I think you will find the changing demographics of the country would make a far bigger impact on the costs for a single year than the whole total for any (disputed or unsubstantiated) migrant cost.

In the next 15 years the growth in the number of over 65s will be bigger than that of all persons under 65. It a similar problem as pensions with longevity but this time the illnesses that come with longevity. A person over 65 generally costs the NHS over 3 times as much as someone under 65 years.

The biggest problem is the NHS itself for several reasons (this isn't an all inclusive or exhaustive list):

1 It under sells its on reasearch to pharma's teh buys back at full price.

2 It undertakes unneccesary operations and services, like fertility, and some plastic surgery.

3 It conflates public and private services with teh easier and more profitable services being cherry picked and done by the same individual but for profit outside the NHS.

4 It has no written scope to describe the boundaries of what is avaialble. For example should all citizens of the UK be able to access drugs that cost 40K a month but merely delay death by a few months.

5 Better but more costly surgical procedures etc, saving those which would have died.

5 Post surgery or hospital care, and bed blocking.

6 The dicotomy that it campaigns to increase overall health of the nation costing money, whilst having to deal with more chronic disease related to old age like diabetes, heart conditions or senility; which costs massive amounts of money.

7 Containg supervirus caused by poor drug prescribing, hospital cleaniness etc.

Society needs to decide what it wants and what it is willing to pay for before doing the costings. Costings should be a constraint and not the allowed run up Tsunami-like.

Perhaps we would be better to relax regulations on smoking drinking etc; perhaps the elderly pay more tax.

We need to make decisions first rather than chuck money at a public monolith which many see as so sacred it can not be questioned.

Anyway enough about the NHS lets get back to debating sending the Windrush generation home because they now cost too much.

Edited by pefwin (24 May 2018 1.30pm)

You do realise this a thread about the NHS, you should start a fresh one on immigration.

You do realise you just made a post that wasn't about the NHS.

I get sick and tired of hearing about these gold plated pensions that we are all supposed to have. It is mainly civil servants, local authority workers and former employees of major companies who have these, and they are very much the minority of pensioners! I have a small annuity, bought and paid for myself and virtually taxed out of existence - and that's the reality for many. many others too.