This is what they mean . . . Last year we were in East Kilbride on a family visit. My nephew needed to be seen for a sinus infection. Went to an A&E was seen, sorted and on his way, meds in hand no less in like an hour or so, and the part that floored all the Yank cousins, for zero cost . . .
The USA version is quite different. Here, he would have checked in, waited an hour or 8 before being seen. If you have insurance, you'll have a co-pay of anywhere from $50 - $500. Then they "bill" the Insurance company. Whatever they decide to not pay is your responsibility now.
Then off to the pharmacy to fill the prescription. Costs vary. I have an Albuterol inhaler for allergies. Mine costs $10. My son, who has shitty insurance has to pay $125 for the same thing. I take a drug called Skyrizi for Psoriasis. I take 4 shots a year. Each one cost $17K. Thank God I qualified for the assistance program . . . Else I've been a big scaly mess.
The only thing your Tories want to reform is the destination of NHS funding, from helping folks to enriching themselves, Cronies and campaign contributors . . .
The weirdest part is that the US government spends more money, per person on healthcare than the UK government does. The US could have free healthcare just like the UK and not have to spend a penny more in taxes. The entire system in the US is a scam.