if you a top earner , national insurance that we pay out our wage packet every week can be high , could be £200 a week if big earner, average working class guy about £40 so that's £160 a month regardless of any treatment that's how the NHS works, at the end of your working life you may have easy payed in£100,000 and never been ill once. if working still pay for your meds at a fixed rate. BBBBBBBBBut if you never work through illness or your an immigrant , or on benefits you still have the same care has the paying punter , its designed to help the chronic sick, but get abused by med tourist quite a few actually fly from America and get free heart surgery costing thousands of $ in America and nothing hear, the eastern European come to England sign straight up to a GP for free health care we have payed all our lives into . that's where the system has failed and now on its knees , you could land in England from Poland and be having brain surgery for free a week later,