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Healthcare in the US vs. the U.K

_jellybean_

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Which do you think is better? I'm writing this because I live in the U.S., and I'd love to know more about the healthcare system in the U.K. My job pays for my insurance, and I have co-pays ($30) when I see a specialist, but I love it because I can go where ever I want, since I have great insurance. So if I felt (for some reason), that I needed a neurosurgeon, I could just make an appt. with one...no referral or anything like that. But we do have a lot of problems with our system here...I know that I'm blessed.

I've read about the wait times for getting surgery in the U.K, and that seems so wrong to me, but besides that, I don't know much about their system.
 
Well, if your ill in general, more common things you go to your GP (general practitioner) I think it depends on the time of year/location how long to get an appointment. I can usually get one the same day if its classed as an emergency. We only pay for prescription when we see our GP, people claiming benefits receive these for free. I think generally for low income families, this system works well.

Anything that's more serious gets referred to a consultant at the hospital where wed may be sent for scans/x rays . We don't pay directly for this, our healthcare comes out of national insurance payments and taxes that get taken from any income you receive.
I guess its a fair system as its a percentage of earnings.


Then next step, operations, any treatment you receive you have to be on a waiting list. I've never had anything serious to deal with so I've no idea how long you'd have to wait but it does vary on where you live ( commonly known as the postcode lottery!) as if your in a certain area, treatment times can be so much quicker than somewhere else.


It amazes me when I watch US tv and you have to fill out insurance forms before your seen in A & E (ER?) before your seen, and do you need to hand over credit cards to pay?!

I think you'll find people's experiences will differ so much from the treatment they've had within the NHS. The only serious encounter was when I contracted eclampsia on my 2nd birth, I can only praise the treatment I had, no negative comments at all. Actually, sharing a room in a ward with 6 other new mums and babies would be the biggest thing I'd change! It really sucks, and its amazing when you see US tv and they're in brand new buildings and rooms... Our hospitals are so old and outdated!!
 
Yes there are wait times on the NHS but you can also get insurance here if you wanted & get private care. My work gives this offer but I've never found the need for it. One of the things I have noticed with the US is a lot of women don't seem to have much say in their birth care. Eg homebirth not being covered, often I hear that they're monitored constantly etc. We seem to have a lot more say in that sense but then you get more benefits with private rooms with partners staying the whole time.

As much as people assume we get "free" healthcare, I'm pretty sure we pay a lot more in taxes to cover it. I guess with most things there are good & bad parts, I love our healthcare though for not making divides depending on wealth, whether you earn a lot or a little, you're treated the same :)
 
I love our NHS. I love that it is universal, I find it unfathomable that people who haven't got the right insurance can go without treatment or be landed with huge bills afterwards. My partner was seriously ill a few years ago and the standard of his care was impeccable, he wouldn't be here without the NHS. For all it's faults, and for all we grumble about it. I love the fact that you don't have to worry about how much it is going to cost to visit the doctor/be admitted to hospital. We just take it for granted that the help is going to be there when we need it.

As a previous poster said, there is always the choice of having optional health insurance and private treatment. But that's what it is, a choice, not a necessity and I think that's great. I wouldn't want to swap to an Americanised system.
 
I hate how expensive healthcare is here. Even if you pay $500+ per month for your plan, you still have like a $2000+ deductible in most cases. We go to the doctor maybe once every year or every other year in this family so our deductible never gets met. There have been times I wish I could go to the doctor or I would like to take my daughter to the doctor, but we simply cannot afford it....even though we pay out of our asses for insurance! GRR!!
 
I pay quite a bit in national insurance and income tax (both of these land in the same government pot and nhs is funded by this pot, not just NI) however having seem the RIDICULOUS amounts of money people pay for insurance in US, I pay no where near that amount! It's crazy!

The NHS is a wonderful service, I personally have full private health insurance coverage which I use for dentist, optician, physio etc which aren't covered on NHS. I can reclaim glasses cost etc which are more than what I pay so it's worth it.

I know that if I or my girl ever need any medical treatment, it's right there for free, no questions asked.
 
I watched a documentary years ago about the US healthcare insurance, one of the biggest money spinners in America do it seems.
I'm not sure how much truth was in it but what worried me most about it ever ending up here was the fact that people had to fight for some payments of treatment because the insurance companies would use their get out clause ect . If you'd filled forms out wrong or not declared an insignificant illness before hand ,they could get out paying up.? Can some just clarify this?
 
Which do you think is better? I'm writing this because I live in the U.S., and I'd love to know more about the healthcare system in the U.K. My job pays for my insurance, and I have co-pays ($30) when I see a specialist, but I love it because I can go where ever I want, since I have great insurance. So if I felt (for some reason), that I needed a neurosurgeon, I could just make an appt. with one...no referral or anything like that. But we do have a lot of problems with our system here...I know that I'm blessed.

