Public healthcare in US
#16
BE Forum Addict
Joined: Jan 2017
Posts: 2,900
Re: Public healthcare in US
I'm very sorry to hear of your daughter's illness and the financial problems she will experience as a result. I really don't understand why so many people in the USA seem implacably opposed to "socialised medicine".
I live in Spain, which has a publicly funded healthcare system much like the NHS, except that we have co-payments for prescriptions. On Sunday 1 September I experienced some alarming symptoms so went to see my doctor the next morning (no difficulty in getting same-day appointments here). She gave me an urgent referral to a gynaecologist at our local hospital. The next day I got a call from the hospital giving me an appointment with the specialist on Thursday 5 September. The gynaecologist did an ultrasound and took samples for a biopsy (said something was showing up on the ultrasound which could either be a polyp or a tumour). I was given another appointment for yesterday to get the results of the biopsy. At that appointment I was told I have a small tumour (Grade 1, thankfully) and will be having a radical hysterectomy. I was given an appointment to see an anaesthetist on 30 September and told to await a call from the hospital with an appointment for an MRI scan, and put on the surgical waiting llst as an urgent case. I will get a blood test done at our local health centre on 16 September. The call re the MRI scan came 2 hours after I got home, with an appointment on 17 September. As a patient, all this, plus the surgery itself and aftercare, costs me precisely nothing other than the small amount I pay in taxes.
We do have private health insurance, but for something like this the public system is actually better and faster. I once had a biopsy done in the private sector here and the results took 2 weeks to arrive, twice as long as this latest one. I will have to share a room and bathroom with one other patient in the hospital, but the newer public hospitals here are all built with individual private ensuite rooms.
I live in Spain, which has a publicly funded healthcare system much like the NHS, except that we have co-payments for prescriptions. On Sunday 1 September I experienced some alarming symptoms so went to see my doctor the next morning (no difficulty in getting same-day appointments here). She gave me an urgent referral to a gynaecologist at our local hospital. The next day I got a call from the hospital giving me an appointment with the specialist on Thursday 5 September. The gynaecologist did an ultrasound and took samples for a biopsy (said something was showing up on the ultrasound which could either be a polyp or a tumour). I was given another appointment for yesterday to get the results of the biopsy. At that appointment I was told I have a small tumour (Grade 1, thankfully) and will be having a radical hysterectomy. I was given an appointment to see an anaesthetist on 30 September and told to await a call from the hospital with an appointment for an MRI scan, and put on the surgical waiting llst as an urgent case. I will get a blood test done at our local health centre on 16 September. The call re the MRI scan came 2 hours after I got home, with an appointment on 17 September. As a patient, all this, plus the surgery itself and aftercare, costs me precisely nothing other than the small amount I pay in taxes.
We do have private health insurance, but for something like this the public system is actually better and faster. I once had a biopsy done in the private sector here and the results took 2 weeks to arrive, twice as long as this latest one. I will have to share a room and bathroom with one other patient in the hospital, but the newer public hospitals here are all built with individual private ensuite rooms.
#17
Re: Public healthcare in US
What's that got to do with anything?
No survey ever puts US healthcare at the top.
I am also surprised that Americans are so opposed to changing their health care system. I guess years of propaganda from all parties making absolute fortunes has done that. Have you ever noticed how "socialised" is used to scare people? Go and take a look around, anything that was a change for the better for the nation was first toted as "socialised".
If I ever got sick, I'd be on the first plane back to France. Even paying full whack would be a teeny percentage of what it would cost me in the USA.
I know of a young woman who went to high school with my DD. She's 24 and absolutely crippled with student debt and medical debt - she will eventually need her leg amputated below the knee but in the meantime is having surgeries to remove tumours as they appear. In France, she would be receiving the best care in the world ( look at surveys), she would have no student debt and no medical debt.
US medical care is not the envy of the world.
No survey ever puts US healthcare at the top.
I am also surprised that Americans are so opposed to changing their health care system. I guess years of propaganda from all parties making absolute fortunes has done that. Have you ever noticed how "socialised" is used to scare people? Go and take a look around, anything that was a change for the better for the nation was first toted as "socialised".
If I ever got sick, I'd be on the first plane back to France. Even paying full whack would be a teeny percentage of what it would cost me in the USA.
I know of a young woman who went to high school with my DD. She's 24 and absolutely crippled with student debt and medical debt - she will eventually need her leg amputated below the knee but in the meantime is having surgeries to remove tumours as they appear. In France, she would be receiving the best care in the world ( look at surveys), she would have no student debt and no medical debt.
US medical care is not the envy of the world.
