You're totally off your facts here. I'm currently getting an RN nursing degree for under 22k american dollars, the most i've heard for the high end is 65k for a 4 year BSN degree. It almost does not matter what your nursing diploma says as far as schools go, almost all hospitals are willing to hire nurses with a good GPA or a few years experience due to shortages. Benefits of working at a hospital are insanely great, and while not free, when you account for taxes the benefits are cheaper in america putting more money in american nurses pockets. Also, many hospitals in the US have agreements to pay for schooling. The one I'm working at as a CNA has a tuition reimbursement program which pays back half of the tuition costs at the end of each semester. All you have to do is sign a 2 year contract to work for them after getting an RN. As far as time off, my hospital has 1.5 shifts a month off. Our standard nursing contracts calls for 3 shifts of work a week (36 hours). Many nurses do 3 shifts sun-mon-tues then dont work again for a week until next week thurs-fri-sat. This allows for vacation without taking paid leave, then taking paid leave for almost a month at the end of a year (18 shifts= 4.5 weeks straight no work). I got paid more as a waiter at an average restaurant in the US than UK nurses get paid. For the amount of hours, stress and how badly europeans look at nurses its not worth it in the UK. After 2 years (or 1 for some agencies) experience american nurses can travel and travel pay gets up to $55-$85 an hour. Until nurses in the UK are appreciated more, they should wise up and jump across the pond where they will be better compensated and respected.