Let me tell you what would happen if this idea was adopted.
It would firstly apply to “rich” people (i.e. those who have a bit of cash because they worked hard and did not pee their money up the wall). Let’s say the bar was set at those with incomes of £125k or more – those who pay the top rate of tax. It would be introduced for what the NHS laughingly calls “elective” surgery. Knee and hip replacements, for example (which are both major operations with considerable recovery periods and no guarantee of success). Patients, of course, “elect” to have those done They could, instead endure debilitating pain and immobility instead.
Then two things would happen, how fast is anybody’s guess. The threshold would be reduced until almost anybody who is not on benefits will have to pay. And the range of treatments included will not be just the “elective” ones. They will include an increasing range of procedures and treatments. The end result will be that NHS treatment becomes similar to “social” housing. It will be a service of last resort and the only people to qualify for it will be those who have no money.
I don’t mind that – so long as I receive a rebate of all the taxes and NI contributions I have made that went to fund the NHS. I’ll then be more than pleased to make my own arrangements.