#18
Account Closed
Joined: Jan 2006
Posts: 0
Re: Public healthcare in US
People seem to dislike changing system they know for ones they do not know.
Both the US and Canada could benefit if the people and leaders were more open minded and willing to look to other healthcare systems in the world that rank higher yet still provide universal coverage.
Canada manages universal coverage but our system when compared to the rest of the developed world ranks pretty low although above the US and all Canadians care about is being better than the US not realizing how bad our system actually is compared to other developed countries.
Maybe one day the US and Canada will be receptive to change and improving their healthcare systems.
Both the US and Canada could benefit if the people and leaders were more open minded and willing to look to other healthcare systems in the world that rank higher yet still provide universal coverage.
Canada manages universal coverage but our system when compared to the rest of the developed world ranks pretty low although above the US and all Canadians care about is being better than the US not realizing how bad our system actually is compared to other developed countries.
Maybe one day the US and Canada will be receptive to change and improving their healthcare systems.
#19
Re: Public healthcare in US
What's that got to do with anything?
No survey ever puts US healthcare at the top.
I am also surprised that Americans are so opposed to changing their health care system. I guess years of propaganda from all parties making absolute fortunes has done that. Have you ever noticed how "socialised" is used to scare people? Go and take a look around, anything that was a change for the better for the nation was first toted as "socialised".
If I ever got sick, I'd be on the first plane back to France. Even paying full whack would be a teeny percentage of what it would cost me in the USA.
I know of a young woman who went to high school with my DD. She's 24 and absolutely crippled with student debt and medical debt - she will eventually need her leg amputated below the knee but in the meantime is having surgeries to remove tumours as they appear. In France, she would be receiving the best care in the world ( look at surveys), she would have no student debt and no medical debt.
US medical care is not the envy of the world.
No survey ever puts US healthcare at the top.
I am also surprised that Americans are so opposed to changing their health care system. I guess years of propaganda from all parties making absolute fortunes has done that. Have you ever noticed how "socialised" is used to scare people? Go and take a look around, anything that was a change for the better for the nation was first toted as "socialised".
If I ever got sick, I'd be on the first plane back to France. Even paying full whack would be a teeny percentage of what it would cost me in the USA.
I know of a young woman who went to high school with my DD. She's 24 and absolutely crippled with student debt and medical debt - she will eventually need her leg amputated below the knee but in the meantime is having surgeries to remove tumours as they appear. In France, she would be receiving the best care in the world ( look at surveys), she would have no student debt and no medical debt.
US medical care is not the envy of the world.
#20
BE Forum Addict
Joined: Jan 2017
Posts: 2,900
Re: Public healthcare in US
What's that got to do with anything?
No survey ever puts US healthcare at the top.
I am also surprised that Americans are so opposed to changing their health care system. I guess years of propaganda from all parties making absolute fortunes has done that. Have you ever noticed how "socialised" is used to scare people? Go and take a look around, anything that was a change for the better for the nation was first toted as "socialised".
If I ever got sick, I'd be on the first plane back to France. Even paying full whack would be a teeny percentage of what it would cost me in the USA.
I know of a young woman who went to high school with my DD. She's 24 and absolutely crippled with student debt and medical debt - she will eventually need her leg amputated below the knee but in the meantime is having surgeries to remove tumours as they appear. In France, she would be receiving the best care in the world ( look at surveys), she would have no student debt and no medical debt.
US medical care is not the envy of the world.
No survey ever puts US healthcare at the top.
I am also surprised that Americans are so opposed to changing their health care system. I guess years of propaganda from all parties making absolute fortunes has done that. Have you ever noticed how "socialised" is used to scare people? Go and take a look around, anything that was a change for the better for the nation was first toted as "socialised".
If I ever got sick, I'd be on the first plane back to France. Even paying full whack would be a teeny percentage of what it would cost me in the USA.
I know of a young woman who went to high school with my DD. She's 24 and absolutely crippled with student debt and medical debt - she will eventually need her leg amputated below the knee but in the meantime is having surgeries to remove tumours as they appear. In France, she would be receiving the best care in the world ( look at surveys), she would have no student debt and no medical debt.
US medical care is not the envy of the world.
Do you not like that it is true? Is that what brought on the outburst?
The rest of your rant is totally extraneous to anything I've posted.
#21
Lost in BE Cyberspace
Joined: Jan 2006
Location: San Francisco
Posts: 12,865
Re: Public healthcare in US
This is what confuses me and the reason I started the thread. The Michael Moore documentary painted a grim picture of public healthcare in the US, and confirmed many outsiders' prejudices, yet up thread there are various explanations of an established public healthcare system. Why do some people (perhaps many people) slip through the net?
