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You have fallen for propaganda. I recently moved to Ireland (an EU country). When I wanted to get set up with a new GP, I was offered an appointment the same

by danaris 13d ago

You have fallen for propaganda. I recently moved to Ireland (an EU country). When I wanted to get set up with a new GP, I was offered an appointment the same week. I wasn't ready to actually go in yet, so I asked for one the following week. My wife needed some specialty care, and when we made the appointment they were very apologetic that they could't give us an appointment until 2.5 weeks later. (For a non-emergency consult, preparatory to a specialty surgery.) Meanwhile, in the US, when we tried to make GP appointments, they were routinely not available until 6-8 weeks later. And that's if it was even possible; we had 2 GPs just leave the area over the course of a few years, and in both cases we were left to find our own replacements, despite the fact that both were part of larger medical practices with at least a half-dozen GPs each (plus others).

notpushkin 12d ago
I’m going by my own experience (Estonia) and stories by my friends (mostly Germany, the Netherlands, and the UK). Glad to hear it’s better in Ireland! I’ve also heard some good things about Poland. *** From my experience in Estonia, any specialty care routinely has month+ waiting list. One example: I was trying to get diagnosed for ADHD, and a couple clinics were ready to make an appointment for me... where I could take the test, then wait a couple months until the actual psychiatrist can see me. Then there’s dental care. I’ve had a chat with a nice girl who had, like, really bad teeth problems. Asked why she doesn’t get it fixed, and sure enough it’s nearly impossible to get an appointment on state insurance, and paying out of pocket was way too expensive for her. (We’ve joked about getting her a Russian visa so she could just go to St. Petersburg like I’ve been doing for my dental problems; of course, that was before the full-blown Russo-Ukrainian war.) GP and emergency care are great. One night out I’ve twisted an ankle, decided it was not a big deal, so I got home, and woke up in the morning barely able to walk. Took an Uber, got to the nearest emergency room and got an x-ray and everything in maybe a couple hours. I haven’t been on the insurance plan at the moment, so at first I was quoted around 400 €, but after some back-and-forth I’ve learned that for same day accidents the rate is lower. Told them it was at 1am, so the final price was 5 € :-) *** I don’t doubt it’s way worse in the US (never been!) My point is rather that regulation doesn’t really help here. We need to make incentives to have more affordable options, and make it easier to get to the market. I’m now seeing a psychiatrist in Thailand for around $45 a session, and sure, everything is cheaper in Thailand, but the best part is I never have to wait more than a week to get a slot, and it’s all online. The most difficult part for me is going to Thailand every couple of months to pick up the meds.

by danaris 13d ago

notpushkin 12d ago

I’m going by my own experience (Estonia) and stories by my friends (mostly Germany, the Netherlands, and the UK). Glad to hear it’s better in Ireland! I’ve also heard some good things about Poland. *** From my experience in Estonia, any specialty care routinely has month+ waiting list. One example: I was trying to get diagnosed for ADHD, and a couple clinics were ready to make an appointment for me... where I could take the test, then wait a couple months until the actual psychiatrist can see me. Then there’s dental care. I’ve had a chat with a nice girl who had, like, really bad teeth problems. Asked why she doesn’t get it fixed, and sure enough it’s nearly impossible to get an appointment on state insurance, and paying out of pocket was way too expensive for her. (We’ve joked about getting her a Russian visa so she could just go to St. Petersburg like I’ve been doing for my dental problems; of course, that was before the full-blown Russo-Ukrainian war.) GP and emergency care are great. One night out I’ve twisted an ankle, decided it was not a big deal, so I got home, and woke up in the morning barely able to walk. Took an Uber, got to the nearest emergency room and got an x-ray and everything in maybe a couple hours. I haven’t been on the insurance plan at the moment, so at first I was quoted around 400 €, but after some back-and-forth I’ve learned that for same day accidents the rate is lower. Told them it was at 1am, so the final price was 5 € :-) *** I don’t doubt it’s way worse in the US (never been!) My point is rather that regulation doesn’t really help here. We need to make incentives to have more affordable options, and make it easier to get to the market. I’m now seeing a psychiatrist in Thailand for around $45 a session, and sure, everything is cheaper in Thailand, but the best part is I never have to wait more than a week to get a slot, and it’s all online. The most difficult part for me is going to Thailand every couple of months to pick up the meds.