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Lebanon pretty much the same. Private is great and cheap relatively. Here, after tearing my shoulder, the NHS kinda f***** me over. They literally sent me to an xray when I needed an MRI. When I asked for MRI, they gave me brochure for shoulder exercises that will soothe the pain.

2 years on, my shoulder still feels bad. And as you said, the referrals thing was also an issue. I eventually got an MRI in Lebanon when I was on vacation and it seems nothing is wrong anymore but I'm sure if I got it treated early then my shoulders would've healed.