I am suggesting that. like with everything the government runs, there is no competition and the costs to bureaucrats is irrelevant. In a pay-as-you-go system where there is competition in the market providers are forced to deliver a quality product at a cost the market will bear. None of that is present in a Socialized medical system. Quality is irrelevant, or nearly so. Delivery of services has no urgency. Cost for what you get is irrelevant too. What matters to those running a socialized medical system is that the services delivered are, at least on paper, available and that the budgeted funding is what is spent.
So, for example, if you needed an MRI in a free-market healthcare system, you'd pay what it costs to do the MRI plus some profit margin. The wait time would be minimal because long waits increase chances of the competition outdoing you. In a socialized system, the MRI may have to be offered because the government rules say so. But you might have to wait six-months to a year to get one because equipment, technicians, and costs have to be controlled. The bureaucrats don't care if you die. They care that their budget is met and that the process is offered on paper.
Thus, in a for profit, free market system competition, quality of outcomes, and doing that at a price customers will pay is what's important. In a socialized system, meeting budget and required processes along with documentation are what's important. Customers are just a nusiance.