Irwin
Well-known Member
- Location
- Denver, Colorado, U.S.A.
The U.S. pays about twice what you pay in the U.K., yet we have a lower life expectancy.Trying to avoid a political answer. The UK's National Health Service, although currently wobbly due to covid, is not the be all and end all that others might see. It comes at a high cost, but it is free at the point of delivery.
How high a cost? Our income tax system is tiered so that the more you earn the more you pay, at the other end of the scale everyone can earn £12,570 per annum before they start paying income tax.
A second deduction is made from everyone's salary and it's known as N.I. it means: National Insurance, and that amount is 12% of income, payable from the very first penny earned, no allowance like income tax.
Are you with me so far? On top of the employee's 12%, every employer pays double that, for everyone that they employ. To put that into figures lets suggest that you are earning £25,000 a year. You will pay about £2500 (£2486 to be precise) in income tax, that's because you are allowed £12,570 before you pay anything, then you pay 20% tax on the remainder.
But you are going to pay a further 12% of your £25,000 in N.I. That equals £3,000. Furthermore, your employer will pay, £6,000. that's a total of £9,000. Remember, employers have to budget for their N.I. contribution, so if they didn't have to pay it, you would earn £31,000 instead of £25,000.
You pay no N.I. when you reach the retirement age of 66, but if you continue to work, your employer is still liable for the employer's rate.
There is a sweetener though, out of the N.I. kitty, not only is the cost of your health care removed, it also pays sick pay and state pensions. We Brits have lived with the system since 1948, we can, if we wish, still pay private health care, but N.I. will still be conducted.
National health is not second class compared to private, even royalty have been referred to a national health hospital. It's a system most of us have grown up with, we know no other.
If you've ever been hospitalized in the U.S., you know what happens. Even before you leave the hospital, you start getting hounded for payments, even though you have insurance. And then the bills start rolling in, even though you have insurance. The insurance company might not think you're worth certain expensive treatments, so you have to fight them for that.
Our system sucks. But we can't have a system like you have in the U.K. because that's socialism!