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Hey America! Health care anyone?

So its Wednesday morning as I write..After 7am Monday I reported to a local hospital, having been booked in for a bone fusion in my foot under the public system. Its a very long and tedious story I will spare you. But I was previously booked for the same operation in a private hospital using my private health insurance, but that had to be cancelled and I couldnt rebook until next year.
So 10 days ago I get a phone call offering me this booking under the public scheme, I was way down the list, but no one above me was ready and willing to go that quickly this close to Christmas. So I took it.. Same Surgeon. Different Hospital. No Private room. But best care anywhere. (I think every hospital I have been in has the BEST staff, working under trying conditions.) But anyway.
7.30 Monada. Booked in.. Fasted already.. 11am. into theatre.. 2.30 through recovery and back on the ward. (2 person room) Bad night sleeping (I never sleep in hospitals, every noise, and the beds are too narrow)Tuesday. Surgeons see me, pharmacy sees me, physio sees me. Pharmacy sees me again , Physio comes back to make sure I have all I need to cope at home and checks I can use crutches and walking frame. (old hand at both.) and signs me out. Daughter picks me up before 2pm Tuesday and spends half an hour placing everything where I can use and reach.. And I slept the sleep of the dead until my customary time.
Free Cami boot. Free meds and antibiotics to cover me(apart from $7.70 for some Oxi in case I have strong pain. But I dont) Free Toilet seat with arms to push off and stand. I already had A walking frame, Crutches and a shower seat. Follow up appointments already booked for a week ahead. and I will get a couple of drop in visits from people to make sure I am coping on my own (which I am)
Total I expected to pay for this with Private insurance next year. About $1800 was my copay, for Hospital, surgeon and team and post care.
Total I paid to have it done sooner under the public system with the SAME SURGEON. $7.70 and only because I opted for the extra meds.
Gotta love our Medicare.😷
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newjaninev2 · 56-60, F
Comparable to New Zealand. My friend's husband suffered a STEMI (a very serious heart attack), taken to ICU, spent nearly two weeks there, had an angiogram and constant assessments, was accepted for surgery, underwent a triple bypass, and then spent three weeks in the hospital being assessed and monitored (the op was very successful).

Gold-standard level of care at very stage.

Now takes a cocktail of meds and has a cardiologist's review every year.

He had no insurance whatsoever.

He paid nothing for the entire procedure. Zero... never saw a bill, and never will.
dancingtongue · 80-89, M
In other words, a system focused on providing efficient, cost-effective, total health care on a timely basis, which also happens to turn out to be the cheapest way to do it if you avoid all the gotcha for-profit games between insurers, providers, and the government.

Fortunately, I have that here in the U.S. through an integrated, non-profit, prepaid health care delivery system IN SPITE of our government.
whowasthatmaskedman · 70-79, M
@dancingtongue I am happy to hear it is alive and well. I confess I wasnt aware it was there. More power to you..😷
dancingtongue · 80-89, M
@whowasthatmaskedman There are other, smaller, examples around the U.S. as well. Some of which we actually helped set up and modeled after us. Others similar, but slightly different models but the same basic principles: providers and the "insurance" arm working together, the providers organized in integrated networks, the focus on early primary care, affordability, quality, accessibility, and service. But it has been hard for them -- or us -- to gain traction in the Midwest and Deep South where the myths of Marcus Welby type rugged, individual solo practitioners and the rampant ills of "Socialized Medicine" hold sway and in most case have have had the political clout to make it nearly impossible to function in states.
whowasthatmaskedman · 70-79, M
@dancingtongue Agreed. But as observed from a distance, it seems that the bigger corporate models are given every advantage, which the smaller start ups or local models have the cards stacked against them.. Renewable energy being a case in point. Here renewables are supported to some extent and predictions are for a 5% price FALL in the next year. Compare and contrast to your situation. (Just an easy apples and apples comparison to make)😷
Ozdharma · 61-69, M
In Australia I went to emergency department of the local hospital with serious lung problems spent 10 days there had full body scans, angiogram, bone density scan, lung scans, pet scan and 8 week rehabilitation program and it cost me $50.

