₦airaland Forum

Zahra29:
Lol, a 20% reduction from an uber liberal government is a big deal, especially if they are likely to be replaced by a hard-line conservative party that is keen to slash numbers. It's an even bigger reduction if you look at the figures for students and foreign workers.

Peeking into your crystal glass I see. All said, we can at least see that its not thesame everywhere.

In other news-

God bless the president of the federal Republic of 9ja
God also bless the King.

Zahra29:
I am not against Japa2.0. Quite the opposite in fact. On that point, please do let me know who the Suellalet is on the Canada thread so I can happily reach out to him/her to do a handover lol

Remember I'm a free being- soon to be your compatriot with no dog in this fight. I always keep tabs back home (9ja and UK) as there are always nice investment opportunities which one could benefit from.

Things come in ebs and flows. Even with the current tightening of migration all over the world- one can still distill fine trends. Canada's 'pause' is to accept ~390000 permanent residents for the next 3 yrs before pushing up numbers. UK OTOH issued settled status to less than 120k people last year. Each to their own. I'm already considering my retirement location which should include 9ja/UK and Europe if (UK does the sensible thing and returns to the EU)


Trudeau defended the government’s recent decision to cut immigration as a necessary measure to address Canada’s housing shortage and cost-of-living issues. "The goal is to help stabilise population growth while housing stocks catch up, and then to consider gradually increasing immigration rates once again," he said, adding that the pause would allow communities time to “catch up with things like our plan to build more homes.”

Canada will admit about 395,000 permanent residents in 2025 — a 20 per cent reduction from the anticipated 485,000 arrivals this year. This shift also extends to temporary immigrants, including international students and foreign workers. Their numbers are set to drop to approximately 446,000 in 2025 and 2026, down from about 800,000 this year.

Goke7:
😂 the same good migrants that passed through the Uk? make dem go siddon jor. I visited Canada over the summer Alberta to be precise and was shocked to see and learn about the number of doctors who migrated there from the Uk. This has been going on for over a decade. The mega salaries those folks even earn over there will continue to be a pull factor.

Fine you have placed restrictions and reduce the amount of those coming in, but a situation where those coming in are reducing and those inside are also reducing where is that leading to? Even most doctors or other professionals coming in are just using the uk as a transit route and am not sure how this will improve the nhs in the long run. It needs an urgent fix.

Alberta na oil wealth. But truthfully, it's not just the salaries. Though becoming less likely, some might match same in the UK. Its the whole package including agency over ones work, appreciation of obes work, access to capital, general economic growth, flexibility, more capitalist society. You largely decide how you work and your pts decide if they want you to be their physician or not. No struggle.
Part of my enquiries have involved colleagues there who left in the 'good old days'. The overriding theme is still same. Conversely, some people also go and return for different reasons. This life na jeje.

I wouldn't agree with the second, many medics who migrate to the UK would ultimately stay and lead good lives. It's just that when an oyibo japa's- everybody sees it as normal thing - the world is their oyster afterall but if na Asian or 9ja- e go be like say u dey cheat on your spouse. Also, of late, the factors pushing folks out from here is now rivalling those pulling them into there.

Overall, it seems the migration into certain nations have general thenes.
UK- still never gree say dem need immigrants despite the govt bringing in hundreds of thousands for over 2 decades. However, each one coming on a visa is milked maximally.
Canada- Appears there is a general understanding by major parties that they need more people- question is how much. Even the recent reduction of allowing ~1% of their population in as permanent residents for the next 3yrs has been called a 'pause'
U.S. - wild wild west
Aus- not enough knowledge to comment but they reason like the UK.


https://www.youtube.com/watch?v=vOB7-dbYuCc

Segun889:
Hi,
I did enjoy reading your positions, i think the counter opinion also bears quite a lot of weight. Your pointer of being in a regulated position may have given you away as a UK GP hoping for more earning poser in Canada. If it were 9 months ago, i will fully agree with you. However, it's good you have sufficient information before any move. Whilst your mind may be made up and honestly it will be good for you to come to Canada and try yourself, know that things are rapidly changing on ground here. For context, i am also a British-US- Nigerian-Canadian ( Canadian means I'm PR not citizen). There has been a lot of influx of people coming in including UK GPs. The trouble the changes seen in Canada are as a result of unmeasured checks of immigration control and with elections almost coming up the pressure is on to for a tangible, palpable and drastic immigrant net control.
...

