It is a relatively similar system in Australia.
Personally I also don’t think the Australian public system is good and I avoid it whenever possible.
Relatively speaking,it is of course better than third world countries hospitals particularly due to the equipment but regarding staff themselves though,while there can sometimes be some very good staff,generally there’s a big difference in the mentality between private health staff vs public health system staff.
Ie
rivate health staff will often talk to patients with respect,dignity,great with smile etc because they know the patients are
customers and they value their business but I’ve noticed public health staff can often be unpleasant or sometimes even outright rude or aggressive because there is a mentality of they need us,we don’t need them (patients) and there is a reluctancy to improve internal cultures or have goals of excellence and customer service.
That’s one of the draw backs of such a system.
Regarding welfare,it’s a tough area to solve because on one hand you have the types of mentalities that you mentioned,but then on the other hand there are many genuine people who are recipients of welfare too.
The issues you mentioned about the NHS paying for abortions etc seems to me less due to being semi socialist but more due to the medical profession being very “liberal”?
Ie:it is doctors and their associations that are usually pro abortion,pro teen birth control,pro transgender assignment operations ect and they wield political power.