On the NHS, I tried for years to push for improvements to switch to digital cancer screening invitations after they missed my mother (offering to build the software for free), which is now happening, but suggesting the NHS isn't perfect is against the religion here. My sister who works in NHS DEI hasn't spoken to me since publishing a book on it.
Every time someone with the finances, vision and ability leaves I think the situation gets a little bit worse, it increases the proportion of people remaining willing to put up with all of it. Anecdotally, many of my friends have already left, some of the older generation want to leave but feel tied in. My flight out is in 6 weeks. Good riddance, no doubt.
I don't know anyone that doesn't complain about the state of the NHS. The only time I've heard anyone defending it would be when compared to countries without national healthcare (e.g. America).
Granted I'm in tech so that's steady employment with benefits, but there you go.
I imagine medicaid funding is directly tied to the enrollment count so they are very aggressive about getting people on it. Granted it was trash insurance and most specialists wouldn't take it, but it covered basic care fully.