Which it needs to be given the demographic changes you note. It's about 15% smaller per capita than comparable countries spend. That would suggest that we need to increase the budget if we want comparable service.
https://data.worldbank.org/indicator/SH.XPD.CHEX.PC.CD?locat... https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?end=2...