have merits too, you ignore that and convert discussion to your perceived PROBLEMS. Example: cost. I challenge you to respond to cost without converting it to a complaint about something else. The home page of that http://www.commonwealthfund.org/ site is dedicated to this topic at the moment if you want some sources.