The HSE is a mismanaged disaster, there are however plenty of countries with nationalised healthcare systems out there that spend proportionally the same amount of money that run like clockwork.You're thinking why cut spending to give a tax cut to the rich, that's classic left thinking. Maybe if you cut tax people wouldn't need all the government handouts? They might have some of their own money. Keeping taxes high and spending more and more only breeds inefficiency, if the HSE had double the budget they'd be double the mess.
You might be some class of accountant but I really don't think you have a basic grasp of economics. Austerity doesn't work and laissez faire doesn't work. By work I mean for the common man, not some lad with a professional job and an inherited business.
What form of governance are you championing?