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Forums - General Discussion - Does National Health Care Really Work?

I live in the U.S. and we get propaganda about how it does work and that it doesn't.

I would like to know from some of you who live in other countries that have national health care what y'all think about it.

Also any one who travels a lot and has seen other countries health care.



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McClaren said:

I live in the U.S. and we get propaganda about how it does work and that it doesn't.

I would like to know from some of you who live in other countries that have national health care what y'all think about it.

Also any one who travels a lot and has seen other countries health care.

 

I would also like to see how well it's funded. For example, the UK has a good healthcare system, but can you sustain the same level for the long haul, or are you bankrupting your country providing it?

 

 



I looked up some numbers, and the UK in 2009 will spend 111 billion on healthcare. There GDP is 1,439 billion.

So the cost will be 7.7% of GDP. It also equates to around $1,800 per person, for every person.

Due to the UK being a small land mass, with most of its people living in close proximity, they can be far more efficient then we can. If we were even close to them at $2,500 a person in expenses (good luck with that), that would be 750 billion a year in costs.

http://www.ukpublicspending.co.uk/uk_health_care_budget_2009_1.html#ukgs302G0



TheRealMafoo said:
McClaren said:

I live in the U.S. and we get propaganda about how it does work and that it doesn't.

I would like to know from some of you who live in other countries that have national health care what y'all think about it.

Also any one who travels a lot and has seen other countries health care.

 

I would also like to see how well it's funded. For example, the UK has a good healthcare system, but can you sustain the same level for the long haul, or are you bankrupting your country providing it?

 

 

I don't think it is bankrupting them. They pay high taxes in order to have national healthcare.

 



You are correct, McClaren. They pay high taxes to get healthcare.

Many countries that have nationalized healthcare (such as Britain, and France) have fantastic systems that are not too expensive.

However, you must understand that just because it works well in one place, it may not work well in others. The US is a great example of that. We pay far more money (per capita) for healthcare for a questionably worse system. Is this due to the lack of nationalization, or lack of regulation? Mafoo and myself think it's the latter, and not the former.



Back from the dead, I'm afraid.

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I don't think national healthcare is feasable in the long term unless immigration is curtailed.



Yet, today, America's leaders are reenacting every folly that brought these great powers [Russia, Germany, and Japan] to ruin -- from arrogance and hubris, to assertions of global hegemony, to imperial overstretch, to trumpeting new 'crusades,' to handing out war guarantees to regions and countries where Americans have never fought before. We are piling up the kind of commitments that produced the greatest disasters of the twentieth century.
 — Pat Buchanan – A Republic, Not an Empire

Tyrannical said:
I don't think national healthcare is feasable in the long term unless immigration is curtailed.

 

 Immigration?



I live in Australia. Apparently our health care costs us about $2800 year/per capita

(http://www.kff.org/insurance/snapshot/chcm010307oth.cfm).

It means you pay nothing for any care received in hospital. You can be assessed and treated in a public hospital for almost anything with the exception of cosmetic surgery. Private care sought in private practices or for dental/physical therapy and the like is not covered but you can be eligible for a partial rebate for some of this care depending on the situation. So the aim of out of hospital care is to make it affordable, not necessarily free. Our taxes also pay for the Flying Doctor service which retrieves people in remote areas and brings them to closest appropriate hospital.

Public Hospital care is of an extremely high standard. All doctors that work in Australia receive their training up to fellowship level in the public system and many doctors continue to work in the public system even after they have earned the right to private practice. All care is overseen by consultants (doctors who have passed their advanced medical training, usually 6+years post grad) even if they are not the direct care provider. However you don't get to choose the doctor that sees you and for non urgent care or non urgent surgery the waiting times can be significant as the hospitals, especially in some states are quite understaffed. Anyone requiring urgent care or surgery will be seen and treated immediately.

