Still think we have the best Health care in the world?

Nurses Activism

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i heard this woman's story on npr http://thestory.org/archive the other night. read the diaries and make your own decision about whether our system needs reform. this patient had an 8 day wait to get in to see a us gynecologist on an urgent basis.

http://www.dailykos.com/story/2006/7/15/132936/405

in april 2005, when i was still ignorant of endometriosis and living in the us, i was lucky enough to have health insurance (bad as it was) and decided to find a us doctor who could prescribe something for my nasal allergies. in singapore, my doctor had prescribed me "flixonase" (the foreign name for flonase) and i could buy it there for us$17 a bottle. without insurance. i would find out later that a bottle of flonase in the us would set me back us$70 a bottle with insurance.

.....

me: "how soon would you be able to operate on my cysts if i decided to have it done immediately?"

he: "anytime also can.* you want tonight, or if you want tomorrow, it can be done."

(* some singaporean style english for you. it just means "anytime.")

me: "what? really?"

he: "yah." at no point did he exhibit any expression on his face except concern, and he looked me in the eye.

me: "you'd be able to do it anytime i ask for?"

he: "ya, anytime. the sooner the better of course. just tell me, we can arrange it."

when i told my husband about the conversation, he was amazed, even with the other personal singapore healthcare experiences he's heard from me. among other things, my gynae's practice in singapore:

- is "private", as opposed to a government clinic in singapore, but still affordable. i can also get appointment with the doctor really quickly, within the same week whenever i call, if not the next day.

- never made me feel rushed. my first appointment with dr o lasted an hour. all my appointments with dr m in raleigh had never gone over 10 minutes.

- was the one who gave me a pelvic ultrasound on my first visit to him, and showed me my sonogram images, on screen during the ultrasound, and on paper after. this never happened with dr m.

comment: no waiting time for care or needed surgery.

cost for laprascopic ovarian cyst removal us: 16000

singapore: 2000-5000.

lupron us: 682 dollars

lupron singapore: 250 dollars

- quality of medical attention? as a female, and as someone who has had to get check-ups regularly for visa requirements, i haven't had the quality of healthcare in us that matches what i get in singapore yet.

if you explore the singapore ministry of health's website, read their mission statements. one thing i've always liked about their approach to health: when government is partly footing the bill, that government has a lot of incentive to keep its people healthy, and to educate the population on how to do so. singapore costs are kept affordable in two ways - the moh put it in their mission to keep healthcare affordable in singapore (and then they do it), and singapore has both public hospitals and private hospitals. both types offer competitive quality and price. competition can work - done right.

...

but the biggest tragedy i see here in the us is failure of education, philosophy and vision - many people still think, despite all worldwide numbers to the contrary, that american healthcare is the best the world can do. what perpetuates the failed system is the spoonfed bs is that no one can afford a system that tries to take care of everyone, not just the rich. and of course, the neocon myth that free market will make good healthcare system. as long as sheeple believe these falsities, bad legislation follows.

Spacenurse - that is just someone's opinion - that universal health care is not socialism.

That doesn't make it true. That doesn't make me disingenuous if I don't believe it. I'm not tired. I'm not an alarmist - I'm a realist - I look at history and see the effects of "socialism". I'm not afraid - I'm mad.

steph

Oh, for goodness sakes, universal health care or any reforms of our country's social programs are not socialism, THAT IS my opinion, and I agree that by ME saying so does not make it so in the minds of those who would continue to believe in such nonsence, again my opinion. I was once accused of seeing boogey men, some see communists. Im not mad, Im flabbergasted .

Is Europe socialist?

The certainly have a combination of the free market and a "safety net".

Specializes in Critical Care.
Is Europe socialist?

The certainly have a combination of the free market and a "safety net".

America IS socialist in its policies, to a degree.

So is Europe.

Europe is MORE socialist by comparison.

