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Forums - General Discussion - Do you have Public Health System in your Country? Do you like it? Or would prefer it to be private? (NHS related)

Public health services like the NHS are "meets minimum". Your problem isn't really life threatening or anything, so fundamentally you don't need "next day" treatment.


There is no law in the UK that says that you can't also have private healthcare. You can call BUPA (or a private UK healthcare provider of your choice) for a paid checkup.

I suspect that a private healthcare provider will also just say "stop wasting our time and let it heal by itself for 6 months".  They'll just use nicer words, and charge you for it.

Last edited by OneTime - on 24 May 2018

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Mexico.

If you have a lawful job at an established institution, or you are a government employee, you, your parents, your spouse and all of your children who are under the age of 25 (I think), get really inexpensive , almost free, healthcare. Provided by one of two public institutions: IMSS or ISSSTE.

A little bit of your paycheck is automatically retained every payday in order to cover your insurance and your family's insurance, you pay half the cost of it whilst your employer pays the rest.

If you need to get a consultation, x-rays, blood-tests, medication, surgery, childbirth, or any other major medical thing, it will be COMPLETELY covered by the insurance. You won't have to pay a dime.

Some rare illnesses may require you to travel to a larger city or to a bigger hospital in order to see a specialist or get a more complex test or procedure, an MRI for example, since most clinics and hospitals located in small towns and neighborhoods only cover the basic stuff.

Cancer treatment, AIDS treatment, diabetes, nutritionists, reproductive health (vasectomies, IUDs, cheap condoms...), and the like are all covered as well free of charge.

The only things I can think of which aren't covered are cavity fillings and other dental procedures besides extractions. Those you must find a private dentist, which you have plenty of options to choose from, ranging from super cheap to uber expensive.

If you get a consultation, your GP will give you a note that you can take to your employer so that you don't lose a day's job.

There are tons of clinics and hospitals, typically one per town or small city, and one for each neighborhood or district in a large city.

Once affiliated you get assigned a particular doctor but if you don't like him/her you can ask to get a different one.

Thanks to having an open market that forces companies to compete with one-another, and thanks to the availability of generics, drugs are often cheap and plentiful, except newer, patent-only ones, of course.

Also if you study medicine you are almost guaranteed to find a well-paying job at a public hospital or clinic, not to mention that medicine students get the chance to study real corpses at public morgues and to treat real people as interns (which doesn't happen in some countries, where they only get to treat plastic dummies until they graduate).

Generally the service is good BUT:

- Most clinics and hospitals are understaffed and underfunded, especially the ones in small towns/neighborhoods, which can result in nurses and/or doctors being tired, indifferent and ineffective, to say the least.

- The latter also causes small clinics and hospitals in heavily-populated areas to be very crowded most of the time.

- Wait times can be painfully long if you're going for a normal consultation without an appointment (emergencies and people with previously-scheduled appointments take priority). This depends on the day and time but you can easily find yourself in a situation that demands hours of your day waiting just to get a half-an-hour consultation. There have been numerous cases all over the country in which elders have dehydrated or women have gone into labor whilst waiting.

- Thanks to the immense government and institutional corruption that plagues our nation, some doctors and managers retire their other doctor friends at ridiculously young ages (think 40-50), which doesn't help the whole understaffed problem.

- Also because of corruption, you can find tons of hospitals with ancient infrastructure and old equipment begging to be fixed/replaced, but the managers/government will keep the funds for themselves.

- Sometimes you get assigned to a terrible doctor who is either rude or incompetent, and you'll be forced to bite the bullet whilst you get reassigned to a different one.

- If you need a non-urgent surgery, it may be scheduled weeks or even months in the future, depending on the demand, the severity of your condition, and  on the availability of organs (if needed).

- When you are scheduled a surgery, the hospital doesn't charge you a thing, but you are however asked to donate blood for the hospital's blood bank.

They will ask you to get a certain amount of donors depending on the length of your surgery and severity of your condition, therefore you will be forced to ask your friends and family for help in order to meet your blood quota.

This isn't particularly bad, since you are guaranteed to get other people's blood if you need during your procedure, so it is only logical and socially responsible to give some in return, but the whole process of getting people to actually donate blood on your behalf is cumbersome to say the least.


All things considered, we Mexicans are lucky to have such a service, even though it is FAR from perfect.

I am a government employee and I use it, though I still find myself baffled when I hear that my coworkers prefer paying outrageous sums at private hospitals for the silliest of things, and every now and then I hear people complain of some of the same problems I mentioned before but regarding their experiences at private hospitals.

