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Whichever works best for the country it's being implemented in.

Many govermental policies aren't one size fits all type deals.


For example, with public healthcare, it seems like the bigger the population, the harder it is to implement and the worse the results. 

No reason to implement a public system if it's just going to drag down the quality of care for future generations due to costs and loss of technological funding.

I don't think in any case though the government should prevent someone who could pay for better treatment from getting it and healthcare should be provided to those who can't afford it.  Personal opinions though.