I’m definitely up for a system like France where everyone has obligatory not-for-profit health insurance and you pay a subsidised amount to see the doctor or visit A&E, part of which is then reimbursed according to your means, and those under a certain line don’t pay anything and are subsidised by the rest.
It’s madness in the uk where people are prepared to pay hundreds of pounds to their vets and won’t put even £5 towards a gp visit.
Paying a little also makes the patient a little more respectful of appointments, and less inclined to kick off in A&E, and puts them less in a position of grateful recipient and more inclined to be motivated and able to question and be an active participant in their own health care.
The problem with issues like Botox correction is where do you draw the line (no pun intended)? Lots of people do foolish things to themselves. Lots of people drink to excess. I ride horses which puts me at high risk of injury.
But if everyone who can contributed something, the NHS would be in a much better state, I don’t understand how some Londoners for example who earn way above £500k a year can go to A&E and access all of the services for free.