Yes, any public healthcare system will obviously make these calculations. Private insurers also do this in the US however they are more limited in what they can

Yes, any public healthcare system will obviously make these calculations. Private insurers also do this in the US however they are more limited in what they can do to control costs. I suspect that because there is one universal system, people accept that they're all more or less bound by the same rules (I'm aware there is private care in the UK too), whereas in the US it can be pretty arbitrary as to who gets healthcare; obviously money helps but there are multiple single payer systems (lol) that some belong to also.