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re: Has anyone lived in a country with universal healthcare?
Posted on 7/12/23 at 11:52 am to bdavids09
Posted on 7/12/23 at 11:52 am to bdavids09
Australia, 2000-2005.
In general, when universal healthcare is first introduced, it's the bee's knees. Over time, as the cost of health care rises and the money starts to run out because the government can't manage shite, it starts to go downhill. A cut back here, a cut back there...it starts to add up over time.
Personal observations and experiences:
1.) I had to have private, supplemental insurance to cover the stuff the government would not cover
2.) Many doctors began to accept private insurance only because dealing with the government for reimbursement sucks.
3.) My son was born there, and it was nice not having to pay a hospital bill for his delivery. However, I would consider their public hospitals a bit sub-par compared to ours, and they throw your arse out of the door as soon as they possibly can. Because we had supplemental private insurance, we were able to transfer my wife (no pics) to a private hospital after the birth (night and day difference between the two hospitals regarding level of care) because she had a c-section.
4.) Doctor clinics there were weird. It would often be a group of four or five doctors, pooling resources and paying rent. Sometimes, their offices were in a place where you normally wouldn't see a doctor's office. Like old storefronts, etc. I guess they set up wherever rent is cheap so you'd often find yourself in the not-so-great part of town.
5.) Never had to pay for prescription medication, so that was nice.
6.) A lot of foreigners from India, Vietnam, and China were doctors there.
7.) Some services or doctors required payment up front because they didn't want to deal with the government. You'd then have to take the receipt to a Medicaid office, wait in line for an hour, to get your money back.
8.) You may have to wait months or years for a surgery. My father-in-law had to wait nearly three years for knee replacement surgery.
At the end of the day, you get what you pay for. It’s been 20 years now so I don’t how much more if a shite-show it has become there. Probably bad but not British NHS bad.
In general, when universal healthcare is first introduced, it's the bee's knees. Over time, as the cost of health care rises and the money starts to run out because the government can't manage shite, it starts to go downhill. A cut back here, a cut back there...it starts to add up over time.
Personal observations and experiences:
1.) I had to have private, supplemental insurance to cover the stuff the government would not cover
2.) Many doctors began to accept private insurance only because dealing with the government for reimbursement sucks.
3.) My son was born there, and it was nice not having to pay a hospital bill for his delivery. However, I would consider their public hospitals a bit sub-par compared to ours, and they throw your arse out of the door as soon as they possibly can. Because we had supplemental private insurance, we were able to transfer my wife (no pics) to a private hospital after the birth (night and day difference between the two hospitals regarding level of care) because she had a c-section.
4.) Doctor clinics there were weird. It would often be a group of four or five doctors, pooling resources and paying rent. Sometimes, their offices were in a place where you normally wouldn't see a doctor's office. Like old storefronts, etc. I guess they set up wherever rent is cheap so you'd often find yourself in the not-so-great part of town.
5.) Never had to pay for prescription medication, so that was nice.
6.) A lot of foreigners from India, Vietnam, and China were doctors there.
7.) Some services or doctors required payment up front because they didn't want to deal with the government. You'd then have to take the receipt to a Medicaid office, wait in line for an hour, to get your money back.
8.) You may have to wait months or years for a surgery. My father-in-law had to wait nearly three years for knee replacement surgery.
At the end of the day, you get what you pay for. It’s been 20 years now so I don’t how much more if a shite-show it has become there. Probably bad but not British NHS bad.
This post was edited on 7/12/23 at 9:32 pm
Posted on 7/12/23 at 11:57 am to chryso
quote:
It seems like you are just moving who gets to decide what is covered from the insurance company to the government.
It's a lot harder to change government than to change insurance companies.
Posted on 7/12/23 at 11:58 am to bdavids09
I worked with a bunch of Canadians for years. Young, healthy, pro-athelete, types loved it. Older, less healthy, not so much.
Our public system of last resort uses long wait times to weed out the slightly sick. Theirs has the wait times for many more things.
Having a stroke the week before my insurance kicked in at a new job I have become far too familiar with our Medicaid system. If you go to LSU here in Shreveport the emergency care is excellent. If you go with something not an emergency the waits are horrendous.
Our public system of last resort uses long wait times to weed out the slightly sick. Theirs has the wait times for many more things.
Having a stroke the week before my insurance kicked in at a new job I have become far too familiar with our Medicaid system. If you go to LSU here in Shreveport the emergency care is excellent. If you go with something not an emergency the waits are horrendous.
Posted on 7/12/23 at 11:59 am to bdavids09
It COULD be a viable option in the US if we didn't have such a large population leaching off the government already. They would be in the ER every time they have tooth ache or an upset stomach.
Oh wait, they already do that, so nevermind.
Oh wait, they already do that, so nevermind.
Posted on 7/12/23 at 12:01 pm to Baldy
let's also not forget that while the US is footing the bill for the national defense of many of these free healthcare utopias, freeing up untold dollar amounts that they can pump into their welfare states, US industry is also footing the research and development bill for much of the world's medical and pharmaceutical technology.
Posted on 7/12/23 at 12:06 pm to bdavids09
quote:
I mean wealthy nations like Canada or some a European countries. I always read on the news that the US is only major developed country that does not have universal healthcare? I know it’s terrible that some Americans can be bankrupt because they got sick but I don’t know what the alternative is. Also if you look at the rankings the US is nowhere close to the top like I would have thought.
