No flak from me JD - that is what I am suggesting. Rigorous checks would be needed. There should also be 'La Liste' of conditions which are covered 100% regardless - in France these include cancer, heart disease and the like, very serious, life-threatening conditions.
Non-essential plastic surgery etc., should be paid for - any profit to go towards funding the essential, such as hare-lip repair in babies. All sex-change ops. are a matter for the individual concerned, they are not life-threatening or crippling. Etc., etc.. There is a longish list. I know these things are important to the individuals concerned, but we can't afford it.
S-Dave...........as you get older you need more prescriptions, and you are on a limited pension....and have paid in all your life to cover your health-care. I would go along with everyone paying, say £5 per doctor's appointment, but of equal importance is the need for a system which fines people for missing an appointment (another thing we got used to in France). 15 Euros if you missed 1 appointment and if you missed 2 you were 'off the books' and had to find another doctor. I hasten to add that genuine reasons for missing an appointment (car broke down etc.)were accepted (provided you had the garage bill).