this post was submitted on 19 Feb 2024
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I'd like to know other non-US citizen's opinions on your health care system are when you read a story like this. I know there are worse places in the world to receive health care, and better. What runs through your heads when you have a medical emergency?

A little background on my question:

My son was having trouble breathing after having a cold for a couple of days and we needed to stop and take the time to see if our insurance would be accepted at the closest emergency room so we didn't end up with a huge bill (like 2000$-5000$). This was a pretty involved ~10 minute process of logging into our insurance carrier, and unsuccessfully finding the answer there. Then calling the hospital and having them tell us to look it up by scrolling through some links using the local search tool on their website. This gave me some serious pause, what if it was a real emergency, like the kind where you have no time to call and see if the closest hospital takes your insurance.

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[–] [email protected] 14 points 1 year ago (1 children)

It makes me think that the US is as weird and dumb as current state of most Europe.

[–] [email protected] 7 points 1 year ago

I find this reassuring as an American in a backwards sort of way.

[–] [email protected] 14 points 1 year ago

First:

I think it was a wise thing with the activated charcoal. I think that you also did what was best in your situation.

I'd like to know other non-US citizen's opinions on your health care system are

A very bad opinion. The health care system is one if the greatest shames in your country (after racism and the adoration of excessive wealth).

[–] [email protected] 13 points 1 year ago (1 children)

Man, I live in shit country where opposition is killed every february and ruling party of oligarchs have been destroying my country's healthcare system for last 20 years, but I'm glad commies built it tough.

I've heard you even pay for ambulance.

[–] [email protected] 7 points 1 year ago (10 children)

You do. And not a small amount, like an Uber. Hundreds of dollars, regardless of how far it goes. I'm sure there are markups for care received, but I've not been in one to know.

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[–] [email protected] 13 points 1 year ago* (last edited 1 year ago) (3 children)

that your country is the actual shit hole. The worst part is when people who do work, and have insurance get denied care or endebted because something is "out of range" or whatever the fuck it is you yankees call it.

I live in LATAM, and healthcare is good. I had ... "worker contribution" (mutualista) tier healthcare and private medical. Mutualista worked adequately, got my needs met, but the centers were a bit spaced out, ironically due to market competition. Similar problem with the private medical insurance, but it comes with lots of fancy bells and whistles (telemedicine, medical history app, wide variety of specialists to resolve issues etc).

I pay about $100 (monthly) and it covers everything. I never have to think about going to hospital, except "Let me see if I can avoid it by doing a quick video call"

There's also universal healthcare that covers everyone not in mutualistas or private medicine. It's not as well regarded, but at least it's there. If you are making tax contributions, you're on mutualista tier healthcare anyway. I don't think anyone hesitates to call ambulances or react properly in the case of a medical emergency.

What use is having 8 different burger chains when you get squashed by a train and you yell at people to not call an ambulance so you don't go bankrupt?

https://www.youtube.com/watch?v=i3P4LgpgLrA

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[–] [email protected] 13 points 1 year ago (4 children)

I was offered by my employer to move to the USA with the husband and children to set up a local team for a few years and then return to Europe. Didn’t have questions about the pay, housing, nope. I had questions about healthcare. I usually end up once a year in the ER for myself, last stint was a miscarriage over Christmas with 6 ER meetings but I have a shit ankle and break various bones on the yearly because I don’t pay attention to where I walk. Add children: usual sickness plus all the stupid shit they do and end up in the ER for. Asked is the insurance had a zero deductible or something similar to what we have. Long story short, I didn’t want to leave our healthcare system and we stayed in Europe as all they offered wasn’t up to par with what we got.

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[–] [email protected] 13 points 1 year ago
[–] [email protected] 12 points 1 year ago* (last edited 1 year ago) (1 children)

I remember an other US post of a guy who had done everything he was supposed to. Had insurance, had savings, had a well paid job.

Nonetheless, his whole family was in financial ruins when his wife got cancer. They had to move from the house and everything!

The fact that you don't think a $2-5k bil is a lot, just proves that this system does not work, especially because some people would not even be able to pay that back for years!

To me, this is hopeless. I'd much rather pay half of my salary in taxes and be sure that if something happens, it will be the only thing that happens and that I'll be taken good care of (and even my family will be offered help to cope). And in topnof that I get free education, 5 weeks free with pay, over 20 weeks paid maternity leave and pension. To me that sounds like a much better deal. The fact that others get the same by paying less does IMO not make it a worse deal.