Private care is also available to everyone, starting at about ~$700 a year for once person with basic coverage, up to ~$6000 for top coverage for a family (don't quote me on these numbers, it's just to give a ball park idea) This still does not necessarily cover everything and you may be required to pay some kind of excess. Once again the aim is to make it affordable, not necessarily free. The doctors working in private hospitals are often the same doctors who work in the public system, working part time in each, although you are allowed to work exclusively in the private system. Care in a private hospital should usually be provided directly by a consultant and the system has minimal numbers of junior doctors. Care is the private system is generally as good but probably not better than the public system but is certainly faster (for non urgent care) and more comfortable. You also have control over which doctor you see.

A couple of other points:

People with private health coverage can still attend a public hospital if they wish.

You could attend a private hospital without private cover but it certainly wouldn't be cheap so i think most people wouldn't bother.

Many of the best hospitals in Australia are public hospitals as they are attached to the best universities and thus benefit from collaborative research and attracting the best people.

For me, i will probably get private cover just for stuff like dental and ophthalmological but am more than happy to rely on the public system for everything else.

So there it is.  It's not perfect but given the land area and the difficulty with providing coverage to a country with such low population density, it's pretty good.



McClaren said:
Tyrannical said:
I don't think national healthcare is feasable in the long term unless immigration is curtailed.

 

 Immigration?

 

 Third world immigrants have a much higher birthrate. That's a huge drain on healthcare dollars.



Yet, today, America's leaders are reenacting every folly that brought these great powers [Russia, Germany, and Japan] to ruin -- from arrogance and hubris, to assertions of global hegemony, to imperial overstretch, to trumpeting new 'crusades,' to handing out war guarantees to regions and countries where Americans have never fought before. We are piling up the kind of commitments that produced the greatest disasters of the twentieth century.
 — Pat Buchanan – A Republic, Not an Empire

hsrob said:

I live in Australia. Apparently our health care costs us about $2800 year/per capita

(http://www.kff.org/insurance/snapshot/chcm010307oth.cfm).

It means you pay nothing for any care received in hospital. You can be assessed and treated in a public hospital for almost anything with the exception of cosmetic surgery. Private care sought in private practices or for dental/physical therapy and the like is not covered but you can be eligible for a partial rebate for some of this care depending on the situation. So the aim of out of hospital care is to make it affordable, not necessarily free. Our taxes also pay for the Flying Doctor service which retrieves people in remote areas and brings them to closest appropriate hospital.

Public Hospital care is of an extremely high standard. All doctors that work in Australia receive their training up to fellowship level in the public system and many doctors continue to work in the public system even after they have earned the right to private practice. All care is overseen by consultants (doctors who have passed their advanced medical training, usually 6+years post grad) even if they are not the direct care provider. However you don't get to choose the doctor that sees you and for non urgent care or non urgent surgery the waiting times can be significant as the hospitals, especially in some states are quite understaffed. Anyone requiring urgent care or surgery will be seen and treated immediately.

Private care is also available to everyone, starting at about ~$700 a year for once person with basic coverage, up to ~$6000 for top coverage for a family (don't quote me on these numbers, it's just to give a ball park idea) This still does not necessarily cover everything and you may be required to pay some kind of excess. Once again the aim is to make it affordable, not necessarily free. The doctors working in private hospitals are often the same doctors who work in the public system, working part time in each, although you are allowed to work exclusively in the private system. Care in a private hospital should usually be provided directly by a consultant and the system has minimal numbers of junior doctors. Care is the private system is generally as good but probably not better than the public system but is certainly faster (for non urgent care) and more comfortable. You also have control over which doctor you see.

A couple of other points:

People with private health coverage can still attend a public hospital if they wish.

You could attend a private hospital without private cover but it certainly wouldn't be cheap so i think most people wouldn't bother.

Many of the best hospitals in Australia are public hospitals as they are attached to the best universities and thus benefit from collaborative research and attracting the best people.

For me, i will probably get private cover just for stuff like dental and ophthalmological but am more than happy to rely on the public system for everything else.

So there it is.  It's not perfect but given the land area and the difficulty with providing coverage to a country with such low population density, it's pretty good.

So how long are waits for surgery or if you just come in needing to see a doctor about you having the flu?