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Should have edited to replace "tertiary.." with "implications for the NHS"..
How we fund healthcare is a separate complex problem and I think our free at point NHS has shown its strength in COVID times.
I'm very sceptical about notions of common good as I believe we are all fairly venal selfish creatures evolved to care about our immediate surroundings.
Being in hospital isn't exactly fun times.
And healthcare here is free at the point of entry, while I totally agree with that, isn't not that like the USA it also bankrupts you, we all pay for everyone.
So it is therefore I think a societal issue as well if people don't get vaccinated, do not test themselves and behave like COVID isn't a thing. Then pass it on etc etc.
Of course USA healthcare bankruptcy is also a societal issue, just that this language of "personal responsibility" is usually in a context of "small government, pay for everything yourself, society is overrated, NHS needs to go" but perhaps you don't mean it that way.