Absolutely, whilst we should be able to have our needs met in full by the NHS, there's no principle worth osteoporosis and a miserable, shortened life.
It bugs me that I have to pay for my pill, when I could get it free if I lived in England or Wales, but I would rather make economies elsewhere than with my health.
In the years following the WHI I actually remember some of the old guard within the NHS, who always thought it was bollox, really sticking up for women and prescribing liberal doses of estrogen and testosterone (granted there was a lot of provera meted out as well) that really helped their patients thrive, and it makes me sad that those they trained have now become so militantly anti HRT.
I think there's a real cultural dislike among some clinicians of women coming in more educated and advocating for their treatment, and they feel like patients need bringing down a peg or two and only being allowed the bare minimum.
There's also a really short sighted focus on costs, which I think ties in with other governmental failings and ass-backward priorities.