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Except in this case, it is not quite our choice. The company is forcing our hand.
I won't be as sanguine as you are being. Keep in mind that the UK government also wins major cases (such as the one on the Minimum Income Requirement, which went all the way to the Supreme Court) and if it is so minded, some of the ongoing cases do end up in the Supreme Court (such as the one about the fees for the registration of children as British citizens; both the High Court and the Court of Appeal ruled against the government and the case is now before the UKSC).
And that is the healthiest way to approach the situation.
And some would say the £624 a year to use the NHS without charge, is too cheap. When they ran the consutlation to bring in the NHS contribution, some put they wanted this to be £10,000 a year.
One can see why. Switching her to the Skilled Worker visa gives the company a great amount of control over her future, such as over her ILR application. Not only does she have to complete five years with the company, but also she needs a letter from the company stating that they will need for the foreseeable future.