I've read about the wait times for getting surgery in the U.K, and that seems so wrong to me, but besides that, I don't know much about their system.

There are insurances who expect you get a referral to a specialist or they won't cover it.

my one year old have a possible peanut allergy and the allergy clinic actually told me it will be a three or more months wait because of insurance issues and her being so little (i think the insurance sees it as unnecessary for toddler even with a referral). I need an epipen for her in case and still have not got it. She had not had an emergency yet but she had vomited with hives several times because of peanuts
 
I have so many questions!....

How's everyone feeling about Obamacare? Is it going to be a similar system to our NHS, can you opt out of it?

Anyone now not backing Obama because of it? I read a few blogs on Facebook of US ladies, I've always assumed he was fairly popular but now I'm not sure. Good old Facebook for opinions!
And reading into some Facebook pages about needing to fundraise for health care (Christian Buchanan for example) if you have insurance why would you need to fund raise?
 
It is really called Affordable care Act.I don't know why people keep calling it obamacare. I do not really have a problem with it.

and No it is nothing like NHS. It just require people to have health insurance just as we are required to have car insurance and if you can not afford it, you can turn government assisted insurance (medicaid or medicare and many other option).

now, my husband does have to pay higher insurance rate (through his work) for less coverage. They may blame it on ACA, but I think they are just being a a $$
 
And reading into some Facebook pages about needing to fundraise for health care (Christian Buchanan for example) if you have insurance why would you need to fund raise?

probably because insurance will not cover everything. My insurance will cover 80% here and there (i always feel it is because they think will be
A good thing in the long term..like preventive care) and 30% there (draining too much of their money, I suppose)
 
I think the NHS is amazing. I have a few chronic conditions I know than my monthly prescription cost to the NHS is just over £400. Which I pay £0 even if I did not qualify for free prescriptions the maximum cost to me would be £120 a year!

I see my GP at least twice a month for my chronic conditions, mainly just a chat and to keep up to date with where I am. Im going to a counsellor for pain management this afternoon yet again at no cost.

I have at one point had 9 consultants in various specialist in one year. There is no way I can see how I would afford that in the US.

MY health is pretty poor, and deteriorating and will continue to do so. But as for treatments and managing my issues at least I dont have to worry over the cost of it to my family.
 
I have had very good experiences of the NHS. I've never had to wait for an important GP appointment, if I've really needed to be seen they've fitted me in (I've been at 5 different GP surgeries). I have physio, I see consultant, go to pain clinic and sometimes see a cardiac team and go for breathing reviews, all with different specialists, and I feel so grateful that no matter what happens to me financially I will be able to use those services. I've read about people in the US who had to stop treatment for cancer because their insurance cut out after a certain amount of $ and they had reached that limit. I'm not sure if that is true (although I'd like to think people wouldn't lie about something like that!) but I can't imagine knowing that that could happen to someone I love!
 
I have known people in the US who have died because they couldn't afford to go to the doctor when they first noticed a problem. The problem got worse and couldn't be cured by the time they realised they HAD to find the money for the doctor. That wouldn't happen in the UK (not for financial reasons anyway, there may be other reasons people would choose not to see the doctor but I imagine that's the same wherever you are). I've also known people lose their cars, homes, savings for their kids' education because they needed to pay to stay alive. That doesn't happen here either.

I've also known (well insured) people in the US who were receiving treatments as part of medical trials that just wouldn't exist in the UK because the illness is so unusual that we don't spare the money for the trials or treatments that aren't proven and approved.

So I think it works both ways. People die in the US because they don't have access to basic healthcare. People die in the UK because they don't have access to the same kind of experimental treatments.

I do know that the US pays more per person for healthcare than in the UK though, but you still don't have basic healthcare for all. You pay thousands more for the same drugs because nobody can bargain to keep the drug companies' prices down (the NHS has buying power!). Seems wrong to me. I'd take the UK system any day, despite its limitations.
 
I definitely appreciate the NHS, I've not got any health problems but my daughter had Congenital Hypothyroidism. She was born emcs, with a large neck goitre, into nicu for 5 days and special care for 5 days. All the while I was being cared for post section. She was referred to a cardiologist and endocrinologist and had a barrage of tests and scans.
Now she is perfect, she takes her tablet and sees the specialists every 3/6 months. I don't know how much the would have cost me in the US! Even expecting my son, who might have had the same condition I had lots of tests and scans, again all of which were just taken care of.
I know there is a lot of reform needed within the NHS and it has it's problems, but personally I cannot fault the level of care my family have (and still do) receive.
 
