[winterismute]

Living in the UK but being from another EU country, I definitely see that happening. However, a lot of times it is just due to habits, wrongly-placed mistrust, or not being well settled-in yet because, at the end of the day, there are eg. better GPs and worse GPs everywhere in the world, but if you are still "new" to the country you simply do not know which ones are which, so you prefer to go to the ones you know already.

[pyman]

Makes sense.

I'm not entirely sure if the UK has a public-private health system. What I do know is that companies offer private health insurance, even though everyone has access to the NHS. That suggests there's a private system in place, one that probably attracts the most experienced and competent doctors and GPs?

[vidarh]

About 10% of people have private health insurance, but note that a large proportion of service providers in the private space also work for the NHS.

E.g. my old GP used to provide both private and NHS services (they were precluded by their NHS contracts from providing private services to people registered with them with the NHS).

Many NHS trusts also provide private services, as they are allowed to do so to improve utilisation and supplement their budgets, so in practice this is part of the reason the NHS is so cheap compared to universal systems in similarly rich countries.

Most private hospitals in the UK also e.g. rely on NHS for intensive care, and this, along with relying on the NHS for first-line care (A&E, GP's unless there's a wait, etc.) is also why private health insurance in the UK is unusually cheap, and why private hospitals in the UK are unusually cheap (if you're in the US, and planning elective treatments, it can be cheaper to fly to London and do it here, even factoring in hotels - and some Central London hospitals have hotel suites, and at least one have or had a previously Michelin starred chef because they cater - literally - to high-end international healthcare tourism).

[pyman]

Oh yeah, healthcare in the US is insanely expensive. They have top professionals, but if you don't have money for long, complex treatments, your options are basically: sell your house, or fly to Cuba, Costa Rica, or the UK for treatment.