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The outcomes aren't bad at all. But there are very well funded political groups that want to spend more money on these fields and they make these claims to further the goals. Once a government has a single payer system, the same groups have an opposite incentive (look at the efforts England makes to salvage the NHS record).

Education outcomes - easily explained by demographics but the blank slate myth prevents it from being considered.

Healthcare outcomes - usually an exercise in goal moving. Here is a detailed explaination