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Nigel Farage’s right-hand man has branded the NHS “the biggest waste of money in the UK” and compared the health service to Nazi Germany.

In a series of astonishing remarks, Ukip general secretary Matthew ­Richardson condemned the NHS and called for it to be privatised.

His comments – made to an American audience and revealed by the Sunday Mirror – will be a huge embarrassment to leader Mr Farage, who is now facing calls to axe his Mr Richardson.

A City barrister hired by Ukip to keep “bad stuff” out of the media, bespectacled Mr Richardson, 34, explosively compared the NHS – cherished by millions as ­Britain’s greatest post-war achievement – to Adolf Hitler’s Nazi Germany.

Speaking at two events for right-wing activists in Washington, he launched a ferocious attack on the service, blaming it for much of the nation’s debts.

He said: “A number I couldn’t possibly imagine when I was younger is now the amount of money that is owed by my country... of course, at the heart of this, the Reichstag bunker of socialism, is the National Health Service.

“And that is why socialised health care is so dangerous – because it is a ratchet. Once it is in place it is very, very hard to get rid of.”

(Image: LNP)

He also launched a vitriolic attack on taxpayer-funded cosmetic surgery.

“I promise I’m not making this up – breast augmentation, hymen repair for those who want to be born-again virgins, is paid for by the National Health Service,” he told his audience of young Americans.

“If you have low self-esteem you get new breasts, but if you are dying of breast cancer you can’t have the treatment you need to stay alive. “

He added: “Socialists think that if somebody wants to reassign their gender the state should pay, they think that’s how the world works. So if you love she-males come to the United Kingdom, if you love freedom – stay here.”

The Reichstag bunker was the air-raid shelter in Berlin which became the ­infamous heart of the Nazi regime at the end of the World War Two. It was where Hitler married Eva Braun in 1945 before the pair committed suicide.

The emotive comparison will infuriate hardworking doctors and nurses.

One veteran nurse stormed: “We save lives every day. Is this Ukip character seriously comparing us to one of the world’s mass murderers?”

In his speech in 2010 to Young America’s Foundation Conservative Student Conference in Washington, Mr Richardson also said the NHS was the “sacred cow of British politics” – but that he hoped David Cameron would start privatising it.

Referring to Labour, Mr Richardson sneered: “This socialist Government wastes money like you can’t imagine. They have started doing every wasteful scheme under the sun.”

In a second speech in Washington at the Conservative Political Action ­Conference that same year Mr ­Richardson repeated his claim that the NHS was a massive drain on resources.

He said to the applause of his audience: “The biggest waste of money of course in the United Kingdom is the NHS.”

His comments will pile the pressure on Ukip about its plans for the health service – despite its claims that it is opposed to privatisation.

The revelation is a gift to Labour ahead of Mr Farage’s planned appearance on tomorrow’s Andrew Marr show on BBC1.

Shadow Minister without Portfolio Jon Trickett called on Mr Farage to sack Mr Richardson, or come clean and admit that Ukip backs an NHS sell-off.

“Either Nigel Farage supports this or Mr Richardson cannot stay in post,” he said. “Nigel Farage cannot simultaneously defend these comments and claim that his party stands for the NHS free at the point of use.

“The man chosen by Nigel Farage to control Ukip’s image has compared the NHS to Hitler’s Nazi bunker.”

He went on: “This is Ukip’s real agenda on the NHS. They claim to defend the service we cherish, but they want to dismantle its foundations.

“UKIP can no longer attempt to fool people. They are a party of Tory people, Tory money and they want to extend the worst Tory policies, which would have horrific effects on working people.”

Mr Richardson sat alongside Nigel Farage at the launch of UKIP’s local election campaign in 2012.

And he was one of only two officials to accompany the party leader to the House of Commons to see Tory turncoat Douglas Carswell introduced as a Ukip MP last October.

Labour faces a battle to stop disenchanted voters switching their support to Ukip, best known for its hardline policies on immigration and Europe.

Labour strategists plan to draw the contrast between Mr Richardson’s remarks on the NHS and their 10-year plan for the health service, to be unveiled on Tuesday.

Labour will also release a video of Mr Richardson’s NHS remarks, as well as launching a website called meetnigelfarage.com which invites voters to read Mr Farage’s words and make their own judgements.

Ironically, Mr Richardson was appointed as UKIP’s ruling general secretary in 2013 to keep bad news about the party buried.

Leaked minutes from the party’s ruling national executive committee reveal: “We need to ensure all of the bad stuff is kept out of the public domain. As party secretary [Mr Richardson] would try to ensure that we keep a tight rein on things.”

His remarks on the NHS are a major embarrassment to Mr Farage, who was himself forced to deny he backed privatising the NHS after remarks he made in 2012 were made public.

Mr Farage was caught on camera telling supporters that the state-funded NHS should move towards an insurance-based system run by private companies like in the US.

Earlier this month Ukip’s deputy leader Paul Nuttall insisted: “It might be better if you brought in a private company who you could hire and fire on results.”

And today the party’s health spokeswoman, MEP Louise Bours, gaffed by admitting: “I have no experience in health whatsoever.”

Tonight a Ukip spokesman said Mr Richardson was “specifically talking about the growth of middle management which had not reflected a growth in health outcomes”.

Responding to calls to sack him, he added: “It’s none of Labour’s business who we employ or don’t employ.”