The #us healthcare system can indeed be learned from - but in aggregate as a spectacular cautionary tale ! It can sometimes get things right at a granular/local level - as I found when on a visit to study the #hospitalforspecialsurgery in #newyork twenty three years ago That particular piece of learning influenced the development of the #southwestlondonelectiveorthopediccentre at #epsom - something of a success for the #nhs.