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Health Care: America versus the UK

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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Its so easy to take what we have here for granted

    You have no idea :mad:
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    :yes:

    Either that of we'd bill the US embassy...

    The NHS has problems, mainly due to chronic lack of underfunding over decades. It's easy to compare it to France & Germany without recognition of the fact that neither country have years of Tory underfunding to cope with.

    Wanless is also talking out of his arse, either that or is misquoted. I am not sure which/ What actually constitutes "productivity" in the NHS anyway?

    Finally, the US system. Is great for the NHS to learn from in the sense of medical techniques and how to change a culture (something which US healthcare did very successfully in the 80s) from one of gross inefficient medical practice. However, we have nothing to learn from them in the sense of funding.

    Exactly what im trying to say, but health care is shit in america, all the fat pigs (americans) get to buy health insurance, and i cant get it cause im disabled. I'm american, I hate the government, the way health care is managed, and most importantly i hate american lawyers.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Healthcare isn't shit in the US. It's one of the most advanced clinical systems in the world.

    Access to healthcare is what is shit...
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Sofie wrote: »
    True. I honestly can't believe that you'd just move to the UK just so that you get your health care for free - what would you do if you didn't like it over here?

    I've been to the UK when I was a kid, It's a lot nicer there.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Healthcare isn't shit in the US. It's one of the most advanced clinical systems in the world.

    Access to healthcare is what is shit...

    Yes, but if you don't have health insurance, you get cheap operations that arent as good as if you have health insurance.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    :yes:

    Either that of we'd bill the US embassy...

    :lol: I know of at least a few people (not entitled to free NHS treatment but have had minor stuff done) - they've never seen a bill. Whilst I wouldn't believe every tabloid claim about 'health tourists' getting free NHS treatment I'd be very surprised if much is recovered from those not entitled to NHS treatment.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    :lol: I know of at least a few people (not entitled to free NHS treatment but have had minor stuff done) - they've never seen a bill. Whilst I wouldn't believe every tabloid claim about 'health tourists' getting free NHS treatment I'd be very surprised if much is recovered from those not entitled to NHS treatment.

    I think with most things you have to pay up front any way. I hope you do realise that there is actually very little 'free' stuff on the NHS, so even if you were to move here, then you'd still have to pay for quite a few things.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Sofie wrote: »
    I think with most things you have to pay up front any way. I hope you do realise that there is actually very little 'free' stuff on the NHS, so even if you were to move here, then you'd still have to pay for quite a few things.

    lots of hospitals would rather jsut treat their patients rather than give them a bill and see them die i'd suspect
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    lots of hospitals would rather jsut treat their patients rather than give them a bill and see them die i'd suspect

    yea but in america people only care about money. and im sure i wouldnt have to pay for any major operations or procedures (thats only operations ive had).
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    dmdsexgod wrote: »
    yea but in america people only care about money. and im sure i wouldnt have to pay for any major operations or procedures (thats only operations ive had).

    Unless you're a UK or EU citizen I'm sure you would. They might treat emergencies, but I don't think they'd give free health care if you came over just to be treated

    I'm sure MoK can confirm this (or tell me I'm wrong).
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Unless you're a UK or EU citizen I'm sure you would. They might treat emergencies, but I don't think they'd give free health care if you came over just to be treated

    I'm sure MoK can confirm this (or tell me I'm wrong).

    I meant moved and applied for citizenship and lived there.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    lots of hospitals would rather jsut treat their patients rather than give them a bill and see them die i'd suspect

    Didn't mean it like that. :rolleyes:
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    :lol: I know of at least a few people (not entitled to free NHS treatment but have had minor stuff done) - they've never seen a bill. Whilst I wouldn't believe every tabloid claim about 'health tourists' getting free NHS treatment I'd be very surprised if much is recovered from those not entitled to NHS treatment.

    We don't bill the individual usually. We have agreements with most other nations to bill their embassy.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    you need to also realise that the NHS isn't health insurance. If you want health insurance, you can get it, and it's not very very expensive, so someone on the average wage would be able to get a mid level policy. The wait isn't very long for the majority of ops, i only had to wait just over a week for an endoscopy, and anyone can be treated for any disease or injury. and there are a lot of free things on the NHS, the only things you have to pay for are scripts if you aren't in education, on low income, have a long running health problem that disables you, on a pension, pregnant and there are a few other exseptions too... you don't have to pay for blood tests, eye tests are free for the majority of the public, dental is free for those named above, you don't pay for ops or hospitalisation, or any hospital outpaitent treatment .... i think thats pretty good...
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    you need to also realise that the NHS isn't health insurance. If you want health insurance, you can get it, and it's not very very expensive, so someone on the average wage would be able to get a mid level policy. The wait isn't very long for the majority of ops, i only had to wait just over a week for an endoscopy, and anyone can be treated for any disease or injury. and there are a lot of free things on the NHS, the only things you have to pay for are scripts if you aren't in education, on low income, have a long running health problem that disables you, on a pension, pregnant and there are a few other exseptions too... you don't have to pay for blood tests, eye tests are free for the majority of the public, dental is free for those named above, you don't pay for ops or hospitalisation, or any hospital outpaitent treatment .... i think thats pretty good...

    And people with certain illnesses can get some things free as well.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    so how is that bad?

    ok we could be a lot better, certainly in our cancer care, but i don't see how you can even compare the Us system to the UK
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    I was only pointing it out because you were talking about free things on the NHS.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    i cant get insurance in america though.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    dmdsexgod wrote: »
    the thing is you might have to wait a few months or a few years to get an operation or a doctors visit.