Fair points.
I've come to realise that manytimes, why people give advise is more important that what advise they give. Reason why I get suspicious when someone like Lady Z who says migrants are spoiling her NHS advices against japa 2.0.

Of course, I would look before they leap - it goes without saying. I remember a long chat with a colleague before choosing the UK when I was also considering Saudi and Can then. I've put even more reasearch into this move than that. It's mabytimes easy to know where high and low ground is my looking at the direction of flow of a river. There's a reason certain folks who earn well into the additional rate treshold would uproot their family and japa. There's a reason why nursing recruiters from the UK target Thailand e.t.c. some also with medical recruiters from Aus e.t.c targeting the UK. BTW, I have noticed a good rship with gdp per capita (aside few exceptions) and certain kinds of migration

Personally, bearing any unforseen circumstance, remaining in the UK should see me attain much of my life goals in good time. But at this point, it's not just where one ends but how one gets there and in what state you are at the end. Another life lesson I've learned is that location is manytimes more important than hardwork to attainment. There is a reason why many conventional 9ja artists move to Lagos and not Zamfara. A personal example was back in 9ja- I was able to earn 2-3x my colleagues who were working in the East by simply working in a differentpart of the country. Same also, folks in Lag were on 1.5x what I earned. The funny part is that those earning more work less hard.

The main reasons I'm moving is not just the income (yes, it should be better) but for the work culture, access to capital (incl U.S) and my estimated trajectory of economic growth in Can. I'm not sweating on this- if it doesn't suit, I return - many have. The experience should eitherway be worthwhile. This life na jeje- I have colleagues who took a year out to travel the world. As a matter of fact, I've visited for initial landing and it was my discussion with my banker and subsequent discussions with their medical support staff and a mortgage advisor that broadened my view. Thuth be said, even me dey fear at the reception I received. I understand the pillars of capitalism and appreciate what good access to capital can offer in a stable fast-growing economy. This, and the wider respect for what one does (i.e reduced bvllsh*t) is where Can really trumps the UK. Regarding housing, I had considered liquidating my isa but may not as they have very favourable terms of borrowing to medics and the mortgage could likely be approved quicker than I may want to buy. Tax-wise, it may be better in the UK as there are more robust benefits when incorporated.

My point is- for me and virtually everyone, everywhere is not always thesame. It may also be better, or worse -
BTW, this 'British-US- Nigerian-Canadian' name- which one does one need to give up as I dey reason born my pikin for America (I know there are tax implications)?

Cyberknight:
The risk that staff employed in the sector will start to jump ship after 2 years, which, depending on the state of the UK's job market, may negatively the staffing crisis in social care once again.

Would have liked her to answer mk she explain wetin she mean

Generally, its a revolving door. It might even boomerang
If people are invariably going to stay longterm in the society, it's important to equip them with tools and remove restrictions so they could build ties and wealth. That way, they're less likely to japa and they also contribute more as they earn more. Even if some switch sectors, it's still a net-benefit and those who'd remain would do so and be empowered to earn more.

Take the student rules which would increasingly now bring more single young folks in (as dependents have been stopped). Majority of these may be unable to get jobs above the treshold and would then default to Care. Do it for a year and get enough points to apply as a support staff under the Canadian healthcare draw. Although this might change, it may surprise you to know that that ex-sudent all things bring equal would have sane baseline score as most doctors because they have a masters degree and they may even score more as docs with postgraduate training are usually above 30 (when some points start being deducted for age).

Invariably, these folks would move on (many are already doing that), propsper and you'd then hear local Brits moan about how other nations get all the 'good' migrants. The point is many decisions can have long unforseen outcomes.

Zahra29:
They won't increase it to 7 years but they won't reduce it to 2 years either. Even Labour MPs would agree with the Suellas on the flight risk from the care sector.

Flight risk? What does that mean?

dustydee:
Is it 7k/kg? Do they know the UK regulations regarding food imports?

Yeah.. 7k/kg to doorstep in the UK

Not read the food import regs but they bring a variety of items including oil

Ringstonermasks:
u can continue to dance unclad in ur ignorance. Nobody would care to prove any point to u from here.

Hehe... you sound like someone who believes killing twins babies would bring rain.

