For example, Germany health care is nationally regulated and price controlled (via jumbo price referencing and reimbursement capitation), however there are private non-for profit payers within each region that manage their own budgets as well as physicians.

Also, what is the balance between bidding out government contracts to ensure fair bidding and selection of the best vendor vs. time wasted going through this process. I don’t know much, but clearly our current system for this is pretty awful.