The fact that you feel like the

[–] [email protected] 8 points 1 year ago* (last edited 1 year ago) (4 children)

You have people here in the U.S. who resent paying for health insurance "because I'm healthy." As if viruses care. Or car crashes. Or cancer.

And you tell them that and they just wave you away as if they're totally immune from those sort of things.

Edit: Sorry, I realize I wasn't clear here. I want universal healthcare. I'm talking about financially stable people in the U.S. that can afford health insurance but instead just go to the ER, driving up wait times and costs at the expense of poor people.

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[–] [email protected] 12 points 1 year ago

We feel lucky we're not there.

[–] [email protected] 12 points 1 year ago

I literally use the horror-stories about the US health care system to counter the bullcrap peddled by the white supremacist, pro-neocolonialism and pro-privatisation crowd here in South Africa.

Of course, it's a pretty moot point, really - our entire political establishment seems dead-set on dismantling and sabotaging what little remains of our tattered public infrastructure anyway to facilitate their corrupt dealings with foreign creditors. They only seem to differ on whether to do it slow or fast.

[–] [email protected] 11 points 1 year ago (1 children)

I think I'm fucking glad I emigrated to Canada.

I know it's not something everyone can do, but if you can afford it GTFO.

[–] [email protected] 10 points 1 year ago (2 children)

I'm glad I was born here . My son was 3 months premature so I would of had mountains of dept from all the ultrasounds from before he was born to monitor the issues we where having. Plus a 3 month stay in the NICU with special tests done all the time to make sure everything was fine .

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[–] [email protected] 11 points 1 year ago* (last edited 1 year ago)

I can just explain the mindset, and then you can draw your conclusions: When people get sick, they evaluate whether it is bad/concerning enough as to be worth the hassle of making time to go to the doctor. If during work hours, in most office work spaces, you simply say "I'm going to the doctor. I'm back in a couple of hours", and you go.

Now the situation is getting increasingly worse every year, because the public health system is underfunded, and every year more so, so that private alternatives look much better... So that rich people and/or private health interests, can use their wealth to "argue" (paid propaganda, e.g funding political opposition) that the public healthcare is not adequate, and should be further defunded... Doctors literally chose between sticking to morals/principles or having non-insane working hours and a higher pay. So, we're headed in the same direction, for sure. The US just serves as the example of: take that path to its conclusion, and that's how fucked up it can get. Hopefully, when our public health service simply collapses within the next 10 years, we manage to draw the correct conclusions as to why that happened, and not double down on the same stupidity (just look at UK for inspiration). I'm sure think tanks are aware of this, and can suggest how to sow the seeds for a political zeitgeist where we go full retard.

But, people still selfishly vote for their own interests, or dumb enough to be convinced regardless. Humans sucks. Fingers crossed.

The most frustrating part of getting older and wiser, is clearly understanding the correct solutions and approaches. Perhaps not the answer to everything, but at least identifying what makes the problems worse. Then, observing that those in charge have private interests at heart, and that the new generation is too malleable to know any better.

[–] [email protected] 10 points 1 year ago

We moved from America to see Asia years ago. We were just talking last week about how racist we still catch ourselves being. We have a sick relative at home who we talked about moving here. They'd be close to us so we could help. And healthcare here is cheap/free often and pretty good.

But there's part of me that just thinks American = superior. No matter how long I live here I'm not sure it will ever go away. It's been psychopathically programmed into me. "Yeah it's expensive, but at least you're getting a good doctor". (I've had awful and great doctors in both countries) It's infuriating to realize.

[–] [email protected] 10 points 1 year ago

Most of the time we don't think about it, because anything medical often comes with its own stress, so just thinking about that is front of mind.

It's only after the dust settles and we're all back home and safe that we might say something like "whew glad that's over! Can you imagine if we had to worry about money on top of that?"

Truly once you're used to single payer, the American alternative seems like lunacy. I cannot imagine the stress of combining some if life's biggest medical decisions with financial considerations

I'd go on but my socials timer is about to go

[–] [email protected] 10 points 1 year ago

You know what I just fucking love?

People in the U.S. who say that it's fine if poor people don't have insurance because they can just go to the emergency room.

Not just because of stories like this, but because you can't go to the ER for chemotherapy.

Meanwhile, I have supposedly good insurance and have well over $10,000 in medical debt. I'm going to the Mayo Clinic in March, so that's going to soar.

Please invade us, Canada. Or Mexico. I'm easy.

[–] [email protected] 10 points 1 year ago (1 children)

One thing that's different out that there is no such thing as not being able to pay for health insurance. You are required by law to be insured. This also means the government mostly covers it for you if you can't.

