My point is, if you're sat in say, Liverpool, and you see the elective surgery you want is six to nine months out but that seems forever, you don't go "Oh, let's fly to San Francisco and get it done privately there, we can spend the kids inheritance" you start looking at private providers in Liverpool (there are several) or maybe Switzerland. You are attracted by a good price in say, India, or a friend recommends somewhere in Eastern Europe.

The US is very expensive compared to other private options is my point.