Not really off topic Ded.
The title was The International Health Service. Almost 99% of it is Four Nations National Health Service.
It's vital to keep the issue in perspective, in my humble opinion as a retired non-GP with a passionate interest in health

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Sort out Health Tourism by whatever means possible !
But far greater savings could be made in other fields of healthcare without sacrificing quality. That could include greater personal responsibility for health by lifestyle choices, but I never judge those choices, merely try to offer free help and advice based on my experience

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