In a truly socialized healthcare system, where universal healthcare is a reality, everyone receives the same level of treatment, removing the disparities associated with individual socioeconomic status. This equality eliminates feelings of entitlement that often complicate patient-provider interactions in more fragmented systems. When everyone is subject to the same healthcare standards, the notion of someone receiving better care elsewhere fades away, fostering a more cooperative atmosphere among patients and providers.

The author David Rakoff highlights that even in facilities with a prestigious reputation, such as a well-known hospital, the experience can parallel that of a state-run institution in this egalitarian context. The absence of envy and competitive grievances that are common in systems where access is unequal signifies a fundamental shift in patient attitudes. This creates a more harmonious healthcare experience where the focus can shift away from individual grievances towards collective well-being.