I actually like the health system in Australia.
Though nice in theory, the data speaks otherwise and a two-tiered healthcare system increases wait times and cost - Australia is a case example of this.
www.ncbi.nlm.nih.gov
Still an upgrade for the US.Though nice in theory, the data speaks otherwise and a two-tiered healthcare system increases wait times and cost - Australia is a case example of this.
A short article below.
"It is even sometimes perversely argued that if the wealthy pay for access outside the public health system, that reduces demand for public care, freeing up space for others and, hey presto, magically everyone benefits from the increase in inequality. The Australian experience is that this magic does not work."
Commentary: The Consequences of Private Involvement in Healthcare – The Australian Experience
The Cambie proposition is the American individualistic one: If I can afford to pay for quick access to care, then that should be my right. It denies any concept of universalism, of the common good or that your rights might adversely impact my rights and ...
Carmody v. New York University et al (1:21-cv-08186), New York Southern District Court
Carmody v. New York University et al (1:21-cv-08186), New York Southern District Court, Filed: 10/04/2021www.pacermonitor.com
For those without access, the actual complaint is also available from this Twitter feed (click to read the feed, then you'll see it stored in Dropbox):
nyunews.com
nyunews.com
I can tell you that the descriptions in the article are true. Nyu epic shows at the top the patient's status "friend of the hospital (board of trustees)" or similar. Vip care is real. I believe it is unlikely that people who made it into one of the most competitive residencies at a time when interest in emergency medicine was at an all time high are unhireable by their own institution.
It hasn't been that long since nyu was fighting with its residents over hazard pay when the hospitals were literally overflowing with Covid patients. NYU Leadership Gaslights Residents Over Hazard Pay
Hospital went on a huge blitz against it.
Letter to the Editor: “NYU Must Compensate Its Medical Workers Fairly” - Washington Square News
It is deeply disappointing that an “opinion piece” by one of your own editors was allowed to publish despite numerous factual inaccuracies. Of greatest concern is that the piece makes erroneous and unsubstantiated claims that were not fact checked with reliable sources. Most disturbing are...
They even went after a college student who wrote about the nyu residents
Statement From Washington Square News - Washington Square News
WSN has retracted an article, “NYU Must Compensate Its Medical Workers Fairly,” which was published by our Opinion Desk on April 17, 2020 and has received a substantial response from the community. I would like to take this opportunity to address some of the criticism the piece has faced as well...
What a ridiculous argument, it's not like cataracts pop up overnight and cause sudden blindness. Come back w/ an example of delays for actual time dependent conditions.
I've always thought it's unfair to compare "health outcomes" in order to support single payer. America is the fattest, unhealthiest country on the planet. Legalization of marijuana is already leading to worse psychiatric outcomes and likely other issues related to chronic smoke inhalation.
Agreed; there are a lot of issues w/ single-payor or gov't controlled care, but... I can't count the number of patients who I've seen in the past 1-2mo waiting 4-6mo just to get an appointment with a specialist (GI, Derm, Pulm) for CLEAR pathology who come to me out of frustration, worsening symptoms, fear, etc. This is in a state with rather excellent access to medicaid, and almost all of these patients are insured.
Health outcome is a metric full of junk data in. People harp on how bad the US outcome is, which is true in almost all metrics compared to say Japan, BUT they don't realize the terrible input.
I believe Mass is the closest to universal healthcare we have and talking to a relative during Xmas they love it b.c everything is paid for and they understand it is at the costs of higher taxes. What does not bother them is waiting months to see a specialists or even their PCP. Screw that, give me what we have where I can go to see my PCP or UC/ER even if I have to pay more. I work hard to make alot of money, and will pay more just to see a doc asap just like everything else in life. I pay more to get a plumber to come at midnight.
Anecdotally I live in a large city in a non-expansion state but I was pleasantly surprised to discover that if you want a Derm appointment you can schedule one for next week (supposedly with the MD and not their PA).
