In Great Britain, health spending is quite low (7.5% of GDP) and very equitable. Long waiting lists for treatment, rampant as they are, and rationing pervade the system. Patients have few provider choices and little access to specialists, but 100% of the population is insured (Health Care around the World). In Britain there is a central health system and all doctors and nurses are civil servants. Unlike Britain, the Philippines' healthcare system is dominated by high-end, for-profit private facilities. As a result, inequity continues to be the leading health problem in a health sector where poor health outcomes persist for poorer income groups and geographies. The Philippines has been trying to establish a central healthcare system but has failed for years due to political influences on the healthcare system. Despite significant efforts to implement the Philippine Health Insurance Law, out-of-pocket costs have continued to rise, eroding progress toward more equitable health financing (The Philippines Health System