Heard an interview with an Aussie guy a month or so ago. He said they have a combo system where the basics are covered by the govt, but there is a private market for anything you may wish in addition to the basics. He said he pays something like $600 a year and its great. When asked about access, he said that if you have some non emergency stuff, you may wait a couple weeks to a month. He said if you have an accident and need a surgery, you get it that day.