There are many western countries without a single-payer (socialized) system. E.g. Germany, Belgium, the Netherlands, France, Austria, Denmark, Ireland, Greece.

There are many western countries without a single-payer (socialized) system. E.g. Germany, Belgium, the Netherlands, France, Austria, Denmark, Ireland, Greece. That said, almost all of them have national price setting, almost all of them have a mandate, and almost all of them are much more generous to the poor who cannot afford insurance.