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I've lived in India, UK and USA for atleast 5 years in each. I would take USA in a heartbeat if I can have good insurance You are getting cutting edge care in

I've lived in India, UK and USA for atleast 5 years in each. I would take USA in a heartbeat if I can have good insurance You are getting cutting edge care in USA. For example, My father has prostate cancer and latest NCNN guidelines recommend 'triplet therapy' [1] at diagnosis and is the standard in USA. But in UK they you only get chemo and ADT via NHS. They also have major delays (years) in getting latest medical innovations, eg: Daraloutamide isn't available via NHS for PC so you are out of luck if you cannot tolerate the only available option there ( enzalutamide). I personally know family in UK who have Cardiovascular events on Enzalutamide but can't access Darolutamide because it isn't available via NHS. There are also a wider variety of clinical trail options in USA compared to UK when you run out of SOC options. you can check here https://clinicaltrials.gov/ https://clinicaltrials.gov/ to see which country has the most research going on when you get to that stage. I urge you to do major research your options because its literally life and death. Seek out experts who can make this decision for you based on available options. Imagine losing years of your life because you made a country decision based on generic internet comments :/ . 1. https://www.frontiersin.org/articles/10.3389/fphar.2022.955925/full https://www.frontiersin.org/articles/10.3389/fphar.2022.9559...

deleted 4y ago
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jacquesm 4y ago
I'm in NL and absolutely not concerned about the quality of health care here or what it will cost. Insurance here is very good and reasonably affordable.
- mythhouse 4y ago
  For sure. PC runs in my family and I have somewhat of A/B test due to this based on family members living in different parts of the world. I had family travel to india recently to get provenge ( after exhausting all other SOC options ) because NHS said its too expensive https://www.ajmc.com/view/nice-rejects-provenge-says-treatment-is-not-cost-effective https://www.ajmc.com/view/nice-rejects-provenge-says-treatme... It was apparently available under some clinical trial but that trial wasn't recruiting at that point.
  - prottog 4y ago
    > triplet therapy example in my comment isn't still approved in NZ yet I think the GP meant NL as in the Netherlands.
    - mythhouse 4y ago
      Ah, thank you for the correction. I removed that part of my comment.
bane 4y ago
My personal experiences aside, one of the biggest problems with healthcare in the U.S. is that you do need insurance to get it. Otherwise the absolutely unreal cost for even the most basic interactions will bankrupt virtually anybody quickly. It turns out the times when people need healthcare the most is when they're the sickest, which is when they're least likely to be able to hold a job down, which is what most good insurances are tied to.
- Falkon1313 4y ago
  Yep. You can get all the insurance you want when you don't need it. But when you get sick and do need it, then you'll likely lose it. And that's still better than it used to be. As long as you're not too sick to work, you might still be able to get something now. Pre-existing conditions used to just be a death sentence.
decafninja 4y ago
It’s not just cost though. Thanks to my employer, my wife and I have amazing insurance in the US that covers a ton. However even so, she chooses to fly back to Korea for healthcare. I didn’t understand it at first, but then I witnessed the Korean healthcare system in action and I’m an convert now. Here in the US, you get sent to many different places for every procedure ranging from the initial doctor consult to getting blood drawn to getting an X-ray etc.ep etc., all punctuated by waiting. In Korea, she went to one doctor and everything was handled on the same day in by the same doctor, or at least within the same building. A process that would take weeks or even months in the American system might take a few days or a week or two in Korea.
- bane 4y ago
  My wife is Korean as well and every time something medical comes up we immediately start considering it as an option. I've also personally been through the system once and found it really great. It's not for everybody though, it can be a bit impersonal somewhat due to its hyper-efficiencies, but for me I found that just fine.

deleted 4y ago

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jacquesm 4y ago

I'm in NL and absolutely not concerned about the quality of health care here or what it will cost. Insurance here is very good and reasonably affordable.

mythhouse 4y ago
For sure. PC runs in my family and I have somewhat of A/B test due to this based on family members living in different parts of the world. I had family travel to india recently to get provenge ( after exhausting all other SOC options ) because NHS said its too expensive https://www.ajmc.com/view/nice-rejects-provenge-says-treatment-is-not-cost-effective https://www.ajmc.com/view/nice-rejects-provenge-says-treatme... It was apparently available under some clinical trial but that trial wasn't recruiting at that point.
- prottog 4y ago
  > triplet therapy example in my comment isn't still approved in NZ yet I think the GP meant NL as in the Netherlands.
  - mythhouse 4y ago
    Ah, thank you for the correction. I removed that part of my comment.

bane 4y ago

My personal experiences aside, one of the biggest problems with healthcare in the U.S. is that you do need insurance to get it. Otherwise the absolutely unreal cost for even the most basic interactions will bankrupt virtually anybody quickly. It turns out the times when people need healthcare the most is when they're the sickest, which is when they're least likely to be able to hold a job down, which is what most good insurances are tied to.

Falkon1313 4y ago
Yep. You can get all the insurance you want when you don't need it. But when you get sick and do need it, then you'll likely lose it. And that's still better than it used to be. As long as you're not too sick to work, you might still be able to get something now. Pre-existing conditions used to just be a death sentence.

decafninja 4y ago

It’s not just cost though. Thanks to my employer, my wife and I have amazing insurance in the US that covers a ton. However even so, she chooses to fly back to Korea for healthcare. I didn’t understand it at first, but then I witnessed the Korean healthcare system in action and I’m an convert now. Here in the US, you get sent to many different places for every procedure ranging from the initial doctor consult to getting blood drawn to getting an X-ray etc.ep etc., all punctuated by waiting. In Korea, she went to one doctor and everything was handled on the same day in by the same doctor, or at least within the same building. A process that would take weeks or even months in the American system might take a few days or a week or two in Korea.

bane 4y ago
My wife is Korean as well and every time something medical comes up we immediately start considering it as an option. I've also personally been through the system once and found it really great. It's not for everybody though, it can be a bit impersonal somewhat due to its hyper-efficiencies, but for me I found that just fine.