It's just not something that crosses my mind. I've gotten used to access to healthcare being pretty much universal, though that also took a lot of head-rewiring to begin with.

"I don't think there's anything wrong with a sliding scale of university fees based on parental income"

That's why my family had to work through university when they went - you had to prove parental income was low enough, which meant having to have a cooperative parent whose income was not a big secret.