Britain's National Health Service: Simple, sensible and civilized

A former NHS patient has some advice for Americans skeptical of single-payer, government-run healthcare: You'll get over it.

By Clancy Sigal
LA Times
July 5, 2009

For the first couple of years I lived in Britain, I was an illegal immigrant from the United States, visaless with an expired passport and looking over my shoulder all the time. Even so, from the very first day I arrived at Victoria Station in London, suffering from bronchitis, I was accepted in the NHS -- the national health scheme, we called it -- no questions asked and no ID required.

After I'd become a legal resident, I asked my doctor why he had taken me, almost literally off the boat, with so little fuss. Weren't foreigners a drain on his time and the National Health Service? He shrugged. "If you come here with a contagious disease, we don't want you infecting the rest of us. So of course we give you medical care. Purely selfish on our part."

For three decades I used and, being of a hypochondriacal nature, exploited the British medical system without paying a farthing except for the taxes taken out of my wages as a working journalist. And that single-payer, socialistic, government-run, bureaucratized, heavily used, nationalized health system served me -- and 50 million others -- very well. In need, I saw many doctors, with no money ever changing hands. There was nothing to sign, hardly any papers to shuffle. My primary-care physician ran his "surgery," his office, with the help of only one receptionist whose job it was to arrange appointments.

My doctor's waiting room in his storefront office was by American standards shockingly casual, even a trifle seedy. In what was then a rigid class society, the waiting room was also a lesson in democracy where duchesses and dustmen, old and young, rich and poor, waited their turn. It wasn't perfect. There was the occasional misdiagnosis, crowded hospital ward, sleepy student nurse. But it worked.

(More here.)