A fundamental and enduring principle of the NHS is that it is ‘free at the point of use’. All major political parties subscribe to this mantra and none dare challenge it. Herein lies the problem. The consequence of such altruism — all at the UK taxpayer’s expense — is health tourism and abuse of the NHS by ineligible patients. The general public seem unaware of this deception despite being rightly exercised about other examples of similar abuse, such as benefit fraud. How is this any different?
The rules and regulations laid down by the Department of Health governing eligibility for free NHS care are so porous, ineffective and difficult to enforce that they can be easily breached by would-be patients motivated enough to try. Those patients don’t come for the trivial stuff; the usual reason is a serious illness recently diagnosed in a country with poor or unreliable medical services — or where the best care is expensive and has to be paid for.
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