Since the introduction of the Impanian National Health scheme, Impanians (or their private insurance companies) have had to pay only for the more unusual and sophisticated medical procedures  When the scheme was introduced, it was hoped that private insurance to pay for these procedures would be available at modest cost, since the insurers would no longer be paying for the bulk of health care costs, as they had done previously
Paradoxically, however, the cost of private health insurance did not decrease but has instead increased dramatically in the years since the scheme' s introduction
Before the National Health scheme was introduced, more than 80 percent of all Impanian medical costs were associated with procedures that are now covered by the scheme.