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As I write this my wife is at home recovering from major bowel surgery.After a period of feeling tired and listless my wife made an appointment to see her GP (family doctor in Americanese) who ordered blood tests. She had these tests done at our local hospital, no appointment necessary, where it was found that she was anaemic. Her GP then referred her back to the hospital for a scan where a suspect hardening in part her large bowl was discovered. She was then referred to the Endoscopy Unit at the hospital where a colonoscopy was performed and a cancer in her ascending colon was confirmed. She was immediately allocated a health professional (cancer specialist nurse) with whom she had 24/7 contact via bleep or telephone to answer any questions or concerns she may have and to act as liaison between herself and other health professionals involved in her care, who would attend all MDT meetings (Multi Disciplinary Team, including Consultant Surgeon, Consultant Anaesthetist, Oncologist, Radiologist, Cancer Care Nurse etc.) regarding her case and keep her informed of decisions and plans regarding her care. She received an appointment with the Consultant Surgeon who explained what he planned to do and arranged a date and time for the operation (8 days later). Between that meeting and her operation she was ‘pre-assessed’ in a specialist department, met her Anaesthetist who explained the anaesthetic procedure to her and informed her of the plan regarding post-op analgesia which included an epidural, a method of delivering pain killer into the spine. The operation was performed by the consultant surgeon, the anaesthetic was administered by the consultant anaesthetist (anasthesiologist in Americanese) where her entire ascending colon was removed and the remaining large bowel rejoined to he small bowel. A highly detailed recovery plan was put in place that allowed her to come home after just 3 days in hospital. She was discharged with a large bag of drugs including pain killers, a drug to protect her stomach from potential damage from the pain killers and 28 syringes of a drug to help prevent blood clots to be self administered. From the first visit to her GP until her discharge from hospital was less than 4 weeks. She now has around six weeks of recovery at home during which time she will be visited by a community nurse who will undertake wound checks, dressing changes and will remove the clips/sutures when the wound has healed. She will also at some point, meet with her surgeon to check on her progress. For the rest of her life she will have regular checks to monitor for any indication that there is a recurrence of any cancer.Now, the $64,000 question, how much did this all cost? Well, we have the good fortune to be British so the answer is - NOTHING, not a cent, all paid for by the contributions through our taxes of the equivalent of a few cents a week. THAT my American friend is what you call a health system! Long live social healthcare, long live the NHS, the envy of the world.Perhaps you could tell him that.Edit..Following her operation my wife was advised to undertake a series of Chemotherapy as a precautionary measure against the possibility of any stray cancerous cells that may have detached from the primary site. She started the treatment four weeks after her surgery in December and, as I write this (July), she has had her last treatment and is recovering from it’s effects. During the 8 treatments she undertook, the support she had was superb. She was continuously contacted by her Nurse Specialist, she was put in contact with a Cancer Support Group; was offered counseling and support from a Psychologist should she require it. She had blood tests and a meeting with the Oncologist before every treatment, drugs to mitigate the effects of the chemo and myriad other things to many to list.Once again, all this without any cost to us at all. Sorry America, you are being misled about our healthcare here in the UK, thanks to the NHS I will have the woman I love, our daughters will have the mother they love and our grandchildren will have the nanny that is their life, for a long time. AND we still have our home and our savings with which to enjoy the rest of our lives together.We love our NHS. Thank you from our hearts to the people that make the NHS what it is, the REAL best in the world.Edit..I am so pleased that my post has triggered so much discussion on the subject of our National Health Service, I hope that the huge amount of support for the NHS, as can be seen by the responses here, has maybe triggered something in some of the many detractors here in the UK. The Service IS far from perfect but considering its size and complexity it is a small miracle that it is as efficient as it is, especially when you consider how the successive governments over the last couple of decades or so have neglected it. It is flawed, but it’s ours, and we need to fight for it for the sake of our children’s children.Finally, a big thank you to everyone who has conveyed good wishes for my wife’s recovery, she grows stronger everyday and I’m sure that in a few weeks she will be back busting my balls again. :-)

