Not sure where you are getting that information from. This is not 2012 and all your talking points have been discredited during the ACA debates. There is no queue for major surgery there is a priority. The systems I’m familiar with are French, German, Japanese and UK. Guess what, most of the providers are private. Your doctors, pharmacies, clinics and surgeons all have a private practice. You pay the government and the government pays them. When our son was sick the doctor would drive over to check on him. She also proposed some elective procedures that we could have the state pay for or elect to pay ourselves to get it done immediately.

My DMV is called FLHSMV but everyone calls it the DMV. Because that’s what they are known as nationally. They have moved some services online (renewal, address change) but most services still require an office visit, like voter registration.

Income distribution in Western Europe is quite healthy. A lot less so on the eastern and southern sectors. The US middle class is definitely shrinking even with tax cuts. So, I hypothesize taxes have nothing or little to do with it.