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NHS is waaaaaaaaaaaaaaaaaay more than £20 a month lol - 9% I believe I pay at the top end, 4 or 5% at the bottom (it's tiered like income tax), and yes, it is complete shit in a lot of areas (and I don't mean geographically).
The docs/nurses are (mostly) great, though the fucking prick 'specialist' I had deal with my cholesteatoma was directly at fault for me having to have a hearing bone removed from each ear as he failed to understand, or correctly diagnose that I had an extremely severe case. <--- anecdotes mean fuck all I know, but just a real world example - ask 10 people in the UK who had higher level medical needs, and at least 5 will tell you their treatment/progression through the system was abysmal.
I saw probably 9 different specialists over the course of 18 months, once they finally diagnosed the cholesteatoma in the first place (this took a mere 5 years, which went from local GP to 4 'specialists', and no I'm not kidding), because the NHS as a working entity is a huge pile of stinking dog shit that wastes billions on red tape, admin, and the left hand of it trying to work out what the fuck the right hand side of it is doing. 1.2 million employees just in England = ofc there are going to be MAJOR headaches trying to run such an organisation... that doesn't mean all that should be overlooked because nurses = emotions = they do the best job in the world! And that's not a dig at nurses (who the fuck doesn't respect nurses/doctors, really? Oldest trick in the book to misdirect criticism by insinuating you don't appreciate nurses/docs if you don't want to pour another 30 billion in), that's a dig at people who can't understand that digging out the NHS is a world apart from digging out a shitty, bloated, mismanaged fuck up.
12 - 18 months for a hip/knee replacement is par for the course, and that's after the initial GP treatment, referral to hospital, diagnosis, further treatment, and so on. It cannot handle the amount of people it caters to (everyone), while red tape and mismanagement continue to run so rife through it.
The NHS simply cannot cope, and is one of those emotional things where people just shout 'give it more money!', completely failing to realise that most of that just gets swallowed up as well. To make it a for profit service would be wrong, as it's there to cater to literally all, but holy fucking shit, at least run it with some sense of 'lets try and look like we actually know what the fuck we are doing'.
I don't have the answer, but the NHS is definitely 'doctors and nurses do the best they can under the circumstances' (and they really do for the most part) than any 'nhs is the best in the world' nonsense. See germany for how it's supposed to be done - we look like a bunch of 5 year olds trying to run amazon in comparison.
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