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Politics

NHS should be a co-pay system.

213 replies

PeonyPatch · 23/02/2026 17:32

Who agrees? Other countries who use this model include France, Germany and the Netherlands and they are some of the highest ranked healthcare systems in the world. The NHS is no longer fit for purpose, and it hasn’t been for a long time. I am proud that we have a free at point of access system here but it’s no longer sustainable and has been mismanaged and inadequately funded for a very long time. The only way I think it could improve is by gradually making it co-pay - perhaps capping it like Germany does.

OP posts:
PeonyPatch · 23/02/2026 17:49

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Lol, I’m obv not. But if you may as well not bother replying if your only response is going to be to insult me. Not really an argument is it? I was just proposing an idea. I’m also not claiming to be an expert in the matter either. Just thought it’d be a good talking point.

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WallaceinAnderland · 23/02/2026 17:47

This is what happened with dentistry which resulted in most NHS dentists going private, leaving ordinary people without any access to dental care.

Donttellempike · 23/02/2026 17:47

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PeonyPatch · 23/02/2026 17:46

EvangelineTheNightStar · 23/02/2026 17:42

@PeonyPatch you mean that those who work will then pay taxes from their salary for the nhs, and because they have the joy of working… they then pay again at point of use when others don’t have to?

I currently do this at the moment with my private healthcare. It’s part funded by my employer and then I pay the rest. I do pay my taxes, but the waiting list and care Id get with NHS is just so poor. Especially for women’s healthcare/gyneacology/fertility.

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PeonyPatch · 23/02/2026 17:44

Odditea · 23/02/2026 17:34

Disagree. The reason it’s on its knees is not because it’s not co-pay.

Edited

I didn’t say it was - just feel it would take the pressure off. I think it's important to have good quality health care for those who can't afford it. But many of us could contribute in manageable ways and it might take the pressure of the creaking system that's unsustainable currently

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EvangelineTheNightStar · 23/02/2026 17:42

FrustratedatDawn · 23/02/2026 17:34

What does that mean and how is it likely to affect the poorly paid?

@PeonyPatch you mean that those who work will then pay taxes from their salary for the nhs, and because they have the joy of working… they then pay again at point of use when others don’t have to?

SilenceInside · 23/02/2026 17:38

Could you explain why making it co-pay would improve things, and what co-pay would mean for people accessing the NHS?

Yogabearmous · 23/02/2026 17:38

I don’t even think co pay could save the NHS . Sadly, I think it’s too late.

Vivienne1000 · 23/02/2026 17:37

Our friends just came back from Berlin. One of them had to go to A&E and ended up in a corridor for 47 hours….

Theunamedcat · 23/02/2026 17:36

Prescriptions arnt free would that not be considered co-pay? Dentistry is also not free

Nevermind17 · 23/02/2026 17:35

I’m not really familiar with the European systems. So if a person has cancer, for example, would they be capped once they’d had so much worth of treatment? What happens after that? Do they pay or die?

Odditea · 23/02/2026 17:34

Disagree. The reason it’s on its knees is not because it’s not co-pay.

FrustratedatDawn · 23/02/2026 17:34

What does that mean and how is it likely to affect the poorly paid?

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