4 ms·

the UK healthcare system isn't so great either. It's good enough for a safety net (mostly... the wait times are horrendous for non-emergency work, and I know a

the UK healthcare system isn't so great either. It's good enough for a safety net (mostly... the wait times are horrendous for non-emergency work, and I know a guy whose collarbone pokes out at a right angle because his doctor wouldn't fix the break), but if you have a chronic condition that isn't one of the handful of really common ones that all doctors know about (like IBS) then you're mostly on your own unless you go private.

atdrummond 6y ago
My experience with the NHS has been overall quite good, despite having an exceptionally severe presentation of Crohns and an aggressive leukemia. I’ve never been in a case where I have had to wait an exorbitant amount of time for either acute or routine care. This is across multiple cities and countries in the NHS. I likewise had some of the best American specialists in GI and oncology. I also ended up with six figures in medical debt despite having incredible insurance and a great job. I also experienced excruciating wait times at emergency rooms that dwarfed anything I’ve encountered at the A&E in the UK. The NHS obviously has massive scope for improvement and isn’t even the healthcare system I have felt the most secure in (that was the Swiss) but I am confident that the NHS is almost certainly better for the average Brit than the US medical system is for the average American.
- beaconstudios 6y ago
  I couldn't speak to the US healthcare system, but from what I've heard it's probably much worse for usual medical needs. I'm glad you've had a better experience with the NHS than I have; my wife has a chronic condition and has had a pretty bad time in the NHS - she hates going to the doctors now from how many times she's been called a liar or accused of just trying to feed a painkiller addiction (despite not actually asking for painkillers). All because many doctors seemingly struggle to admit that they don't know what's wrong. I just bring this up because I think (and I could be wrong) that some people see socialised healthcare as a panacea but my experience with it is that it's actually very inconsistent and regularly lets people down (not just my wife, a good few others that I know as well). I still wouldn't choose the US system over the NHS though, not by a long shot.
  - lostlogin 6y ago
    > some people see socialised healthcare as a panacea Do they? Every socialised healthcare system is crying out for money and is in need of help. I don’t think I’ve ever seen anyone claim one is perfect.
    - beaconstudios 6y ago
      I'm very open to the possibility that my experience has negatively biased my perspective on socialised medicine such that I interpret relative (to the US) praise as absolute praise - "socialised medicine is good" versus "socialised medicine is better than the current US system". I take no issue with the latter statement, only the former.
      - elyobo 6y ago
        I'd take no exception to either, but would object to "socialised medicine is perfect" if applied to any system that I'm aware of.
- makomk 6y ago
  Cancer treatment is a really high priority for the NHS these days, I think in part because it was an area where there used to be major issues and people died as a result. There are some really aggressive treatment targets for that handed down from on high and woe betide anyone who falls badly behind on them. Where it usually falls down is chronic and non-urgent conditions - stuff where patients won't necessarily die if not treated immediately, but might suffer long-term harm, maybe even lose a limb or their eyesight, or which seriously impact their ability to take part in normal activities whilst they're left untreated.
CraigJPerry 6y ago
>> because his doctor wouldn't fix the break That sounds really weird. Why would a UK doctor not fix a break? I’m guessing there was a medical reason rather than anything to do with the NHS or quality of care?
- beaconstudios 6y ago
  there wasn't a medical reason - if I remember correctly, the doctor said that if it wasn't causing any medical issues then there was no need to fix it. I've had other NHS experiences that make this not particularly surprising.
  - jjk166 6y ago
    This is typical in the US as well. Last year my girlfriend broke her nose and they said they just let it heal nowadays because it'll probably be fine on its own and they can deal with it later on the off chance it heals improperly.
libraryatnight 6y ago
When I did a month summer education program in Cambridge another student on the trip needed a doctor. The experience was pleasant. What you described sounds like an experience you could just as easily have in the US with one of our many sub-par medical professionals that can't do anything but prescribe antibiotics. Bad doctors will exist no matter the system. Oh, and granted it was just the one experience, but the wait time seemed on par with an urgent care here in the US.

atdrummond 6y ago

My experience with the NHS has been overall quite good, despite having an exceptionally severe presentation of Crohns and an aggressive leukemia. I’ve never been in a case where I have had to wait an exorbitant amount of time for either acute or routine care. This is across multiple cities and countries in the NHS. I likewise had some of the best American specialists in GI and oncology. I also ended up with six figures in medical debt despite having incredible insurance and a great job. I also experienced excruciating wait times at emergency rooms that dwarfed anything I’ve encountered at the A&E in the UK. The NHS obviously has massive scope for improvement and isn’t even the healthcare system I have felt the most secure in (that was the Swiss) but I am confident that the NHS is almost certainly better for the average Brit than the US medical system is for the average American.

beaconstudios 6y ago
I couldn't speak to the US healthcare system, but from what I've heard it's probably much worse for usual medical needs. I'm glad you've had a better experience with the NHS than I have; my wife has a chronic condition and has had a pretty bad time in the NHS - she hates going to the doctors now from how many times she's been called a liar or accused of just trying to feed a painkiller addiction (despite not actually asking for painkillers). All because many doctors seemingly struggle to admit that they don't know what's wrong. I just bring this up because I think (and I could be wrong) that some people see socialised healthcare as a panacea but my experience with it is that it's actually very inconsistent and regularly lets people down (not just my wife, a good few others that I know as well). I still wouldn't choose the US system over the NHS though, not by a long shot.
- lostlogin 6y ago
  > some people see socialised healthcare as a panacea Do they? Every socialised healthcare system is crying out for money and is in need of help. I don’t think I’ve ever seen anyone claim one is perfect.
  - beaconstudios 6y ago
    I'm very open to the possibility that my experience has negatively biased my perspective on socialised medicine such that I interpret relative (to the US) praise as absolute praise - "socialised medicine is good" versus "socialised medicine is better than the current US system". I take no issue with the latter statement, only the former.
    - elyobo 6y ago
      I'd take no exception to either, but would object to "socialised medicine is perfect" if applied to any system that I'm aware of.
makomk 6y ago
Cancer treatment is a really high priority for the NHS these days, I think in part because it was an area where there used to be major issues and people died as a result. There are some really aggressive treatment targets for that handed down from on high and woe betide anyone who falls badly behind on them. Where it usually falls down is chronic and non-urgent conditions - stuff where patients won't necessarily die if not treated immediately, but might suffer long-term harm, maybe even lose a limb or their eyesight, or which seriously impact their ability to take part in normal activities whilst they're left untreated.

CraigJPerry 6y ago

>> because his doctor wouldn't fix the break That sounds really weird. Why would a UK doctor not fix a break? I’m guessing there was a medical reason rather than anything to do with the NHS or quality of care?

beaconstudios 6y ago
there wasn't a medical reason - if I remember correctly, the doctor said that if it wasn't causing any medical issues then there was no need to fix it. I've had other NHS experiences that make this not particularly surprising.
- jjk166 6y ago
  This is typical in the US as well. Last year my girlfriend broke her nose and they said they just let it heal nowadays because it'll probably be fine on its own and they can deal with it later on the off chance it heals improperly.

libraryatnight 6y ago

When I did a month summer education program in Cambridge another student on the trip needed a doctor. The experience was pleasant. What you described sounds like an experience you could just as easily have in the US with one of our many sub-par medical professionals that can't do anything but prescribe antibiotics. Bad doctors will exist no matter the system. Oh, and granted it was just the one experience, but the wait time seemed on par with an urgent care here in the US.