I have no illusions of being able to completely root out socialist tendencies in this nation. I think, however, that the more such tendencies are kept in check, the better off our economy AND the better off our least able citizens will fare.

Some have argued that it's practically extreme rhetoric to argue against socialism. It's already here. The issue isn't whether the 'boogeyman' of socialism will arise, but how to keep it in check, for the benefit of all.

(On a side note, my boys and I are currently making home-made ice cream. Just waiting for a treat.)

~faith,

Timothy.

.

(On a side note, my boys and I are currently making home-made ice cream. Just waiting for a treat.)

~faith,

Timothy.

Ah ha! Joining together for the common GOOD!
Specializes in Critical Care.
Ah ha! Joining together for the common GOOD!

I never said MY household wasn't a central planned economy.

Make me dictator supreme of the nation where I make all the decisions, and I'll cede to making the Federal gov't a central planned economy.

Otherwise . . .

~faith,

Timothy.

Specializes in ICU-Stepdown.

Well, for one of your campaign promises, do you include 'ice-cream in every pot'?

Specializes in Critical Care.
Well, for one of your campaign promises, do you include 'ice-cream in every pot'?

That's just it, I wouldn't run no stinking campaign! I'd take all your rights away by gov't fiat - me. Then again, that wouldn't be much different than the idea of gov't restricted healthcare, now would it?

(I know, relatively cheap shot.)

In any case, I'd be a benevolent dictator. You DO trust me, right? Bear in mind, the only real difference between a dictatorship and a free society is who has ownership of your rights.

Tell me, generically speaking (by which I mean, not specifically YOU, gromit), should your "natural rights" be vested in YOU, or in the government? Which is more likely to offer the best protection of those rights?

~faith,

Timothy.

Specializes in ICU-Stepdown.

thought you would have to be elected first, THEN you could dictate. To be elected, you would have to promise to give us all a free ride (yeah, thats a cheap shot too).

But in any case, I've LIVED under a dictatorship before (Francisco Franco, Spain, several years, early 1970s) and have no desire for that kind of life.

Hmm. they had nationalized healthcare too, now that I think about it. It DID work, but I don't think most would want to experience it.

Tim - what flavor? My kids love homemade root beer ice cream. :D

If you did become dictator, would you only give us one flavor? Your favorite? Or would you let us choose?

steph

Specializes in ER Occ Health Urgent Care.

I have had to make plenty of referal appointments and I can tell you that many take longer then 8 days. Hernia surg like tmothy had is usually very fast, most surgeries that require a general surg go fairly quickly but any kind of specialty and we're talking more time and then I have often seen surgeries get bumped for various reasons including surgeon has more emergent pt, insuance co. didn't give authorizaion in time and others. I have see people go round and round trying to get something done and it takes months and even more than a year for their insurance to approve. Wait times can be just as bad here.

Specializes in Critical Care.
Tim - what flavor? My kids love homemade root beer ice cream. :D

If you did become dictator, would you only give us one flavor? Your favorite? Or would you let us choose?

steph

It would be Vanilla all the way, but, you'd have to be on a 6 week waiting list to get a bowl . . .

Unlimited demand (by ME) would equal rationed supplies (for YOU).

~faith,

Timothy.

I don't understand why the word 'socialism' is such a bug-a-boo to Americans. Honestly, we already have it here...

do your children go to public school?..That is socialism

Do you enjoy the paved roads? That is socialism

Any predominantly government driven enterprise is socialism...and we have lots of it here.

Socialism is not the same as communism, and I assume that is what everyone is really freaked out about.

I live in both Canada and the US. Drastically different countries. The medical system in Canada is more humane and user friendly. There are horror stories everywhere, but I find the Canadian system is superior in many ways. I know of many medical personnel who will not work in the US for ethical reasons. I know of many medical personnel who work in the US solely for monetary reasons.

It is such a cliche to say there are no easy answers, but it is true. One thing is for certain, there is no such perfect system that it cannot undergo significant, planned changes towards improvement.

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