An uncle of mine, for instance, went to a well-renowned private hospital and ended up getting charged an exorbitant amount of money for a surgery that, after the fact, and after hearing second-opinions from doctors at other private and public hospitals, turned out he didn't even need in the first place.

I have also heard terrible anecdotes from people who went for the public option too, of course, though I suppose we as a society still unconsciously expect more of something when we pay for it, so it may come as a surprise for some to hear that bad service is sometimes provided at private hospitals, just as it may be hard for them to realize that good service is indeed provided at public ones.

Hope this helped. Greetings.

Last edited by RANDALZ6 - on 24 May 2018

Metallox said:
Mexico.

We do have two public health care institutions, one for private workers (IMSS) and another for state workers (ISSSTE). Right now, unfortunately, they're not at their best moments. From an organizational perspective, both systems suffer from archaic administration and other issues like corruption, which translates into bad-quality services for the rightholders: medical attention can be poor, services are slow, medicine is lacking and, of course, you're better off spending on private health care centers for life-risking situations, because there's a great chance the government services aren't going to be enough.

As bad as they can be, though, we cannot let them go, otherwise plenty of people in the country would become unable to pay expenses for health care. Even then, it can be a bless sometimes. My mother has been living with rheumatoid arthritis for more than 3 decades now and certain symptoms become worse, so she has been supplied with a medicine from the IMSS each year that would've costed her over a thousand dollars each application in the private sector.

It seems pretty much the situation in Brazil. Too many people, too little money, and corruption and inneficiency on top of everything.



The public health insurance is excellent in Belgium. Really nothing to add to that.



I live in the USA. I haven't had any health insurance for about 15 years now.



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Australia:

We have a public health system, GP can organise xrays, ultra sounds however still need a GP to refer you to a specialist first for an MRI as they first look at you. Major surgery etc there a long wait times.

You can have Private Health and pretty much still have some wait times but they are shorter.

In reality we are living longer and so many modern things are killing us that we are seeing Doctors more frequently. There just isn't enough to cope with the aging population so I do not think there will ever be the perfect solution unless we all willing to pay 50% tax and medical facilities, Doctors and Nurses triple in the next 50 years.



 

 

I think the NHS is well known. So no explanation needed. God bless the NHS.

Now what I do want to talk about, is the Dutch public health system, which I am in now. Everyone is required by law to get insurance. Health insurance here is mostly private however. If you can't pay those, the government appoints you one. It isn't much. You can choose to leave out certain things to make it cheaper, like alternative medicine, which for some strange reason is also covered. There is basic insurance that is practically the same for everyone.

As for the quality itself. It is great. I had my tonsils removed (Most painful week of my life). The hospital stay was excellent. I also broke my hand last year. The emergency waiting times were awful, but the treatment was again, excellent.



Porcupine_I said:
Austria

I never had to worry about medical expenses in my entire life. I believe that is a big advantage from a psychological standpoint and a big factor in your scheme of life.

I never had any problems with long waiting times either. I mean I have a great local doctor, and he takes his time with people. That is a good thing. When I had to go to the ER or something they always treated me quick.

Also, when people complain about waiting times. The thing is, even if you have to wait, you are being treated eventually, as opposed to not at all.

How does private health insurance even work if you are born with a medical condition that requires medication or treatment. Will you even be able to find insurance or will you have to pay for everything yourself for your entire life?

Nice. But do you have also private options in austria in case you dont want to wait or you think the treatment is wrong or they dont care about your issue? For example my wife could only solve on heath issue she had because she decided to go private, since all public options just didnt care and said she would need to get used living in pain. Then she went private and the problem was solved.



OneTime said:

Public health services like the NHS are "meets minimum". Your problem isn't really life threatening or anything, so fundamentally you don't need "next day" treatment.


There is no law in the UK that says that you can't also have private healthcare. You can call BUPA (or a private UK healthcare provider of your choice) for a paid checkup.

I suspect that a private healthcare provider will also just say "stop wasting our time and let it heal by itself for 6 months".  They'll just use nicer words, and charge you for it.

Yes but this is not good right? Let it heal by yourself in 6 months, taking painkillers for the period amd maybe even having a permanent injury due to wrong healing does not seem to be the best approach.



RANDALZ6 said:

Mexico.

If you have a lawful job at an established institution, or you are a government employee, you, your parents, your spouse and all of your children who are under the age of 25 (I think), get really inexpensive , almost free, healthcare. Provided by one of two public institutions: IMSS or ISSSTE.

