Highly centralized areas have also performed well, it isn't binary.To an extent, but that's perhaps an oversimplification. Germany seems to have done well in part because they engaged a wide network of bodies from an early stage, both in terms of local institutions but also the private sector. The NHS/PHE are both highly centralised, and governance in the UK has been that way for a long time, and the phobia of involving the private sector in any form of public healthcare has been well documented.
France appears to have had similar problems, so it's not like it's solely reserved for the UK.
In my experience of time spent in Germany, the more relaxed attitude from the public in terms of the direction they take their healthcare is that they have far more trust in their politicians. Their is a large section of the population that have zero faith in this government, and that chasm that has widened in a crisis which would normally have a unifying effect as they continue to insist on using misinformation and acting like robots reading a vidiprinter of figures (false ones).
All the glib jokes about blaming Hancock for them going the park won't stop this level of self inflicted mistrust being a gigantic issue.