Hope you know whatever device you are surfing nairaland on is more advanced than all the juju in your village put together. Ignoramus

@op

How much ritual have the likes of Apple, Google, Microsoft, Nvidia, Tesla or Amazon done?

Those companies individually listed have more cash than many countries put together

Live link to the parliamentary session

https://parliamentlive.tv/Event/Index/4da818c6-6984-4f0a-87d2-df5214973681

Zahra29:
There is a debate this afternoon in the House of Commons on an e-motion seeking to reduce the time that foreign healthcare workers in the UK have to wait to qualify for indefinite leave to remain (ILR)from five years to two years:

https://commonslibrary.parliament.uk/research-briefings/cdp-2024-0150/

@Jedisco, it's not too late to lobby your MP to support this motion if you haven't already.

Though happy to be proved wrong, I can guestimate how this would end. I'm expecting some virtue signalling detailing all the pros of 'integration' when the real reason is more visa fee and the leverage it affords the government.

BTW, I signed the petition a long time ago and received a notification of the debate.
The reality is that the time to ILR is more likely to be increased to 7 years than be reduced to 2 yrs. All you need is a few media articles and a new Suellet chorusing how a rising number of these imigrant medics are planning on japa 2.0.

On a personal note, I'm not bothered- counting days to be a British compatriot

dustydee:
Please does anyone know how to import food items to the UK from Nigeria in commercial quantities? I will appreciate if anyone has a guide to share or point me to where I can find such information. Thank you.

Also need more info on this. The lowest I've got is 7k from Lag.

Also need info on sending stuff back. I mean large stuff. Know a few who do but unsure abt the cost-effectiveness

NewT123:
Thanks bro, please is Moneybox a good cash Lisa provider to use or I can use anyone?

I've used Moneybox cash LISA and had no issues with them.
Also used DODL S&S LISA. I'm mainly focused on the fees. Most providers would be FCA regulated and deposits upto 85k would be insured.

Finally, na u go decide

NewT123:
Please what is the best LISA provider to use for first time home buyer and is there a way to max out the 4k in a 12 month period and get government bonus twice in the 12month?

Cash or stock and shares LISA? Moneysaving expert has a good article on LISAs which is updated regularly.


Deposit before and after April 6.
But note some providers close deposits into investment accounts a few days before the end of the tax year

Congrats to Nigeria and Miss Chidinma Adetshina - (Miss Universe Nigeria, Africa and miss Oceania). The babes beauty dey enter my eye.


I remember having the discussion here when she was advised to be 'realistic' and bow to bigots by pulling out and remaining silent. Imiagine where she would have been if she did that. Perhaps feeling suicidal. Nigeria came thru big on this.

Goke7:
This also applies to other western countries. Labour mobility is their wealth secret. Any attempt to disrupt will always lead to unfavourable outcomes for their economy. They can bang their heads on the wall it won’t change anything. Like we say in naija if e easy make dem run am! 😜

Hehe... it's so easy to blame migrants for every issue. A while back, Nigeria blamed Ghanaians - what happened when we chased them away? Now SA are blaming other blacks

The difference in the west is that the populace is much richer (i.e less ammenable to bvllsh*t) and with so many social benefits and a free electoral system, no one is going to sit back and see you make them poorer. Good example is the recent winter fuel payments where many rich boomers were really upset over a sum they could easily do without. It's a good example why politicians knowing fully well they'd loose votes on the altar of high migration keep going back for more

Zahra29:
Lol, you do love to talk. Fact is that Canada is no longer as immigration friendly as it used to be and if the Conservatives push Trudeau out as expected, their immigration laws will get a lot tighter. The same complaints you've had about the UK, its people,policies and govt, are very likely the same complaints you will have in Canada, if not more lol.

Happy to help:

1. I pray that your heart's desires are granted.

2. I advise that you pray for wisdom to make the right decision.

Shalom

Lol.. Regarding option 2, I'd ultimately see what interest rates do. If they're amicable, I'd keep it and possibly add another before my sabbatical as I gather the UK property market relatively primed.

True, there's been some changes with their system but by contemporary standards, it's still generous. The main issue is seems is that British-Canadians who have been a historical huge supplier of Canadian migrants are now unable to supply as many new entrants but are strongly opposed to Indian-Canadians taking their position. I love the conservatives- many are capitalists like me and if the UK is pointer, we know where their migration there is ultimately headed.

