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Aaronrules380

Avenger
Oct 25, 2017
22,433
Serious question because I'm in too deep to see outside the tunnel, but what if a family member has an extremely rare and severe condition? She seems a team of 7 specialists, each takes 2-4 months to get an appointment, she's on 15 medications, and she has two infusions monthly and one costs $5000 and the other $100,000.

with insurance, so far costs are around $10,000-$15,000. Which is insane and crippling in the long run, but what confidence do we have she can get what's she needs ASAP without her insurance?

I'm for MFA, but when it'd literally life or death and you struggle to find a balance, I understand how people get scared. We are.
The whole "long wait times" boogie man is pretty much universally from common conditions that aren't actually urgent, just inconvenient, where the shorter times only really exist if you're rich and can afford to pay extra for quicker treatment (plus have less competition for doctors due to many people just not having enough to afford said treatment at all)
 

Tuorom

Member
Oct 30, 2017
10,907
Last Summer I broke my hand. I was able to get into a hospital and fix it within three hours. I paid about 20 dollars (CDN) for my splint. That is the only cost I ever had to deal with. Is universal healthcare worth it though?

No of course not. Look what they put you through! Fight the power.
 

BlueGeezer

Member
Oct 28, 2017
442
I'm constantly canceling appointments or not refilling medicines because I can't afford it at the time. I have lupus, RA and sjogrens.

So yeah, that would be dope.

Missus has been diagnosed with the same here in the UK and its tough enough here without the financial angst, I cannot imagine what you are going through :(


Serious question because I'm in too deep to see outside the tunnel, but what if a family member has an extremely rare and severe condition? She seems a team of 7 specialists, each takes 2-4 months to get an appointment, she's on 15 medications, and she has two infusions monthly and one costs $5000 and the other $100,000.

with insurance, so far costs are around $10,000-$15,000. Which is insane and crippling in the long run, but what confidence do we have she can get what's she needs ASAP without her insurance?

I'm for MFA, but when it'd literally life or death and you struggle to find a balance, I understand how people get scared. We are.

but those times aren't that dissimilar to the waiting times at the NHS? I think you could say 3-6 months here to see a specialist and the NHS is widely touted as the worst it's even been right now..... ( I think there is some 18 week rule they are trying to keep to atm)
 

Baji Boxer

Chicken Chaser
Member
Oct 27, 2017
11,379
It was a pretty dope ass splint. Made of thermal plastic. And I even got to choose my colour!
I hurt my knee and was given a $20 elastic brace like you buy at the supermarket (which I was charged $50 for), then another $175 "strapping the knee" charge, and then even more for seeing the doctor for less than 5 minutes. He even initially checked the wrong knee, told me I had a degenerative condition, and tried to get out in less than a minute. I told him it was the wrong knee, he did the exact same thing, told me the same diagnosis. In all, it came to about $450. All because I sprained my knee at work.

Edit: And don't get me started on my $10,000 7 hour hospotal bill I've had before.
 

Herne

Member
Dec 10, 2017
5,312
I also live in Ireland, and I'm on disability. I'm lucky to have the medical card. Without it I'd have a hard time affording to see a GP.

Also on disability so I completely understand. Watching millions of Americans parrot Republican talking points against their own self-interest is the most bizarre thing for me.

"Don't want the government in my healthcare," they stupidly repeat, not knowing what it really means.
 

ElNino

Member
Nov 6, 2017
3,706
Yes there should be a basic level of healthcare for everyone

Which leads to a question. Some countries (Canada I believe) also have Private Insurance. For people with private insurance in a country with Universal Healthcare what does the Private Insurance get you?

This is an honest question and I may be wrong about my assumptions, just something that I've heard
I'm in Canada and my wife has private insurance through her firm on top of the universal healthcare that we have.