#22
BE Forum Addict
Joined: Jan 2017
Posts: 2,900
Re: Public healthcare in US
This is what confuses me and the reason I started the thread. The Michael Moore documentary painted a grim picture of public healthcare in the US, and confirmed many outsiders' prejudices, yet up thread there are various explanations of an established public healthcare system. Why do some people (perhaps many people) slip through the net?
I will give you an example: There is a universal health care scheme here in Australia. I pay a lot more per year than I ever did in the fully private insurance market in the US (with no employer coverage), and I get less here for what I pay. Ambulances are also not covered under the health care scheme, nor are a lot of other things, including some types of cancer care. So people get socked anyways. I also have access to universal care in Italy, which routinely ranks at the top of those surveys along with France that petitefrancaise cited. There are massive issues with the system and any Italian who can afford it has private insurance anyways. My family, personally, is much better off under the American system.
So, take a family of four in the US, struggling to get by, but like most are an employer-funded health insurance scheme. So, you are going to take that away, and instead hand them a bill for thousands of extra Dollars for no improvement in service and quite likely a downgrade?
Or they are already on something like Medicaid, which if you make under xyz in income per year, caps your hospital visits at $75 per visit and your GP at $4 per visit. Or, those were the rates as of a few years ago as I have a relative on it. What happens to that? Are they really going to get a better deal?
Understand this and you understand why it is a whole lot more complex than those overseas think it is.
#23
BE Forum Addict
Joined: Aug 2006
Location: Velez-Malaga
Posts: 4,916
Re: Public healthcare in US
I have not, and cannot think of any reason why I would want to.
In addition to the excellent public healthcare described in my earlier post, the private health insurance we have here seems a world away from the high premium, high deductible and co-payments typically described by US residents, not to mention the billing disputes people seem to have to get embroiled in. My husband and I have been covered by the same company for 11 years now. Our current premiums are €146 per month for the two of us (not each), he will be 70 in a few months' time and I am 63. There are no co-payments in addition to those monthly premiums, and no deductible whatsoever. I note from forum members' contributions that those with US insurance are acutely aware of the cost of each consultation or procedure. I have no idea of whatever services I have used cost, because the bills are sent directly to the insurance company and I never see them. Last year I had heart surgery to repair my mitral valve, followed by an 8 day stay in Intensive Care, and that €146 per month (well, a bit less, the premiums went up by €18 this year) paid for all of that plus the cardiologist consultations and tests performed prior to surgery.
I don't know why I should want to swap that for the US system, which seems to be an absolute rip-off to me.
In addition to the excellent public healthcare described in my earlier post, the private health insurance we have here seems a world away from the high premium, high deductible and co-payments typically described by US residents, not to mention the billing disputes people seem to have to get embroiled in. My husband and I have been covered by the same company for 11 years now. Our current premiums are €146 per month for the two of us (not each), he will be 70 in a few months' time and I am 63. There are no co-payments in addition to those monthly premiums, and no deductible whatsoever. I note from forum members' contributions that those with US insurance are acutely aware of the cost of each consultation or procedure. I have no idea of whatever services I have used cost, because the bills are sent directly to the insurance company and I never see them. Last year I had heart surgery to repair my mitral valve, followed by an 8 day stay in Intensive Care, and that €146 per month (well, a bit less, the premiums went up by €18 this year) paid for all of that plus the cardiologist consultations and tests performed prior to surgery.
I don't know why I should want to swap that for the US system, which seems to be an absolute rip-off to me.
#24
Account Closed
Joined: Jan 2006
Posts: 0
Re: Public healthcare in US
I have lived in the US and now live in Canada and while our system has some downsides, overall I am happy with it, and the relatively low cost to the end user (patient). I haven't a clue how much the healthcare services cost, the provider bills MSP (the government agency that acts as the insurer.) directly for covered services, I just show up to the doctor or lab get the service and leave, or go to the ER or urgent care and leave nothing for me to pay.
Not everything is covered but basic medical care like hospital stays, lab, doctor visits, surgery etc are covered. If I have a stroke or heart attack or major accident and end up in ICU for weeks, I don't have to worry about any medical bills, there might be a $80 ambulance fee though if taken my ambulance.
I paid around $120 out of pocket last year for healthcare related costs, all prescription drugs that were not covered by our extended health.
Only real downside is waiting for non-emergency elective procedures, its a triage based system so the sickest get seen first, but average wait in my experience is under 1 month for most services, but in an urgent case the wait is short if there is even a wait. My wife has a friend who was diagnosed with cancer recently, went to doctor last Monday with pain, CT scan and blood work and other tests done same day, diagnosed on Wed, started chemotherapy on Thursday morning.
