The trouble with those of you in the USofA is that you have never thought beyond the mighty dollar, that is sad, how many poor people die every year because your doctor want thousands just to say sorry you need a specialist, and then you have to pay him, he then gives a kick back to the original doctor, and so it goes round, you all just sit on your butts and say, well thats the way it is, duh, over here i go to my doctor, if need be i get a referal to the specialist, get an operatin, whatever, cost to me, nowt , nil, nadda, nothing, zero,

However, there is a cost of course, this done by way of national insurance, a tax if you like, but its paid by me and its a tiny amount per week, it covers everything from ingrowing toe nails to the dreaded disease, yes we have private health care but as in the U.S, its limited, costly . Unless you have been within a national health system i doubt you will understand, but its simple and easy to set up, then again those fat cat doctors, insurance types, will hate it, oh dear how bloody sad. forget the money think of someone you love dying because they cant afford healtcare, gladly that dont happen here. best i can say is learn about it , use it, do it.