It'd be interesting to know why you chorus the last statement - is it fear of the unknown? It's like saying all equity investors would get same outcome irrespective of what companies/markets they are invested in. There are overarching issues but outcomes are very much different. I don't complain- only point out the effect/drivers of certain moves by my soon-to-be compatriots e.g Brexit which has been a blessing for me and many Nigerians. In my experience, location is a huge driver of attainment. Even in a field as regulated as mine, I know what difference location (even in thesame county) can make. Nationwide its more remarkable as earnings could almost double by switching location while still maintaining thesame or less workload and better QOL. Just like I highlighted the pros and cons of the British and Canadian visit visa system, different nations would come with different challenges. They'd hardly be thesame.

lavida001:
Capitalism has failed us.

90% of global wealth is owned and controlled by 5% of the population.

Not really, it has it's pros and cons. Unbridled capitalism or socialism is unviable - every nation needs to find their right mix. Capitalism only helps to accentuate the fact that he who has is more likely to acquire more.
It has served America well. For an economy their size, their growth over tha last decade has been remarkable but the time has come for them to look more into distribution of accumulated wealth.

One thing that continues to surprise me was how they moved from being the largest importer of crude to a significant exporter. Relative affordability there (aside a few select issues) is also quite good. Look at housing for instance - and compare to the UK

justwise:
University cash crisis to get worse despite tuition fee rise, BBC told



Almost three quarters of universities in England will face financial problems next year - despite tuition fees increasing, the BBC has been told.


[b]This has led to lower recruitment and increased pressure in universities that accept middling grades, and some smaller institutions.

International recruitment has also fallen, with overall visa applications down by about 16% this year, and 20% fewer applications from India alone.

@Zahra29

Interesting.
I wonder if this squeal by unis is just the usual British moan (e g winter fuel issue) or if they have really been served breakfast. Time will tell. The govt may look the way of U.S and increase fees more if some go under. Overall, I believe British fees should fully fund British education.

I remember a longdrawn argument with Aunty Z where she was quite insistent that the revenue from foreign students was miniscule. '1%' I think she said. Another said foreign students were reducing the 'quality' of British education.. hehe. Who would have thought that when the cow stopped showing up, the butcher would be in dire straits.

Zahra29:
I guess it goes to show that every country has a limit and it's not racist to want to control the numbers of people coming in as you've been claiming the last few years.

Thank goodness you're moving to Canada soon to convince the govt that their indigenous birth rate is declining and therefore they need much more immigration, not less.

Hehe... Zahra my soon to be British compatriot.
I'm not 'moving' to Canada perse. Initially going for a stint abi sabbatical. Hoping to enjoy the experience and decide afterwards. Irrespective, I'd still be British. My tax and years of service would not be in vain.

Canada has always recognised it needs more migration. How else did they have over 45% of their population to be of British heritage? Despite recent restrictions, they still continue to accept over 1% of their population annually as permanent residents aside others. My going there is to 'join body' with my fellow British compatriots in a sister state- remember Charley is also their monarch.

BTW, I need your help with 2 things:

1. Prayers- I'm hoping the move prospers so I dont return soon. Eitherway, I'd complete necessary paperwork so if I decide to return within 3-5yrs, it should be straightforward.

2. Advise- I'm wondering what to do with my house. It's a detached house in the southern part of the country within which I have decent equity. Renting is quite steep. Do you think I should sell and move or rent?

Goke7:
You just like to trouble our dear Aunty Z sha, lol 😂 please let her breathe o, so much is going on in our world today, as some are increasing visa fees others are preparing for mass deportations, gbas gbos everywhere, can’t wait for 2025, so much in store for everyone.

Hehe... Na our lady finally.. Her views are not too distant from that of the general populace as regards immigrants. Interaction is part of education and she has also changed her tune with time.

Irrespective of what happens in the short term, the seesaw of developed countries seeking immigrants would only get worse until such a time there is a balanced demography between the old and young. I can only hope developing nations pick up and get themselves out of thus quagmire just like China has done

Interesting article.