My sister is a good example of how the US heathcare system is incredibly flawed. She and my brother-in-law own their own business, therefore they pay for an individual insurance plan for the family instead of having the typical group plan provided through an employer. Until the Affordable Care Act was passed (originally called Obamacare by those who opposed it and intended to have a negative connotation) insurance companies were able to deny "pre-existing condition" coverage to those purchasing individual plans, however were not allowed to deny coverage for the same reason if the insurance plan was provided through a group plan. Lol confusing, right? Basically if you work for someone else you get coverage without them reviewing your medical history in most cases, however if you are buying your own insurance as a business owner they nitpick as much as they can.
In my sister's case, she had the misfortune of being diagnosed with a tumor on her pituitary gland in 2005. Although it was treated and there are no lingering effects, she has been denied coverage by every company because of it. Last year, she was having abdominal pain and paid to go to the doctor to be seen (a few hundred dollars just to walk through the door). After numerous tests and an MRI (costing her an additional 3 thousand dollars), they found that she had multiple masses on her liver. She now faces AT LEAST $6000 a year in charges for routine MRIs to monitor the growth of the masses, along with God knows how much in lab fees, appointment fees, etc. She has explored holistic treatment alternatives, and is naturally hesitant to visit the doctor when the pain flares up due to the mounting costs acquired for simple visits. At 29 years old and a mother to three girls under the age of 8, her only fear should be ensuring that she is healthy enough to see them grow up. Instead, she worries day to day that her liver issues will eventually lead to bankruptcy and the loss of everything they have worked so hard for. She is thankful for the roof over their head, because she doesn't know that it will always be there. She is forced to chose between her health and the well being of her family, a choice no one should have to make.
For her and those like her, the system prior to the ACA was a dismal failure. Their family makes too much for her to qualify for state health insurance, and private insurance wants nothing to do with her. Many of the opponents of the ACA are the same who sing the praises of capitalism and promote entrepreneurship as the true "American Dream". Yet for my sister and her family, chasing that dream creates a whole new nightmare. While people are busy assuming that those without insurance are lazy and unemployed degenerates, millions of good people like my sister quietly slip through the cracks. It's disgusting.
 
I think the NHS is fantastic And think we are lucky to have it. Yes there are issues that need addressing but I've always hD fantastic care when needed
 
Not to mention that I received a bill two weeks ago for $4,000, billed to my 8 week old son. They accidentally failed to bill our insurance for his $1,400 room charge (for 24 hours, to accompany the $1,400 room charge they also billed for me for the same room), as well as an additional $3,600 in "supply fees" for his circumcision, a pack of diapers, and the samples of baby wash they provided us. My son was literally born with his own medical debt.
 
My sister is a good example of how the US heathcare system is incredibly flawed. She and my brother-in-law own their own business, therefore they pay for an individual insurance plan for the family instead of having the typical group plan provided through an employer. Until the Affordable Care Act was passed (originally called Obamacare by those who opposed it and intended to have a negative connotation) insurance companies were able to deny "pre-existing condition" coverage to those purchasing individual plans, however were not allowed to deny coverage for the same reason if the insurance plan was provided through a group plan. Lol confusing, right? Basically if you work for someone else you get coverage without them reviewing your medical history in most cases, however if you are buying your own insurance as a business owner they nitpick as much as they can.
In my sister's case, she had the misfortune of being diagnosed with a tumor on her pituitary gland in 2005. Although it was treated and there are no lingering effects, she has been denied coverage by every company because of it. Last year, she was having abdominal pain and paid to go to the doctor to be seen (a few hundred dollars just to walk through the door). After numerous tests and an MRI (costing her an additional 3 thousand dollars), they found that she had multiple masses on her liver. She now faces AT LEAST $6000 a year in charges for routine MRIs to monitor the growth of the masses, along with God knows how much in lab fees, appointment fees, etc. She has explored holistic treatment alternatives, and is naturally hesitant to visit the doctor when the pain flares up due to the mounting costs acquired for simple visits. At 29 years old and a mother to three girls under the age of 8, her only fear should be ensuring that she is healthy enough to see them grow up. Instead, she worries day to day that her liver issues will eventually lead to bankruptcy and the loss of everything they have worked so hard for. She is thankful for the roof over their head, because she doesn't know that it will always be there. She is forced to chose between her health and the well being of her family, a choice no one should have to make.
For her and those like her, the system prior to the ACA was a dismal failure. Their family makes too much for her to qualify for state health insurance, and private insurance wants nothing to do with her. Many of the opponents of the ACA are the same who sing the praises of capitalism and encourage entrepreneurship as the true "American Dream". Yet for my sister and her family, chasing that dream creates a whole new nightmare. While people are busy assuming that those without insurance are lazy and unemployed degenerates, millions of good people like my sister quietly slip through the cracks. It's disgusting.

This is awful :(. It's so sad that your sister has the massive finicial worry on top of the obvious health worries :(. Sending positive health wishes her way!
 
I think the NHS is fantastic, when I was a child up till my early 20's I had to go quite often for my asthma, without NHS my family could not of afforded it, I appreciate the care I got with this pregnancy and my last. They were fairly quick with referral for my daughters lactose intolerance and I have been able to get treatment for hyperemesis. My poor aunt in America is really struggling in affording to go to drs and get medication for asthma
 

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