Close to $1k per month? How many people does that cover? I think between my wife and I we'll be paying around £250 (~$400) per month for the 2 of us. Which I'm happy to pay since I find the NHS good overall (and that £250 does cover everything - serious illness/surgery etc), but since national insurance is essentially a tax (and thus goes on % of income), it can shoot up as you earn more (i.e. someone lucky enough to earn £100k p/a pays £450/$700 per month). It can be a bit of a pain too since it can be a bit of a postcode lottery. Where we live now, there's 3-4 GP (local doctor) surgeries but they're only open for ~2-3 hours in the morning and ~2-3 hours in the afternoon, all during work hours (and none open on weekends). So since we work, if we need to see a GP we need to book time off. Which is a pain, especially since my nan's GP surgery (a couple of towns away from us) is open from 7am, on some weekends too, etc. Also out of interest, if you have a history of ill health in the USA, do your health insurance premiums shoot up? (Or is there protection against that happening). As in, is it possible to have something like: Good job + can afford insurance -> Ill health + have to quit job + insurance premiums shoot up = can't afford to pay the insurance?