She visits the private clinic once a year for a checkup, and she says it is a lot more thorough than the typical physical from a family physician. They do almost every kind of test required (ultrasound, blood, urine, physical fitness, etc) in order to gather a much better idea of your physical health. She likes the visits as she tends to get anxious about potential physical ailments, so the visits are great to calm her nerves and confirm that she is healthy.

That being said, there's nothing they do that you couldn't get from a general physician in the public space, but in those cases you may need to wait longer for services and some may not be offered unless you have symptoms that suggest a need for the test and a referral from your doctor.
 

Deleted member 4452

User requested account closure
Banned
Oct 25, 2017
2,377
I'm in Canada and my wife has private insurance through her firm on top of the universal healthcare that we have.

She visits the private clinic once a year for a checkup, and she says it is a lot more thorough than the typical physical from a family physician. They do almost every kind of test required (ultrasound, blood, urine, physical fitness, etc) in order to gather a much better idea of your physical health. She likes the visits as she tends to get anxious about potential physical ailments, so the visits are great to calm her nerves and confirm that she is healthy.

That being said, there's nothing they do that you couldn't get from a general physician in the public space, but in those cases you may need to wait longer for services and some may not be offered unless you have symptoms that suggest a need for the test and a referral from your doctor.
The private sector makes money from every one of those tests, so yes they will do more tests than required, not necessarily following clinical guidelines.
 

Kernel

Member
Oct 25, 2017
19,865
The private sector makes money from every one of those tests, so yes they will do more tests than required, not necessarily following clinical guidelines.

Public healthcare plays a similar game.

They like to give any reason for you to come in for an appointment so they can bill the government.

The better ones would do things like renew scripts by faxing them straight to your pharmacy, but others insist you come in for 5 minutes so they can hand you a sheet of paper.
 

Yoss

Member
Oct 27, 2017
1,680
Canada
Yes. And Canada needs a Universal drug plan to go with the healthcare plan. You can get your prescription for free but you still have to pay for the meds.
 

Brinbe

Avenger
Oct 25, 2017
58,042
Terana
absolutely yes!!! it's worth every single penny of tax i've ever paid into it to ensure that everyone can receive treatment no matter how much they make.
 

Aaronrules380

Avenger
Oct 25, 2017
22,433
Is the implication here that you don't need healthcare so why should other people?
The post is satire. The implication is that they got a treatment in Canada (a country with a universal health care system) for $20 when in places like the US without them it'd cost way, way more and then joking by saying "but was me And others like me not going into debt worth the cost"
 
Oct 27, 2017
7,975
Do we? Are you referring to the prescription drugs/dental/eye care coverage people get with their employers?
Private insurance usually covers paramedical services (physiotherapy, optometry, dental, etc) not covered by public care. There are also doctors working in the private sector, so I suppose some private insurance might allow consulting them without paying out of pocket.
You have some privileges with a private insurance (Germany). For example, faster appointments with doctors and specialists, single bedrooms and chief medical treatment in hospitals, a bigger chance of treatments with innovative therapies and pharmaceuticals...stuff like that.
Thanks for the replies, seems like a pretty good system although I'm surprised dental and vision aren't covered by public options in Canada (if I'm reading that right). All of these options are miles better than the medieval system we have in the US
 

Anonymous Tipster

The Fallen
Nov 4, 2017
518
I spontaneously vomited blood last year, drove myself to an ER, waited 9 hours to be seen, got taken back and had blood drawn. Waited on the cot for 3 hours to get the results and was then released. I received a $700 bill a week later.

I have good insurance and am in the US. Universal heath care or not, something has to be done.
 

DJ_Lae

Member
Oct 27, 2017
6,861
Edmonton
Public healthcare plays a similar game.

They like to give any reason for you to come in for an appointment so they can bill the government.

The better ones would do things like renew scripts by faxing them straight to your pharmacy, but others insist you come in for 5 minutes so they can hand you a sheet of paper.