What is your experience with universal healthcare? Is there any downsides to it. Like long waiting times to see a doctor? Is the care still good?
yes, Germany. None, my dad was an officer in the United States Military so I got to see the shitty Army doctor instead but at least I got to see him before the next century as opposed to our German frenemies.
Posted on 7/12/23 at 12:10 pm to JasonDBlaha
quote:
You'd think it was very recently that they implemented it, but it was right after World War 2 ended when they did
That’s why Canada can strut around pretending everything is wonderful, because their switch is more recent.
Less time to completely fall apart.
Posted on 7/12/23 at 12:12 pm to bdavids09
quote:
Is there any downsides to it
I can’t imagine there being any downsides to have a SINGLE payer

Posted on 7/12/23 at 12:12 pm to bdavids09
Haven't lived there myself, but have family and friends who do. As with anything, there are pros and cons. The care is free at the point of service but the taxes are higher. I guess it depends on where you live to determine if that's higher than what you pay in premiums now.
The wait times are longer and the places aren't as nice. They also pay their doctors a lot less. You'd have a lot less people rushing to be doctors if they knew a $40,000 salary awaited them after med school. I like to think that's why the US pulls the best doctors from all over the world.
I don't find the "the government can control what procedures you get" argument particularly convincing, given that private insurance companies do the exact same thing now. They don't want to pay for your procedures either; their goal is to make money so paying for as little as possible while collecting as much as possible is the MO.
ETA:
100% true as well. This is why I laugh when progressives online cry about "muh military spending, be more like Europe." Europe can be like Europe BECAUSE of our spending.
The wait times are longer and the places aren't as nice. They also pay their doctors a lot less. You'd have a lot less people rushing to be doctors if they knew a $40,000 salary awaited them after med school. I like to think that's why the US pulls the best doctors from all over the world.
I don't find the "the government can control what procedures you get" argument particularly convincing, given that private insurance companies do the exact same thing now. They don't want to pay for your procedures either; their goal is to make money so paying for as little as possible while collecting as much as possible is the MO.
ETA:
quote:
let's also not forget that while the US is footing the bill for the national defense of many of these free healthcare utopias, freeing up untold dollar amounts that they can pump into their welfare states, US industry is also footing the research and development bill for much of the world's medical and pharmaceutical technology.
100% true as well. This is why I laugh when progressives online cry about "muh military spending, be more like Europe." Europe can be like Europe BECAUSE of our spending.
This post was edited on 7/12/23 at 12:14 pm
Posted on 7/12/23 at 12:13 pm to SulphursFinest
quote:
The same reason people in the US sometimes go to Mexico for surgery.
They go to Mexico because cosmetic procedures are cheaper there
Is it cheaper here than Canada? Or is it because there is a year long waiting list in Canada?
Posted on 7/12/23 at 12:14 pm to bdavids09
Universal healthcare exists here in the form of the VA. For some things people seem to like it. From having worked in that system as a physician you get a lot of bottom feeders working there who can’t get jobs elsewhere. Good luck seeing an actual doctor for your primary care. It’s ok though that nurse did an online program for a year so now she gets to manage paw paw’s heart failure.
Posted on 7/12/23 at 12:14 pm to bdavids09
Unavoidable rule in healthcare:
Quality
Affordability
Accessibility
YOU ONLY GET TWO
Quality
Affordability
Accessibility
YOU ONLY GET TWO
Posted on 7/12/23 at 12:14 pm to dgnx6
What does this have to do with them having good healthcare?
OP asked about universal healthcare. I gave a real life example.
OP asked about universal healthcare. I gave a real life example.
Posted on 7/12/23 at 12:15 pm to saintsfan92612
quote:
I got in an accident last year. Went to the hospital, got patched up, x-rayed, given a splint and some pain medicine and sent on my way and was only out of pocket $10 bucks for the medicine.
is this supposed to be good?
I can do the same thing and pay my $25 co-pay
Posted on 7/12/23 at 12:15 pm to Clames
quote:
Rich Brits come here, pay out of pocket, because we have superior, non-rationed treatment available.
Same with Canadians.
Posted on 7/12/23 at 12:15 pm to Cosmo
Both seem like bad problems to have
Posted on 7/12/23 at 12:16 pm to dgnx6
quote:
lets kill hundreds of millions of people around the country leave a couple of million white people and you can have what the czech have.
I don't know about their Healthcare but I bet the crime is extremely low there.
Posted on 7/12/23 at 12:16 pm to WhiteMandingo
quote:
Yes lived in England
If it's a simple fix, flu etc. It's like going to urgent care.
If you have issue like a flat mate did then it was a shite show.
He had a bad break in his ankle and they put a boot on it and told him to make an appointment and they would look at it with an orthopedic Dr. It took 3 weeks to be seen this was in the early 2004. He went home to Germany and had it fixed. I could only imagine cancer or major illness.
I'll take expensive American medicine any day
This. Lived as an expat in Canada. Easier just to fly back home for issues like broken bones or knee injury. You spend months or even years dealing with these. Never personally had these issues but witnessed.
Posted on 7/12/23 at 12:17 pm to TeddyPadillac
quote:
is this supposed to be good?
Yes
quote:
I can do the same thing and pay my $25 co-pay
Great, now do cancer, or be someone who busts their arse working to provide but can't afford great healthcare
Posted on 7/12/23 at 12:20 pm to saintsfan1977
quote:
I don't know about their Healthcare but I bet the crime is extremely low there.
Very low on the inclusion and diversity scores too.
This post was edited on 7/12/23 at 12:21 pm
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