When wait lists are mentioned its for non-life threatening elective procedures. Anything life threatening or emergency is treated with little to no wait.
Not everything is covered but basic medical care like hospital stays, lab, doctor visits, surgery etc are covered. If I have a stroke or heart attack or major accident and end up in ICU for weeks, I don't have to worry about any medical bills, there might be a $80 ambulance fee though if taken my ambulance.
I paid around $120 out of pocket last year for healthcare related costs, all prescription drugs that were not covered by our extended health.
Only real downside is waiting for non-emergency elective procedures, its a triage based system so the sickest get seen first, but average wait in my experience is under 1 month for most services, but in an urgent case the wait is short if there is even a wait. My wife has a friend who was diagnosed with cancer recently, went to doctor last Monday with pain, CT scan and blood work and other tests done same day, diagnosed on Wed, started chemotherapy on Thursday morning.
When wait lists are mentioned its for non-life threatening elective procedures. Anything life threatening or emergency is treated with little to no wait.
#25
Banned
Joined: Dec 2015
Location: california
Posts: 6,035
Re: Public healthcare in US
I believe my healthcare is better than that of the NHS. No six bed hospital rooms. Sharing with another perhaps but by far mostly a room to myself. No waiting for non emergency surgery. I could for example have knee surgery done within two weeks after initial consultation. I need to take three prescriptions regularly. No charge for any. I get free gym membership with my health plan. Standard physical check ups include EKGs and full blood work. No charge. No waiting in crowded rooms. If the appointment is for ten I get called either on time or at most five minutes afterwards The Medicare deduction from my Social Security check goes directly to the private health company.
I once talked to a Canadian friend about our health plans. He seemed to be having some difficulty in getting a couple of treatments approved which in the US would have been approved without any problem.
I once talked to a Canadian friend about our health plans. He seemed to be having some difficulty in getting a couple of treatments approved which in the US would have been approved without any problem.
#26
Forum Regular
Joined: Jul 2018
Location: California
Posts: 254
Re: Public healthcare in US
I believe my healthcare is better than that of the NHS. No six bed hospital rooms. Sharing with another perhaps but by far mostly a room to myself. No waiting for non emergency surgery. I could for example have knee surgery done within two weeks after initial consultation. I need to take three prescriptions regularly. No charge for any. I get free gym membership with my health plan. Standard physical check ups include EKGs and full blood work. No charge. No waiting in crowded rooms. If the appointment is for ten I get called either on time or at most five minutes afterwards The Medicare deduction from my Social Security check goes directly to the private health company.
I once talked to a Canadian friend about our health plans. He seemed to be having some difficulty in getting a couple of treatments approved which in the US would have been approved without any problem.
I once talked to a Canadian friend about our health plans. He seemed to be having some difficulty in getting a couple of treatments approved which in the US would have been approved without any problem.
#27
Account Closed
Joined: Jan 2006
Posts: 0
Re: Public healthcare in US
Keep in mind just because your insurance covers something doesn't mean everyone's in the US will. It's way more variable in the US vs Canada where its more consistent.
I am at urgent care currently, I will walk out without paying a penny out of pocket at time of care. Who knows what this would cost in the US.
Visitors to Canada pay a minimum of $640 though plus doctor and lab fees.
Heck there would be a good chance I would not even be seeing a doctor if I were in the US as I likely would not be able to afford the co pay.
I am at urgent care currently, I will walk out without paying a penny out of pocket at time of care. Who knows what this would cost in the US.
Visitors to Canada pay a minimum of $640 though plus doctor and lab fees.
Heck there would be a good chance I would not even be seeing a doctor if I were in the US as I likely would not be able to afford the co pay.
I believe my healthcare is better than that of the NHS. No six bed hospital rooms. Sharing with another perhaps but by far mostly a room to myself. No waiting for non emergency surgery. I could for example have knee surgery done within two weeks after initial consultation. I need to take three prescriptions regularly. No charge for any. I get free gym membership with my health plan. Standard physical check ups include EKGs and full blood work. No charge. No waiting in crowded rooms. If the appointment is for ten I get called either on time or at most five minutes afterwards The Medicare deduction from my Social Security check goes directly to the private health company.
I once talked to a Canadian friend about our health plans. He seemed to be having some difficulty in getting a couple of treatments approved which in the US would have been approved without any problem.
I once talked to a Canadian friend about our health plans. He seemed to be having some difficulty in getting a couple of treatments approved which in the US would have been approved without any problem.
