Southernboy, your comments about the quality of care provided under the National Health Insurance are puzzling. To compare this care to the care in the US can't be done. For instance, when was the last time you paid cash for a doctor's office visit or a hospital stay? Many Americans are either uninsured or underinsured. Consequently, they are unable to meet even their most basic healthcare needs. Medicaid provides healthcare coverage for the most indigent and children but with federal and state funds being cut (drastically) every year, many of those needs will go unmet in the coming years. If sitting in a waiting room for a few hours for a check-up means that I don't have to pay the $65+ for a visit, I'll do so. And, I will gladly contribute to the National Insurance rather than pay the $250+ monthly for the paltry coverage I now "enjoy".
You know, I'm just getting started on the process of job hunting and relocating, and if I were a more timid soul, I'd be scared witless about proceeding after reading your post. But, I have to ask, "Why did you leave the US in the first place?" Was it a desire to experience another culture or were you transferred, reluctantly, by your employer, or what other reason? I think an individual's willingness to adjust to other cultures and environments depends largely on their reasons for relocating. My desire is to practice social work within a society that values social workers and social programs. Currently, the US does not do that. I also want to travel around Europe while I'm still young enough (and healthy enough) to do so. I want to practice my craft and receive adequate compensation while doing so, as well as put some money away for retirement. In the US, I can't do this. And, as a 48 year old, I'm probably a little closer to retirement than is comfortable, given my current financial status.
I don't expect the UK to be paradise...but, if you expect me to think that "the Uk being thirty years behind the US" is a bad thing, then you obviously weren't around thirty years ago. Every year that goes by I wonder how much more and faster can the world change in my lifetime? Being in a place that isn't determined to have the most and the best at all times as well as the most improved, and the latest model...on second thought, that just might be paradise!