Yes, there's always bureaucracy, but their single-payer system is, by definition, streamlined. You don't have employer groups, and managed care executives, and pharmacy benefit managers, and providers and a gazillion health care companies and a gazillion healthcare plans WITHIN the companies and copay vs coinsurance and high deductible/low premium vs. low deductible/high premium and prior authorizations and appeals, and Medicare vs commercial and donut holes and Krispy Kremes.. (oops, I haven't had breakfast---mmm... Krispy Kremes).
And for all this convoluted mishmash and layers upon layers of stakeholders and high cost, we have horrible health outcomes. The grass is not only greener, but our grass needs to be completely re-sodded!