    If you're willing to travel 30/40 miles then this isn't really the case anymore. I had a minor operation on my hand last year, was informed I could wait 6 months and get it done in a local hospital, or be driven (for free) to a treatment centre 30 miles away and get driven back with a wait of 3 weeks.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Instead of comparing America and the UK perhaps think about the rest of Europe. I know for sure I'd rather get sick in France or Germany than here. Britain has some of the worst cancer survival rates in Europe. Lifestyle is one factor but not the only one.. Although still public-funded for the most part things work quite differently in France and Germany - and both for the most part do it better than us.

    France may well have a better system than us, but then so would we if we barred lots of people without jobs. MSF works in France and doesnt feel the need here.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Msf?
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Free contraception, that sways it for me. I was really surprised when I was in America to find that even students/all young people/everyone, has to pay for the pill. I'm glad I live somewhere I can get it for free.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Msf?

    Medecines Sans Frontieres I assume. Given their mission is to provide emergency medical assistance to populations where health structures are insufficient it says a lot that they work in France.

    Here's the details of why they work there (for those that don't want to click the AME - Aide Médicale d'Etat - or state medical aid had its eligibility criteria changed removing medical care from many of the poorest or most excluded in France).

    France: Helping those excluded from care
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Jim V wrote: »
    the AME - Aide Médicale d'Etat - or state medical aid had its eligibility criteria changed removing medical care from many of the poorest or most excluded in France).

    Thats the one, like I said if the NHS didnt treat the people it didnt like the look of it would mean a better service for the rest of us, but frankly I think the French policy stinks.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    katchika wrote: »
    Free contraception, that sways it for me. I was really surprised when I was in America to find that even students/all young people/everyone, has to pay for the pill. I'm glad I live somewhere I can get it for free.

    But it's comforting to know that some insurance companies will cover Viagra (but not the pill)
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    i'm going from memory here, but I've a feeling Germany also covers only 98% of the population (I'm not sure if that 2% is the NATO troops there though, I was covered by RAMC rather than the Germans)
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Jim V wrote: »
    Medecines Sans Frontieres I assume. Given their mission is to provide emergency medical assistance to populations where health structures are insufficient it says a lot that they work in France.

    Here's the details of why they work there (for those that don't want to click the AME - Aide Médicale d'Etat - or state medical aid had its eligibility criteria changed removing medical care from many of the poorest or most excluded in France).

    France: Helping those excluded from care

    Just read the article, it looks like MSF have been there since 1987 :shocking:
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    The US healthcare system is vastly inefficient - admin costs per person are about $1000 - compared to Canada which is $307 per person. The US Government more per person on health than the UK Government and UK private healthcare combined (and the US Government only covers the elderly and the poor).

    (source - The Undercover Economist, Tim Harford, p123-124)
    the americans spend more per person on health than we do in this country, despite the fact the fact millions of people there have no access to decent treatment for severe medical conditions which would suggest the american insurance system is far more of a drain in profit compared to our system where bureaucracy is the hindrance(as well as the NHS doctors you wait 6months to see, you see in a few days privately in their 'time off' and probably in the same hospital too)

    I wasn't saying that U.S. healthcare system is flawless; both it and the NHS have flaws. I was only suggesting that nationalising it might not be the great panacea (get it? haha) some people seem to think it will be. American healthcare does seem inefficient. They also spend more on healthcare, as a percentage of GDP, than Canada and Germany, though you have to add, among other things, the large sums they spend on research and development into that equation. The uninsured are obviously a problem but a portion of the millions who aren't insured will include those who are rich enough to afford it, but who don't have it (don't know why), those who are poorer and qualify for medicaid but again don't apply for it for whatever reason and those who get treated and simply don't pay for it. The U.S. Also has free or low-priced charity care people can take advantage of.

    Nationalised healthcare systems do do what they're essentially supposed to, which is to provide simple primary care for most people, but they tend to falter when it comes to providing more complicated care.
    Either that of we'd bill the US embassy...

    The NHS has problems, mainly due to chronic lack of underfunding over decades. It's easy to compare it to France & Germany without recognition of the fact that neither country have years of Tory underfunding to cope with.

    Wanless is also talking out of his arse, either that or is misquoted. I am not sure which/ What actually constitutes "productivity" in the NHS anyway?

    Finally, the US system. Is great for the NHS to learn from in the sense of medical techniques and how to change a culture (something which US healthcare did very successfully in the 80s) from one of gross inefficient medical practice. However, we have nothing to learn from them in the sense of funding.

    The problem with the NHS is that it's too big and unwieldy to be managed from Whitehall. Staff are stretched and under-pressure from sometimes contradictory targets and directives, which is having a negative effect on how compassionate care is; especially if you're old/inarticulate. Keeping the old-style matron might have saved us from all the infections you hear about, but that would involve nurses being sternly told what to do, and we can't have that because that's just mean. The poorest should be covered by the state but instead of leaving it to government to mismanage billions most people should be able to spend their money at the hospitals they choose. That choice will force bad hospitals to improve, people will be in control rather than bureaucrats.

    I only recall the gist of what Wanless said but I think I was accurate. Sir Wanless can't be talking out of his arse, he has a 'Sir' in front of his name man! That's like a certified arse clamp.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    go_away wrote: »
    But it's comforting to know that some insurance companies will cover Viagra (but not the pill)

    :confused: That sounds really wrong, tbh...
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Whowhere wrote: »
    If you're willing to travel 30/40 miles then this isn't really the case anymore. I had a minor operation on my hand last year, was informed I could wait 6 months and get it done in a local hospital, or be driven (for free) to a treatment centre 30 miles away and get driven back with a wait of 3 weeks.

    It's often different for major operations tho.
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