I can verify this - and it's almost entirely reserved to GPs. Specialists are so busy that they can't be bothered to waste an appointment slot on a prescription renewal, so one of their nurses will fill out the paperwork and they'll sign a stack of them to be faxed off.

Your average GP, however, can bill an entire slot to do nothing more than print a piece of paper and scribble on it. Hell, I can't entirely blame them - there is nothing in the system set up to prevent this as it's easier and far more lucrative to simply bill for an appointment and prescription renewal. And they aren't required to give a patient a certain number of refills, so they can get away with giving you a month or three and simply have you back to pad their services, all of which are billable $50-$100 depending on what they did and/or what they feel they can code.
 

farmland

Member
Oct 30, 2017
619
In Australia the public section of the system works pretty well. I get to choose my general practitioner, it costs me nothing at the point of service, no issues at all.

I do however hate having private health insurance and would dismantle that entire section of the system if it meant a completely universal public system.
 

KtotheRoc

One Winged Slayer
Member
Oct 27, 2017
56,622
I know someone without insurance who recently got a $9k medical bill for a trip to the ER.

Yes, Universal Healthcare is worth it.
 

Deleted member 30681

user requested account closure
Banned
Nov 4, 2017
3,184
I have yet to see a compelling argument against universal healthcare, and people not being able to get the care they absolutely need without being in financial ruin does nothing but depress me regarding the pathetic state this country is in.

So yes, it would be very worth it.
 
Oct 30, 2017
8,706
I've got insurance through work.

Still pay 100 bucks a month for it.

If I broke my hand, no matter what I'm paying 1300 for my deductible to be fulfilled.
Say it's a 3,000 bill (that's generously low), the insurance will only pay 90% of that remaining 1700.
So boom I'm paying $1470 out of pocket.

Many people have the ability to budget for emergencies. I certainly can.
But it's much easier to budget my finances when I know large out of pocket medical costs aren't a thing.

And if I had to guess, my insurance plan is actually probably considered better than average.
My employer still contributes about 450 bucks a month to subsidize my premiums, too.

Medicare for all. Now.
 

SnakeXs

Member
Oct 28, 2017
3,111
Did I write anything along those lines?
No but... that's the implication. If there's a bigger, more effective first step for covering everyone and lowering costs let me know. But collective bargaining to reign in stuff like 20 dollar aspirin, crippling personal debt due to health issues and accidents and clearing some of the obvious fog and obfuscation regarding the costs of health care on a personal level seems like a pretty solid starting point to address absurd costs in health treatment here in the US.
 

Garth2000

Member
Oct 27, 2017
711
Amen it's worth it!

I broke my leg so bad one that it required surgery to put it back together. The accident happened in the morning, the surgery in the afternoon, and I was back home by dinner time (albeit in a cast and with lots of pain!).

The only thing it cost me was a thank you to the staff at the hospital on the way out.
 

PanickyFool

Banned
Oct 25, 2017
5,947
No but... that's the implication. If there's a bigger, more effective first step for covering everyone and lowering costs let me know. But collective bargaining to reign in stuff like 20 dollar aspirin, crippling personal debt due to health issues and accidents and clearing some of the obvious fog and obfuscation regarding the costs of health care on a personal level seems like a pretty solid starting point to address absurd costs in health treatment here in the US.

My statement was that the political will for a universal charge card does not imply a political will for cost reductions. If we got our healthcare costs down to G7 norms the government already spends enough directly to provide health care for every American. -No additional taxation required.
 

Illusion

Banned
Oct 27, 2017
8,407
Even with insurance I can't even afford to use it because the deductibles are so high.

Yes it's worth it.
 

Illusion

Banned
Oct 27, 2017
8,407
No. Here in the UK, living in one of the many no-go areas where Sharia law rules and the police and army won't go, it is impossible to get medical attention because all the hospitals are literally spilling over with the victims of mass stabbings. We pray on a daily basis for a good private healthcare system like they have in the US, but previous Communist (sorry, 'Labour') governments have made that illegal.