Attempts to answer a simple question. Why has something so easy as migration not been cut despite every government of the last 20yrs promising to do so? PM after PM has been slaughtered on this alter yet each succesive one keeps coming for more... Abi na cocaine? Reminds me of a discussion with someone during the last riot - I reminded him that without migration, the UK is in an 'enviable' position where its population would naturally fall. We both wondered why they can't just cut migration to zero and in doing that solve all of our problems


The broader objection that I would get from the prime minister and from the chancellor of the exchequer and other ministers, was that if we were going to cut immigration, then we would be actually cutting revenue”. She told us of “one conversation I had along the lines of, ‘Well, Suella, if you want to halve net migration to 300,000, you realise that's going to cost us £3 billion. That's the same as a cut to income tax.’”


https://www.bbc.co.uk/news/articles/cjr40yxnvzpo

missjekyll:
Jedisco, kindly tell us how to arrange a prostate check or does it kick in automatically like the PAP smear?

All true. There is good advise on NHS website and prostate cancer uk.

https://www.nhs.uk/conditions/prostate-cancer/

https://prostatecanceruk.org


The only thing I'd add is that alot is changing in this area. In the past, the simple blood test and an unwelcome physical exam (rectal) were not reliable enough to make them a blanket screening tool as many people with abnormal blood tests went on to have procedures looking for cancers that were not there or of little concern. Infact the rectal exam has been fingered in putting many groups (especially black men) off from asking for a screen. The routine use of MRIs as part of the investigative process has been a game changer. With good data from the process and uptake in AI, I believe there'd soon be a blanket form of screening which would a combination of a blood test and scan. Until then, folks over 50 would need to ask.

In other news Canada is ending their default visit visa which was multi-entry and up to 10 yrs. @Zahra29 u didn't update us.

The interesting thing about migration into the English speaking West is that sometimes, dem dey follow themselves.

See me that was planning to tell my parents to go renew their passport so they can apply at at least come for summer most years with less stress.

I'm sure someone in their immigration department must have brought this up and ask why they charge £55 for a 10 year multi-entry visa when they could earn loads more by laddering it out. Moreso, given they welcome alot of permenent residents from developing nations who'd be keen to also have family visit. The money they could earn by commoditising the process is unreal and I wouldn't be surprised they start doing so.

Zahra29:
I don't disagree with some of your writeup, but to borrow one of Good Enoch's favourite phrases, it's a bit a of a whataboutism.

Forget round-about tok... can we at least agree on two things?

1. The NHS is not under pressure because many migrants come with 'poorly treated' ailments from Africa to burden the NHS as you previously liked to chorus.

2. The reason why we can access health and care to the good standard the NHS and social care give is partly thanks to the many African, Asian and European healthcare workers who come here.

PrettyPacy:
Good evening everyone, I need some advise, my mortgage has been approved and the estate agent is insisting completion date should not be later than the 20/12 but my solicitor is saying they require 8-10weeks for conveyance and paper work and the completion date is not feasible what do I do ? I’m confused . Have contacted 2more solicitors and they confirm same.

Is there a reason for that date?

It's out of your hands. I'd call the bluff of the EA on this and let them know all I can do is get a responsive solicitor . If they're really interested in completing before 20.12, then relisting is is not an option.

In such cases, I'd take more caution and if not a new build would do a good survey

Gerrard59:
None whatsoever. But I believe the lady in the UK is stunned by the one-time per consultation she received even when she had other medical issues. Also, the scarcity of dentists at a point last year or earlier this year got be befuddled.

Your inflationary explanation is excellent.

It see why it can be surprising to someone new to the system. I get time today so let me put some context. Long post.

First off, comparing healthcare access in Nigeria to the UK is not like for like as its free in the UK (except prescriptions for certain groups which is a base fee). In Nigeria except in limited instances, folks pay (sometimes subsidised). Here, if you are willing to pay for healthcare, you can spend 1hr talking to a doctor.

A GP surgery is also not a direct comparison to the local hospital back home. In the UK, theres no limit to how many issues you want to bring up if you think your issues are serious enough to attend a minor injuries, walk in centre or emergency dept. You only soon realise its not the place for longterm issues.

