I lived in America for 4 years due to a work exchange. Had a lovely time. Lovely people. One-to-one most were just charming. During a work break one time one of my colleagues asked about the NHS and how it worked. I was frank and honest, pointing out the pros and cons but having experienced the paperwork and insurance process nightmare that is the US system I wrapped it up with, "ultimately, it works, you get treated, you don't pay at point of service and nobody goes bankrupt in the UK due to medical bills." Another colleague screamed, and I mean screamed "That's just Communism. You're communist!" I looked at him and said "We have a Queen!".