No one has yet been able to explain to me how private insurance provision can be cheaper than a national insurance system. We have seen that artificially created competition in the NHS does little or nothing for efficiency and ends up with poorer coverage. Unless you restrict entry to a private scheme on the basis of age or health profile, premiums will naturally be higher for schemes with fewer members.
This 2017 ONS study on healthcare spending in OECD countries shows us that the US spends double what we do. I believe this is based on public and private spending - in the UK 80% of health spending is public while in the US it is 50%.
![](https://i.imgur.com/10AmHdE.jpg)
American healthcare costs a fortune in comparision. People risk bankrupcy from appendicitis or a car accident. God knows what happens if you need long term treatment.
In the US Katie Porter neatly illustrated the extent to which private insurance companies in the US waste money and profiteer from healthcare (costing about 17 times as much as medicare). This is what really gets Tory juices flowing.
https://www.youtube.com/v/4hjpq4FNuQA
I'm sure with some wealthier people it's the case of feeling like they pay too much for the NHS. The US-style insurance system doesn't differentiate for income. If person A is on $20k/year and person B $200k, if they want the same level of healthcare cover, they both pay the same insurance premium. Obviously for person A, it'd be a much greater proportion of their income than for person B.
To fund it via tax works the opposite way. Nothwithstanding things like allowances and different tax rates for different incomes, by using tax, the person earning 10x the other would pay 10x more tax, and therefore 10x more for healthcare provision.
Many Tories and wealthy people hate that. They also know they can buy private healthcare, but still have to pay that chunk of tax to fund the NHS (conveniently forgetting that they would also need the NHS for emergencies or for many treatments for serious illnesses)
You also have to remember that in the US, for many people medical insurance comes with the job. It's a tool used by employers to keep workers compliant and working hard - you get fired, you lose not just your income but access to medical care for you and your family.
I'm sure there's plenty of right wingers in the UK and the US who view the principle of the NHS - free for all at the point of delivery - as a 'moral hazard'.