Now I understand why it's so popular with socialists.
Discussion
My guess is that they had deliberately downgraded the system, to make it more capitalist friendly, so to force the patients to seek solution to the private sector. A well known recipe...
I'll give you two more guesses, and the second guess doesn't count.
No other guess. That is it.
This is 8 years old, so it's undoubtedly much higher now.