The provenance of this answer is that my wife was the head of information at a very large NHS trust for many years. Her team were responsible for identifying and charging foreign nationals.Unless there has been a very recent change the rules for foreign visitors who are not residents or have not paid the NHS surcharge are.A&E (ER) attendance not requiring admission. If the patient is EU or from a country with reciprocal arrangement (e.g. Australia, NZ) then details are taken and the country of origin charged. If the patient has health insurance then this will be noted and quite possibly charged. However if neither apply then no charge will be made. The overhead is not worth it.If admitted from A&E then the patient (or their country of origin) will be charged. However it should be noted that this charge will be based on the NHS tariff. The tariff that is applied is the cost of managing the “average” patient as determined by ICD10 diagnosis, major procedures performed, comorbidities and length of stay. These tariffs are calculated on a three year cycle for the whole of the secondary sector of the NHS in such a way that the (sum of total activity) x (appropriate tariffs) = total NHS secondary care budget.On the other hand the NHS does not have an army of clerical staff totting up every blood test, ECG, BP check, etc, etc down to the number of tissues consumed (another Quoran posted a US bill to this effect). We know that the average cost of, for instance, an internal fixation of a fractured tibia in a 72 year old diabetic admitted for three days is £XXX. So that is the tariff.The patient will be charged 150% of the appropriate tariff. Nevertheless most readers of this blog will not be surprised to hear that the total charge, even with this 50% uplift, is likely to be more than a small fraction of what would be likely in similar circumstances in the US.What is not well understood is that if a patient does not pay then this information is passed to the Border Force. Should the patient return to the UK then entry will be barred and they will be put on the next plane back unless they pay up on the spot.Furthermore the Border Force inform the hospital when this happens. This ensures that the information department staff get positive feedback that the process is effective.If the patient needs an elective procedure that is not an emergency, say cholecystectomy, then it is money up front.I think that this approach is adopted in other countries as well. For instance a few years back a local Premier league footballer (a French national) was denied entry to the US for a pre-season friendly match on account of an unpaid dental bill from a previous visit.

OK, this is obviously an emotionally charged subject - a child with a terminal illness is something we can all agree is heartbreaking. The NHS provides an excellent service (at least compared to many countries), but part of the impilcit social contract it has with the people of the UK is that, if they want free healthcare from cradle to grave, they have to cede a certain amount of personal autonomy to the NHS too.For example, my brother and sister in law live in the UK, and when they had their first child, they were not just offered, but actually obliged to attend pre natal visits to check on the fetus. The NHS has a responsibility to care for the people, including the unborn baby, including ensurng he/she gets medical care, irresepective of the parents feelings on the matter, at least to an extent. Ultimately, in the UK, a child’s parent is NOT necessarily the final authority on their wellbeing. This is a bit of a culture shock for people form other countries, especially I suspect , the USA, where personal autonomy is considered almost sacrosanct.Now, when something like the Alfie Evans case occurs, everyone (rightly) feels sympathy for both the child and the parents. The parent, who undoubtedly love their child but are not medical professionals, will of course seek any possible treatment if it might save or extend their child’s life. They will often grasp at straws, or be preyed upon by unscrupulous sorts who promise miracle treatments, but whose primary goal is to publicize their own work and further their own career. This will sometimes put them into conflict with the medical staff, who are both more knowledgeable about the medical matters, and have a certain distance from the situation that allows them to examine the situation dispassionately, and see through implausible promises.The thing is, when such a conflict becomes public, people will tend to side with the parents because1- It’s easier to empathise with identifiable individuals over a faceless organisation.2 Their situation is so tragic that people feel powerless to help, but offer support in lieu of it. There is also an emotional catharsis in “blaming” the NHS, since there’s no one to blame for the illness in the first place.3- As a rule, people support the “plucky underdog” over the “uncaring bureaucracy”, related to point 1.4 - As other answers rightly pointed out, people with their own agendas will jump on board, trying to use the cause to further their own political or social aims.I think it should be noted that the medical staff in these situations have, in some ways, the worst part of the deal. They are deeply caring people who repeatedly have to go through the same emotional heartbreak of the parents, who form emotional bonds with their patients, but who are vilified as uncaring or even evil when a situation like this arises.