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All healthcare systems have their faults. It isn't like folks never wait for care in the US: Some folks wait months for a neurologist, for example, mostly becas
by Broken_Hippo 10y ago
All healthcare systems have their faults. It isn't like folks never wait for care in the US: Some folks wait months for a neurologist, for example, mostly becasue they are booked up.
I'm in Norway. There is public health care. Sometimes there is a wait, sometimes not. You have the option to pay for private care, if you want. But I'm never going to have to worry about not being able to afford care. This alone makes a huge lifestyle change. Not just for me: But for children and lots of other folks as well.
In addition, some caveats of care are much better here. You can choose the cheaper but better outcomed care option. For example, they send a nurse out to someone's house up to 6 times a day before someone is eligible for a nursing home. Even if you live in a secluded spot on a mountain or island. Why? It is cheaper and folks tend to live longer this way.
- maxerickson 10y agoHome health is a significant practice in the US. I can't give a pithy summary of it, but Medicare pays for it in many situations where a nursing home is not medically necessary. https://www.medicare.gov/coverage/home-health-services.html https://www.medicare.gov/coverage/home-health-services.html
- Broken_Hippo 10y agofrom the link: You're not eligible for the home health benefit if you need more than part-time or "intermittent" skilled nursing care. Now, the mouse over says that 'part time or intermittent' means less than 7 days each week or less than 8 hours each day over a period of 21 days or less - unless you have special circumstances. In other words, sure, as long as it is temporary.In addition, you have to be homebound, only leaving for short, infrequent things for medical care, religious services, and the like. I'm not even sure most folks know that stuff exists judging by how many people take care of their elderly parents. Perhaps it is much like disability and they turn down a lot of people? Here it isn't a short term situation. You get a nurse for up to 6 visits a day, even if you need all 6 visits every day for 10 years. In fact, you aren't eligible for a nursing home unless your needs exceed this. It isn't so much if you are homebound, but that you need the medical care (though you might be mostly homebound with that).
- maxerickson 10y agoPerhaps it is much like disability and they turn down a lot of people? Reimbursement for a stay in a nursing home would also be subject to a doctor deeming it necessary (and also whatever rules Medicare has about it), home care is just a lower level of care in that sense. I wasn't really trying to compare the programs, I just saw the possibility in your comment that were not very aware of it in the US.
- Broken_Hippo 10y agoI probably compare out of habit. I'm American and am immigrant here in Norway - I note differences, and the stuff that is similar isn't so noteworthy. Neither system is perfect. Reimbursement for the nursing homes... admittedly, most of what I know about payment for american nursing homes is probably rumor, "friend of a friend lost had to sell the house for the nursing home payment" sort of thing. Didn't pay much attention, then was taught the cost in class here in Norway.
- maxerickson 10y agoYeah, coverage is limited. There are a wide variety of long term care options that can easily run into thousands per month, so someone with a fixed income that won't cover that will end up selling assets until they qualify for Medicaid.