In the UK there is a system whereby all Injury claims are reported to the DSS and at the conclusion of the case a payment is made by the insurer of the at fault party towards NHS charges, or state benefits received by the claimant as a result of the injury, or both. Sometimes the sum is deducted from the damages payment, but sometimes there is no head of claim against which the benefits can be offset, and in the case of NHS charges it is always paid in addition to damages. Unfortunately the result is that the cost is reflected in insurance premiums, so Joe Public ends up footing the bill either way!