#28
Lost in BE Cyberspace
Joined: Jan 2006
Location: San Francisco
Posts: 12,865
Re: Public healthcare in US
I believe my healthcare is better than that of the NHS. No six bed hospital rooms. Sharing with another perhaps but by far mostly a room to myself. No waiting for non emergency surgery. I could for example have knee surgery done within two weeks after initial consultation. I need to take three prescriptions regularly. No charge for any. I get free gym membership with my health plan. Standard physical check ups include EKGs and full blood work. No charge. No waiting in crowded rooms. If the appointment is for ten I get called either on time or at most five minutes afterwards The Medicare deduction from my Social Security check goes directly to the private health company.
I once talked to a Canadian friend about our health plans. He seemed to be having some difficulty in getting a couple of treatments approved which in the US would have been approved without any problem.
I once talked to a Canadian friend about our health plans. He seemed to be having some difficulty in getting a couple of treatments approved which in the US would have been approved without any problem.
#29
Re: Public healthcare in US
I believe my healthcare is better than that of the NHS. No six bed hospital rooms. Sharing with another perhaps but by far mostly a room to myself. No waiting for non emergency surgery. I could for example have knee surgery done within two weeks after initial consultation. I need to take three prescriptions regularly. No charge for any. I get free gym membership with my health plan. Standard physical check ups include EKGs and full blood work. No charge. No waiting in crowded rooms. If the appointment is for ten I get called either on time or at most five minutes afterwards The Medicare deduction from my Social Security check goes directly to the private health company.
I once talked to a Canadian friend about our health plans. He seemed to be having some difficulty in getting a couple of treatments approved which in the US would have been approved without any problem.
I once talked to a Canadian friend about our health plans. He seemed to be having some difficulty in getting a couple of treatments approved which in the US would have been approved without any problem.
As for annual blood tests etc - really? Please do delve into the efficacy of those blood tests that your GP is paid so handsomely for and question any medicine prescribed as a result of them.
#30
BE Forum Addict
Joined: Aug 2013
Location: Eee Bah Gum
Posts: 4,131
Re: Public healthcare in US
Although we only heard of lots of good experiences with the NHS through our family and friends we couldn’t resist buying private health insurance when we returned in 2016. We were aged 60 and 61 and had been paying $956/month for a PPO plan from my ex employer. It had been $90/month but retirees have to pay full cost, so it immediately showed what a huge subsidy we had been getting.
The UK plan costs £90/month for the two of us and only kicks in if the NHS waiting list is longer than 6 weeks. My own experience with the NHS is as follows:
I can always get a same day appointment with a GP, and have done multiple times.
I went to the GP with a suspicious mole my wife could see on my shoulder. He agreed with my wife and saw 2 other suspect lesions so referred me to a skin cancer specialist who I saw a week later. He thought they were probably okay but wanted them removed. A month later they were removed and tested at an outpatient facility.
I was diagnosed with atrial fibrillation and referred to the arrhythmia clinic at the local hospital. Lots of tests over the next 6 months then a decision to do Ablation surgery which was done 6 weeks later. The hospital room I was in after surgery was single occupancy with an en-suite toilet. That was October last year and I’ve not had a single recurrence since.
Last year my wife had cataract surgery and since the astigmatism in her eye was not fully correctable by glasses the NHS fully funded a torric lens which has worked great.
we intend to keep our private insurance, just in case, since it is so very inexpensive compared to what we were used in the USA, and the closest private hospital is only 10 miles from where we live and we get brochures from them listing various procedures such as knee and hip replacements, cataracts surgery etc.
The UK plan costs £90/month for the two of us and only kicks in if the NHS waiting list is longer than 6 weeks. My own experience with the NHS is as follows:
I can always get a same day appointment with a GP, and have done multiple times.
I went to the GP with a suspicious mole my wife could see on my shoulder. He agreed with my wife and saw 2 other suspect lesions so referred me to a skin cancer specialist who I saw a week later. He thought they were probably okay but wanted them removed. A month later they were removed and tested at an outpatient facility.
I was diagnosed with atrial fibrillation and referred to the arrhythmia clinic at the local hospital. Lots of tests over the next 6 months then a decision to do Ablation surgery which was done 6 weeks later. The hospital room I was in after surgery was single occupancy with an en-suite toilet. That was October last year and I’ve not had a single recurrence since.
Last year my wife had cataract surgery and since the astigmatism in her eye was not fully correctable by glasses the NHS fully funded a torric lens which has worked great.
we intend to keep our private insurance, just in case, since it is so very inexpensive compared to what we were used in the USA, and the closest private hospital is only 10 miles from where we live and we get brochures from them listing various procedures such as knee and hip replacements, cataracts surgery etc.