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The level of medical service both in Britain and the USA is very high. Every employed citizen is obliged to pay weekly a certain amount of money to the National Health Service. The sum necessary to run medical services is very big and a large part of it comes not from weekly forms payment but from taxes. Various forms of Medical Insurance are widespread in these countries.
Everything is paid. For example, in the USA if you turn to a city hospital, you should pay at least $50. Separately you will pay for a consultation, minimum $50–60 for a visit. A medicine will cost you another minimum $15–20. You should take a prescription for purchase of many drugs in American drugstores.
However you can take medical service free of charge in medical institutions attached to different charity and religious organizations. Thus, the National Health Service (NHS), UK, provides free medical treatment for visitors from EU and Commonwealth countries and to visitors from other countries with reciprocal health arrangements.