I think it should work exactly like the fire department. Entirely tax funded, no hassle. A hospital is, in my eyes, more similar to a fire department or a police station than it is to a super market, and that's how it should work.
But it only works well all-in. A strange system of compromises forged between parties with entirely opposing views over 50 years is terrible.
Not sure if related, but I have absolutely no problem getting things in the household done when I'm voicechatting with a friend. Odd as it is, videos that don't require watching while listening (e. g. youtubers that just talk into the camera) also work, but podcasts don't (must be mental).
When I can't get my "fix", no friends with time online and no interesting video of that type, I end up searching for it so long that I get too little sleep, rather than just do the 15 minutes work without.