The NHS is incredibly productive:
- it promotes and provides research into treatments, enhancing the research output of the universities and quality of the medical schools (which is why we have 10% of pharmaceutical manufacturing and an even greater proportion of R&D based in the - and 30 of the top 200 universities - when we have only 1% of the global population and 2% of the market)
- it saves a fortune for small and medium businesses, where in the US they are crippled by healthcare benefits for their workers
- it allows greater risk-taking by individuals, especially entrepreneurs, knowing that they can't get bankrupted by a broken leg
The NHS is the single most spectacular creation of mankind. What else could you call the world's third largest employer, tasked with such a complex and difficult role (no offence to the Indian railway workers and Chinese army).
Let's abolish the public sector, and then tell business that it'll have to train its own wokers, including in basic literacy, if it wants them to be educated. That they'll have to bear the same healthcare costs as the US do, and build its own roads, provide its own communications and transport networks and raise its own army to defend against attack.
And the private businesses all get together and say "shit, OK. Lets all do this together to make sure we can purchase at the cheapest possible rate and use the same central administrative systems to cut costs. And we'll pay for it by all paying regularly into a big coffer, based on profits so that those of us who benefit the most, pay the most. That'll work brilliantly."