A little bit of your paycheck is automatically retained every payday in order to cover your insurance and your family's insurance, you pay half the cost of it whilst your employer pays the rest.

If you need to get a consultation, x-rays, blood-tests, medication, surgery, childbirth, or any other major medical thing, it will be COMPLETELY covered by the insurance. You won't have to pay a dime.

Some rare illnesses may require you to travel to a larger city or to a bigger hospital in order to see a specialist or get a more complex test or procedure, an MRI for example, since most clinics and hospitals located in small towns and neighborhoods only cover the basic stuff.

Cancer treatment, AIDS treatment, diabetes, nutritionists, reproductive health (vasectomies, IUDs, cheap condoms...), and the like are all covered as well free of charge.

The only things I can think of which aren't covered are cavity fillings and other dental procedures besides extractions. Those you must find a private dentist, which you have plenty of options to choose from, ranging from super cheap to uber expensive.

If you get a consultation, your GP will give you a note that you can take to your employer so that you don't lose a day's job.

There are tons of clinics and hospitals, typically one per town or small city, and one for each neighborhood or district in a large city.

Once affiliated you get assigned a particular doctor but if you don't like him/her you can ask to get a different one.

Thanks to having an open market that forces companies to compete with one-another, and thanks to the availability of generics, drugs are often cheap and plentiful, except newer, patent-only ones, of course.

Also if you study medicine you are almost guaranteed to find a well-paying job at a public hospital or clinic, not to mention that medicine students get the chance to study real corpses at public morgues and to treat real people as interns (which doesn't happen in some countries, where they only get to treat plastic dummies until they graduate).

Generally the service is good BUT:

- Most clinics and hospitals are understaffed and underfunded, especially the ones in small towns/neighborhoods, which can result in nurses and/or doctors being tired, indifferent and ineffective, to say the least.

- The latter also causes small clinics and hospitals in heavily-populated areas to be very crowded most of the time.

- Wait times can be painfully long if you're going for a normal consultation without an appointment (emergencies and people with previously-scheduled appointments take priority). This depends on the day and time but you can easily find yourself in a situation that demands hours of your day waiting just to get a half-an-hour consultation. There have been numerous cases all over the country in which elders have dehydrated or women have gone into labor whilst waiting.

- Thanks to the immense government and institutional corruption that plagues our nation, some doctors and managers retire their other doctor friends at ridiculously young ages (think 40-50), which doesn't help the whole understaffed problem.

- Also because of corruption, you can find tons of hospitals with ancient infrastructure and old equipment begging to be fixed/replaced, but the managers/government will keep the funds for themselves.

- Sometimes you get assigned to a terrible doctor who is either rude or incompetent, and you'll be forced to bite the bullet whilst you get reassigned to a different one.

- If you need a non-urgent surgery, it may be scheduled weeks or even months in the future, depending on the demand, the severity of your condition, and  on the availability of organs (if needed).

- When you are scheduled a surgery, the hospital doesn't charge you a thing, but you are however asked to donate blood for the hospital's blood bank.

They will ask you to get a certain amount of donors depending on the length of your surgery and severity of your condition, therefore you will be forced to ask your friends and family for help in order to meet your blood quota.

This isn't particularly bad, since you are guaranteed to get other people's blood if you need during your procedure, so it is only logical and socially responsible to give some in return, but the whole process of getting people to actually donate blood on your behalf is cumbersome to say the least.


All things considered, we Mexicans are lucky to have such a service, even though it is FAR from perfect.

I am a government employee and I use it, though I still find myself baffled when I hear that my coworkers prefer paying outrageous sums at private hospitals for the silliest of things, and every now and then I hear people complain of some of the same problems I mentioned before but regarding their experiences at private hospitals.

An uncle of mine, for instance, went to a well-renowned private hospital and ended up getting charged an exorbitant amount of money for a surgery that, after the fact, and after hearing second-opinions from doctors at other private and public hospitals, turned out he didn't even need in the first place.

I have also heard terrible anecdotes from people who went for the public option too, of course, though I suppose we as a society still unconsciously expect more of something when we pay for it, so it may come as a surprise for some to hear that bad service is sometimes provided at private hospitals, just as it may be hard for them to realize that good service is indeed provided at public ones.

Hope this helped. Greetings.

Very interesting, seem to be a good system. Although it lacks the correct number of professionals and the service might be much worse in small or poor areas. But seems better than Brazil system. Also its nice that you seem to jave the option to go private if you want.