If you already live in a area like that. You couldn't afford American healthcare costs.
Someone in a similar circumstance here wouldn't even consider going to the hospital for a stabbing. A single stabbing and treatment would cost thousands of dollars.

A life threatening stabbing requiring surgery would put you into a life debt.

The costs of health care treatment will increase, the charge masters at each individual hospital will have insane inflation, and the costs will be so high that they then require lawyers to negotiate to the hospital, in which the hospital will have lawyers to negotiate with the insurers this raising the cost spent for health insurance.

I have never seen a primary doctor in my life and I couldn't afford the insurance and payments just for a freaking checkup without putting myself into debt to do so.

You don't want this.
 

Deleted member 5359

User requested account closure
Banned
Oct 25, 2017
11,326
Having spent the better part of the past year outside of the USA: yes, it is super worth it. You really can't see just how messed up the USA is until you spend a decent amount of time looking at it from the outside.
 

Kernel

Member
Oct 25, 2017
19,865
I can verify this - and it's almost entirely reserved to GPs. Specialists are so busy that they can't be bothered to waste an appointment slot on a prescription renewal, so one of their nurses will fill out the paperwork and they'll sign a stack of them to be faxed off

Yeah I should have specified GPs. I recently left my old one because I'm not taking time off work every month for a refill.

Not all of them do this though.

Specialists are booked months in advance here. Worst thing I've seen is them squeezing too many people in and you get a 5 minute appointment right before their lunch break.
 

Prax

Member
Oct 25, 2017
3,755
I have had so many ultrasounds and bloodtests in the last month or so for inevitable miscarriage, the most I've paid is my time and maybe $5 sign up fee for some online access to results because I didn't want to wait to hear from doctor a few days later. Thanks, Canada?

Anyway, yeah it's worth it. Mostly had a good time lol.
 

Kain

Unshakable Resolve - One Winged Slayer
The Fallen
Oct 27, 2017
7,599
Not sure if serious...

To give an example, my dad got diagnosed with cancer in November, got the surgery in December and now in April he's going for radiotherapy. That's FAST. And I mean it, in the span of a month he got the tumors removed. Plus he's taking a lot of drugs, and he'll be on medication forever. The cost of it all is zero, literally (he doesn't pay drugs because he's retired). Well if you don't count our hospital parking and eating costs lol

Of course it's fucking worth it
 

weekev

Is this a test?
Member
Oct 25, 2017
6,213
Put it this way. My wife is an NHS nurse in the UK. We also have private hospitals here in the UK and sometimes nurses move between hospitals (My wife hasn't though). She has spoken to many nurses and doctors who have worked in private hospitals where the more affluent in the UK would go for checkups etc and they say the standard of care is way worse because they need to think about the cost to the patient whereas in the NHS all they think about is the best way to make someone better.

So for tax (which I believe is comparable to US) we get better healthcare with no additional payments to abhorrent insurance companies and live stress free.

I'd say universal healthcare is worth it and then some.
 

FPX

One Winged Slayer
Avenger
Oct 25, 2017
2,273
I've never seen such a gold opening post go over so many peoples heads. I can almost guarantee that those who don't get it and think this is anything but a subtle dig at Americans scared of socialism are American
 

bawjaws

Member
Oct 28, 2017
3,574
If you already live in a area like that. You couldn't afford American healthcare costs.
Someone in a similar circumstance here wouldn't even consider going to the hospital for a stabbing. A single stabbing and treatment would cost thousands of dollars.

A life threatening stabbing requiring surgery would put you into a life debt.

The costs of health care treatment will increase, the charge masters at each individual hospital will have insane inflation, and the costs will be so high that they then require lawyers to negotiate to the hospital, in which the hospital will have lawyers to negotiate with the insurers this raising the cost spent for health insurance.

I have never seen a primary doctor in my life and I couldn't afford the insurance and payments just for a freaking checkup without putting myself into debt to do so.

