Re #5, actually, I assume some international visitors to the UK who run up big hospital bils do the same thing such visitors do when they run up big bills in the US -- they go home without paying. A question that has come up more than once on the New York City forum concerns ESTA applications and whether an ESTA visa can be denied a British visitor who on a previous visit was treated in a US hospital and received a bill he/she did not pay. (And the answer is no, the ESTA visa will likely not be denied because a medical bill was not paid). US hospitals cannot deny emergency medical treatment based on lack of insurance or ability to pay, and must provide care until the patient is stable, and I assume British hospitals work pretty much the same way. However, US hospitals and health care providers can deny non-emergency care where the patient is stable. In other words, if you want to come here for treatment for cancer or some other probem, you need to arrange payment (whether through insurance or direct payment) with your hospital before you get treatment, and no hospital will treat you without such an arrangement.