In the UK, hospital administration still goes on. There’s no shortage of jobs for skilled administrators. There are people to assess whether you’re eligible for free treatment, people to assess what treatment you’re eligible for, people to bill patients who choose to go private and chase their debts, etc.

Plus there’s the extra layers of administration at local, regional, and national levels.

Plus there’s people moving money around to ensure bills get paid, facilities are maintained, and staff are fed. Money still moves around even when the patient isn’t the one paying it.