Coming to access, a doctors surgery serves lots of functions and I can say most would see more people in a day than the local church sees on sundays. Unlike 9ja, GPs and routine hospital appointments are timed. So you have an appointment at a given time and should be in and out within 20mins. No one expects to sit in a waiting room spending all morning waiting to be seen as is the case with PHCs or gen hospitals back home.
With access, you can request an appointment via different means. Typically, a clinician on the other end decides how quickly you need to be seen. If routine, you are given a regular appointment. If urgent (and there's room), you're given a same day appt, certain people are visited and seen in their house. If deemed urgent and they've run out of same day appointments or its after hours/weekend, you can also call 111 - discuss with someone and possibly get seen or visited overnight. If an emergency, then its 999 and where if deemed serious enough an ambulance could be with you (if lucky) before you hang up the phone. There are also minor injury clinics where you could walk in to for minor issues or A&E for major issues. You can contact all these services as many times as you want - all free. I've seen someone call out an ambulance over 100 times in a year. With such access, tell me why you'd want to discuss 2 unrelated issues in a particular consult? The average Brit would not want that cos it'd mean others would get to wait longer and appointment times would be less predictable.

In real terms, the main difference between both healthcare systems is not the access for those paying but the fact that a homeless person on the streets in UK may be unwell, call an ambulance (which should arrive promptly), get taken to hospital, treated and discharged (sometimes housed) and if any of those processes brings undue harm, that person can complain/sue and be rewarded plenty. In my years here, I have heard sirens manytimes, but can't remember any being because VIPs were en route. It's almost always because an ambulance or police were responding to emergencies. Infact certain deaths are investigated regionally and almost every unexpected death is forwarded to the coroner. Many people have had huge sums paid out due to failures during care. I talk about entitlement here alot. It'd marvel you the kind of things people formally complain about.


Same also with dental care- the only difference is that this is largely run privately. If paying from pocket and you want to see a dentist today, there are many options. There is also a 111 dental service (though sketcy) which aims to sort out urgent dental problems after hours. There are also specific pathways for certain vulnerable groups to get free care. The long waits you see are for those seeking free NHS dentists. Ask yourself why dental access appears to be a more significant issue in the UK with a smaller population and much more dentists than Nigeria. The odd/good thing is that the expectation of good free service means private healthcare tends to be relatively cheaper in the UK than most similar western nations.

Finally, I would always stand up for 9ja and have seen colleagues go back for certain procedures as they couldn't be stressed with the NHS. They are doing that from a position of knowledge. From a system-wide perspective, the NHS is quite remarkable.

PMKeirStarmerer:
Talking about Snips.
I’ve been reasoning that thing ohhh.
Can I get it on the NHS?
Is it very expensive?

But I would like to freeze some of my tadpoles before the snip (just in case). Anyone knows how expensive (or cheap) it is to freeze my sperm, please?

Yes, a fairly quick procedure too. Just need to be certain its what you want. Most areas would have a pathway to provide this on the NHS. It's considered 'permanent'. Reversals are not NHS funded and there's no guarantee it works.

ehizario2012:
Really? It seems some social workers are paid bonuses for withdrawing kids at the earliest opportunity.

Hehe.. so it seems.. Good number of times, its not. There are red lines that shouldn't be crossed though.

I have once seen a case where a lady was telling social services to come carry her pikin- say she no do again and they can't live together. Social services were begging her to keep him, even promising to provide support as they knew housing him was proper work. Sad experience.

Lexusgs430:
This is commonplace...... Wise investment, the trust would have an additional asset + avoid bedblockers...... 😁

Would only happen in extreme cases......

Finally, was extreme. It was a mental health trust though, and it's not uncommon for folks to spend months on end which causes more backlog higher up.

Zahra29:
Bite me in what way? You've relayed your purely anecdotal view from your own locality. There are other anecdotal views and evidence from other localities and trusts that would paint a different picture to the one you're trying to claim of migrants never using the NHS.

Remember this? We are still waiting for the benefits of Brexit. I remember telling you how trust who set up desks to 'catch/bill illegal migrants' fared and why the idea was thrown out.

I can go on to list government initiatives in supporting migrant labour into the NHS. Till now, the government opted to get oversee nurses than pay bursaries to local students. A while back registered more international docs than local docs in a year, to paying 20k to encourage docs to work in certain locations, to paying visa fees of certain healthcare workers, to making exemptions both during covid and afterwards and making NHS workers exempt from the current salary tresholds. To currently allowing new GPs work for a period with an expired visa.

If migrants were responsible for long wait times, why then are localities with less migrants not having far less wait times?

The NHS and Care works thanks to migration not inspite of it. It's the reason you can get seen in the time it takes (and not longer). Same reason why there continues to be a significant overrepresentation of migrants in the NHS.