You may have to pay out of pocket for the first few hundred euros when something happens, but insurance covers the rest. There's no way a person's life savings would disappear overnight because of a medical issue. I'd rather die than pay what I sacrificed 30+ years to save up for.

[–] [email protected] 9 points 1 year ago (2 children)

That's similar to how it works in Democratic states in the US. It's more expensive, but there's no such thing as "not being able to afford insurance". It's required by law and subsidies make the premiums low for poor people. Although you may not have a huge choice in doctors, you will get medical care.

If anyone from the US complains, that they "can't afford insurance" ask them where they live. I guarantee that state is run by Republicans.

[–] [email protected] 7 points 1 year ago (9 children)

I make between 60-100k a year, (sorry, I know that's a wide range, but I rather not be specific) and I can't afford insurance worth having. The only plans without a 10k out of my pocket before they cover anything at all started at $450/ month. I ended up with a plan that covers nothing until I spend like 5 grand out of pocket. Just shy of $300/mo.

But, I live in a red state, so maybe you're not wrong. Private Insurance for healthcare is still an assinine idea in general high.

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[–] [email protected] 10 points 1 year ago (4 children)

I saw a tiktok recently with an american explaining that people just don't finish the course of antibiotics so they have an emergency stash. FACEPALM.

[–] [email protected] 7 points 1 year ago

You think this is fucked. My son is type 1 diabetic here (Canada). In America people routinely ration insulin because of the cost

For those not in the know, a diabetic needs insulin constantly to survive. Failure to meet this requirement introduces a laundry list of complications that all end in death.

Despite this, they play Russian roulette with their lives not because they want to but because their government does not care about them.

It's infuriating.

Also, worth noting that if you're in the know, red Cross has deployed in America multiple times in recent memory. Something that used to be for "3rd world" countries deployed in the richest country in the world.

America is a failed state. People continue argue over the semantics of that definition but I will continue to argue it's justified.

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[–] [email protected] 9 points 1 year ago

https://www.youtube.com/watch?v=cYCRwcz2aV8 is really crazy, that americans seem to think, that you need to be able to get out of everything by yourself. In the line of: If something bad happens to you and you are not able to get out by yourself, then it is your own fault and nobody should help you. Though this is already often talked about.

Another scary thing is how little you like your government (being it of the State or federal). It seems Americans don't want the government to do much, not seeing at as a tool to handle modern problems. Back when I was at Reddit I read a thread about why americans opposed state run free healthcare for all. One user wrote something like "Don't see, why we should solve the price issue by letting the state (so taypayer) pay". The user just ignored the immense power, that a government of a big and wealthy nation has. It can easily press pharma companies to set prices low enough, without stiffling research and innovation. But that would be against freedom, I guess? Really difficult to understand.

Though changing the american system is a big task. Months ago I've seen a good video on youtube on that topic by TypeAston. I think its this one Would Universal Healthcare Really Work in the U.S.?

[–] [email protected] 9 points 1 year ago

In some ways America is a third world country. Healthcare is a fundamental human right, full stop.

[–] [email protected] 9 points 1 year ago

Scary. That's what I think of the US healthcare.

The other side of the spectrum is that in the US, anything goes. If you got the money any and all treatment is possible.

Overhere that's not the case. Some medicine and/or treatments are deemed way to expensive or unproven and are unavailable.

[–] [email protected] 9 points 1 year ago* (last edited 1 year ago) (1 children)

I'm not sure. I get the impression that the American culture contains the promise that you will succeed if you try, so perhaps people think that if they can't afford private healthcare insurance or pay their medical bills then it's their own fault. Coming from the UK I would be completely outraged if I had to pay and I think most other people here would be too. I don't think you can have both private healthcare and a stable state in an unequal economy because if enough of your minions & customers and get sick or die you lose the big leather armchair.

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[–] [email protected] 8 points 1 year ago

If you are sufficiently wealthy in the US, you can afford what we have as routine in Europe, which is healthcare. In the US, there are many who cannot afford insurance, and even with insurance, the policy is unlikely to cover your needs, especially for anything other than acute care.

[–] [email protected] 8 points 1 year ago* (last edited 1 year ago)

Well, in my country you have the option to pay for medcare or use a private plan. However you have full access to public, free and universal healthcare which you don't have to pay anything for it.

We don't have to convince anyone here. If you need attention, you'll get attention. For free.

I think that USA healthcare is a joke. A bad taste joke.

[–] [email protected] 8 points 1 year ago

Sounds like a joke.

Here: you hurt you go hospital. You wait to get fix

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