USA system is a disgrace.
Ozdharma · 61-69, M
@samueltyler2 the technology is available in all developed countries
samueltyler2 · 80-89, M
@Ozdharma some is, but not all. You cannot really believe that the technology is equally available in every country? In my immediate area, about a radius of 15 mules, there are over a dozen places I can get an MRI done. That shortens the time delay between ordering and having it done.
22Michelle · 70-79, T
@newjaninev2 Isn't it around 500,000 people per year going bankrupt due to medical bills?
bookerdana · M
My friend in Canad has had to wait a year to see a Neurologist...individual results may vary
samueltyler2 · 80-89, M
@bookerdana that is terrible. My physician friends in Canada say that sometimes things are slow, but in an emergency, they can move very quickly.
bookerdana · M
@samueltyler2 She has P.D. and once a year isn't enough...here in the States ,in an emergency things can work fast,too
samueltyler2 · 80-89, M
@bookerdana i think we may be missing some information. If she is an established patient with PD, she would already be involved in a program that includes follow-up unless the specialist doesn't think she needs to be seen more often than once a year. I am not giving an excuse, just wonder if we are missing something.
samueltyler2 · 80-89, M
That is how medical care should work. There may need to be somewhat greater cost, but speed of service at a reasonable price should be the right of citizens.
Convivial · 26-30, F
@whowasthatmaskedman I can't argue against any of that....
Crazywaterspring · 61-69, M
@samueltyler2 Luigi is an American hero.
samueltyler2 · 80-89, M
Convivial · 26-30, F
Nice story... Is great when it works
whowasthatmaskedman · 70-79, M
@Convivial I confess, something always seems to turn up for me. Not lottery wins. But I seem to get breaks , even disguised ones..😷
Convivial · 26-30, F
@whowasthatmaskedman often that's because you pay attention and seek opportunities ;)
whowasthatmaskedman · 70-79, M
@Convivial I confess I do my research...😷
idontcareok · 70-79, M
so what who cares about that, same operation for me, would of been maybe 15 dollars, also why tell the world about your operation? so what
whowasthatmaskedman · 70-79, M
@idontcareok And thats the problem. While you are covered brilliantly, there is no reason a nation like American shouldnt be. There is just no need for anyone to lack any care..But like you say "You dont care"
Diotrephes · 70-79, M
@whowasthatmaskedman
And thats the problem. While you are covered brilliantly, there is no reason a nation like American shouldnt be. There is just no need for anyone to lack any care..But like you say "You dont care"

One of the main problems with the American health system has to do with systemic racism. In the past it actively prohibited Blacks from becoming doctors and nurses in the health care system and limited them to segregated facilities. It was only after WWII when the politicans realized that America had suffered a severe manpower problem during the war because of the lack of healthy people to fight that things started to change. As a result, the American health system started to improve but it still has a long way to go.

edit typo
whowasthatmaskedman · 70-79, M
@Diotrephes Yes. The Tuskegee airmen was a long time ago now. Even the civil rights movement is old. But it can take a long time to correct inequality of opportunity when your are born with it and your parents didnt have the tools to fight it..😷
RachelLia2003 · 22-25, F
free healthcare is commonism
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Ozdharma · 61-69, M
@RachelLia2003 a government's role is to care for people providing health care is far from communism.
Paying more not to costs Americans millions but also kills hundreds of thousands of them each year.
Ozdharma · 61-69, M
If the system was good in the USA why is the life expectancy lower than that in China and a lot of other countries?
newjaninev2 · 56-60, F
@Ozdharma McDonald's, Wendy's, Pizza Hut, Taco Bell...
samueltyler2 · 80-89, M
@Ozdharma The data depends on who reports it, what populations report it and during what period. Some countries eliminate the deaths that occur in the first 28 days of life, since those deaths may be as common in certain populations, that is thought to level the playing field but it does not really accomplish that. If you look at the effects of poverty, you also alter the projected life span. It is really too complex a number to take at face value. That said, all people should be able to have medical care as part of the expectation of life.

 
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