Caporegime
The nhs are in a difficult position, unlike in America where they insist on verifying medical insurance first, medical staff here are obligated to treat sick people.
In America, they pay more public money per capita on Health care for the UK, and still can't manage to provide universal healthcare.
Also, in America, if you go into A&E you get seen regardless of Health Insurance. Whereas you have to be able to pay to get seen before then, which means that poor people let their diseases progress to the point of crisis which makes treating it vastly more expensive.
Only a complete idiot looks at America and thinks, gosh, wouldn't it be great if we did that.