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I'm an American who has lived in Switzerland. I don't wish to start a debate, but instead to mention that from my limited experience European and American syste
by peyton 10y ago
I'm an American who has lived in Switzerland. I don't wish to start a debate, but instead to mention that from my limited experience European and American systems have a different definition of "unlimited," and in online discussions this definitional difference seems to result in people talking past each other.
The limits in many European systems appear to be on self-determination. There are real barriers in some circumstances to getting second and third and fourth opinions, additional tests, treatment for infants born premature before a certain week, novel and unproven procedures, etc.
I don't know which healthcare model is preferable. It appears to me the US and European models grew under different historical circumstances and have different failure modes.
Again, not trying to spark debate. Just contributing a personal perspective having lived on both sides.
- vertex-four 10y agoNote that in at least the UK, you can buy private coverage on top of your NHS coverage. You can access the NHS no matter what, for only your tax money - but you can also use whatever private provider you like. It's not particularly uncommon as a benefit.
- arethuza 10y agoOf course, worth noting that while you can opt out of using the NHS you can't opt out of paying for it. Which I'm personally OK with - especially as for many things private healthcare providers rely on the NHS (e.g. the consultant who treats you at a private hospital almost certainly has a "day job" at the NHS as was trained there).
- pjc50 10y ago.. and in general private providers deal with the complicated uneconomic problematic cases by punting them back to the NHS. The state system is "insurer of last resort", insuring you against the failures of the private insurance system. I'm OK with it too (in fact have used it since my previous employer offered insurance, so why not) as long as people understand that it's a convenience for people for whom time is more important than money and who want to get prompt treatment for things that are important enough to stop you working but not enough to kill you.
- arethuza 10y agoMy teenage son had his tonsils taken out a couple of years back at a private UK hospital (under my work coverage) and after the operation the anesthetist came up to me and apologized and said there was an extra cost that (for some reason) wasn't covered under my insurance. Having heard all of the horror stories from the US I was quite worried until he eventually told me how much I had to pay extra - pretty sure it was £4.20. :-)
- toomuchtodo 10y agoAmazing. That's less than the meal I just ate in the cafeteria at the hospital (Chicago suburbs) where I'm waiting for my daughter to be born; for her birth, I was told my cost will be somewhere between $3k-$7k, but I won't know until the hospital has settled up with our insurance company.
- pjc50 10y agoBeing charged to give birth is one of the things I find most incomprehensible about the US system :(
- arethuza 10y agoWell, that was a small additional charge. Not what the insurance cost - which I got through my previous job so not sure what it cost (NB I did pay tax on it, but wasn't a huge amount).
- toomuchtodo 10y agoFor a reference point, our health insurance costs $650/month. Wife is on a PPO plan, I'm on a high deductible plan (out of pocket for any costs until I've spent $6000 in a year).
- vertex-four 10y agoAlso, if you ever have an emergency, you're being treated by an NHS ambulance crew and taken to an NHS hospital.