You don't want this.
Er, you do realise that the post that you replied to was 100% sarcasm, yeah? :)
 

weekev

Is this a test?
Member
Oct 25, 2017
6,213
Public healthcare plays a similar game.

They like to give any reason for you to come in for an appointment so they can bill the government.

The better ones would do things like renew scripts by faxing them straight to your pharmacy, but others insist you come in for 5 minutes so they can hand you a sheet of paper.
In the UK we have repeat prescriptions which a doc will give you on initial assessment then will sit in the pharmacy until you don't need it anymore. In Scotland even the prescription is free. GP surgeries here only want to see sick people.
 
Oct 27, 2017
5,618
Spain
Yes there should be a basic level of healthcare for everyone

Which leads to a question. Some countries (Canada I believe) also have Private Insurance. For people with private insurance in a country with Universal Healthcare what does the Private Insurance get you?

This is an honest question and I may be wrong about my assumptions, just something that I've heard
I think there's private insurance in every healthcare system in the planet. No country forbids private care, they just provide a public system.

I can talk about Spain, here the entire public system is publicly run. Pretty much like the NHS in the UK, only since 2002 each autonomous community (Think states in the US) runs its own healthcare system with the national healthcare system doing some coordination. Everyone pays for it with their taxes, has their health card, and so on. If you want, you can pay a private insurance for a number of things, for instance, most dental work is not covered by the public system (Something I think is a mistake and might change in the future) so you might want a dental insurance. Or maybe you want to have your own private GP, so you pay for that. The biggest annoyance with the public system is that in order to go to a specialist, your GP has to refer you to them first. (For instance, now I have to go to the dermatologist, so I booked an appointment with my GP for tomorrow who will then appoint me with the dermatologist, which is absurd) So, some people pay for that.

Of course, the moment somebody has a cancer, surgery for life-threatening ailments or anything like that, they often end up going to the public care for that.
 
Oct 27, 2017
2,902
Scotland
For people with private insurance in a country with Universal Healthcare what does the Private Insurance get you?

- Much faster time to see a doctor and be addressed. Faster time to get surgery done.
- More treatment options depending on how much you want to pay using the latest technology and medical procedures.
- Better drug options. Perhaps using well-known brand names.
- If you have to stay in hospital then you'd get your own room instead of being placed in a ward. Probably a dedicated nurse.
- Better food and furniture/electronics/entertainment in the hospital.
- Better visiting hours??? Not sure about this.
- Better support after you are discharged

Of course, you understand that this all comes at a cost because its private. You either pay for what you want or you pay a monthly fee to the support.
 
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Kain

Unshakable Resolve - One Winged Slayer
The Fallen
Oct 27, 2017
7,599
- Much faster time to see a doctor and be addressed. Faster time to get surgery done.
- More treatment options depending on how much you want to pay using the latest technology and medical procedures.
- Better drug options. Perhaps using well-known brand names.
- If you have to stay in hospital then you'd get your own room instead of being placed in a ward. Probably a dedicated nurse.
- Better visiting hours??? Not sure about this.
- Better support after you are discharged

Of course, you understand that this all comes at a cost because its private. You either pay for what you want or you pay a monthly fee to the support.

The very first point is the one that's actually a substantial improvement though. The rest range from debatable, to mild improvement. And at least in Spain if you need a serious life threatening procedure they send you to the public hospital even if you pay private. That's because most private doctors are also in the public system but that's another beast...
 
Oct 27, 2017
2,902
Scotland
The very first point is the one that's actually a substantial improvement though. The rest range from debatable, to mild improvement. And at least in Spain if you need a serious life threatening procedure they send you to the public hospital even if you pay private. That's because most private doctors are also in the public system but that's another beast...

Yes indeed you are correct. The only substantial improvement is the reduced waiting time to be addressed/get surgery done. Essentially, you are paying to cut the queue.