I pay national insurance every month, its automatically taken from my salary. Most of the time it pays for other people's care - and that's absolutely fine with me. And if at some point I need care, I know it will be there for me and how much money I have won't come into it, the costs of my care won't be weighed against the value of my life, i'll just get the care I need. It doesn't need to be so expensive, the US has just built such an incredibly inefficient system ( or efficient if you accept it is designed to generate outrageous profit from the suffering of humans).