Absolutely. I don't apologize that due to my hard work, high income that allows me to have better access to healthcare. No different than I can stay at 5 star hotels rather than motel 6. Be honest with yourself, you and most everyone would do the same. Order that Pizza to be delivered and you essentially are tainted by some wealth.
I will not argue who has the best healthcare as it becomes a circular argument with different subjective metrics. I would say that I would not trade our healthcare for any other country in the world even if it is the most expensive. So yes, from my POV, we have the best system.
I too live in a non expansion state and I can make an appt with a Cardiologist, plastic surgeon, dermatologist in 1 week and get a nonemergent MRI in 2-3 dys.
If you know how to navigate the system, it's not unreasonable to find a specialist appointment within 2 weeks, and outpatient imaging in 1 week (just going through this the first time myself). Many patients can't or won't put in the effort to make the necessary calls and do the research to get taken care of in a timely manner.
I see your point, but Canada aligns pretty well with the US in demographics/culture/food. So, while any comparison is going to have these challenges, it's hard to find a better comparator to the US than Canada.
That college student thing is insane. The letter written by the csuite to the student newspaper reads like a deranged egomaniacal tweet. But the craziest part is the brigading in the comment section by dozens of hospital admins of various stripes (lots of mds), all of whom formally sign their names and titles. There's are dozens there. They were clearly told to go comment on this article by NYU.... Wtf?I can tell you that the descriptions in the article are true. Nyu epic shows at the top the patient's status "friend of the hospital (board of trustees)" or similar. Vip care is real. I believe it is unlikely that people who made it into one of the most competitive residencies at a time when interest in emergency medicine was at an all time high are unhireable by their own institution.
It hasn't been that long since nyu was fighting with its residents over hazard pay when the hospitals were literally overflowing with Covid patients. NYU Leadership Gaslights Residents Over Hazard Pay
Hospital went on a huge blitz against it.
Letter to the Editor: “NYU Must Compensate Its Medical Workers Fairly” - Washington Square News
It is deeply disappointing that an “opinion piece” by one of your own editors was allowed to publish despite numerous factual inaccuracies. Of greatest concern is that the piece makes erroneous and unsubstantiated claims that were not fact checked with reliable sources. Most disturbing are...
They even went after a college student who wrote about the nyu residents
Statement From Washington Square News - Washington Square News
WSN has retracted an article, “NYU Must Compensate Its Medical Workers Fairly,” which was published by our Opinion Desk on April 17, 2020 and has received a substantial response from the community. I would like to take this opportunity to address some of the criticism the piece has faced as well...
I did not even have to make a phone call, there was an online scheduler. It took a similar level of effort to scheduling a hair cut tbh, and was definitely less complicated than ordering tickets to a baseball game.
As others have pointed out, you confuse obtaining an MRI in 2-3 days as “better” healthcare, and now you confuse healthcare as a commodity such as purchasing your choice of hotels to stay in. A lack of access to healthcare has deadly consequences while choosing a hotel is irrelevant. A more apt comparison would be healthcare to safety. Why does the government spend money on police, firefighters etc? Society has a vested interest in the health of its citizens - sick individuals will lead to a sick society.
Can we separate obesity from healthcare outcomes? Maybe we should focus spending money on shutting down McDonalds at every corner
Not as such.I see your point, but Canada aligns pretty well with the US in demographics/culture/food. So, while any comparison is going to have these challenges, it's hard to find a better comparator to the US than Canada.
Now, if you want to say comparisons should never be drawn...then you need to scroll up in this thread and correct a few other posters
Do y’all not have a legion of lawyers ready to sue for financial gain? I think they are the real barrier to meaningful reform in the US because they have the most to lose from it. Then again it’s supposedly harder to sue a VA physician (government employed) so maybe it is just like that across the pond for every physician.
I live in the US and have since as a teenager; however, the way things are going I would rather retire or move back to Europe sooner than later
Outcomes vary based on baseline health. Reality is Americans are fat, smoking drinking and use lots of drugs. We are sedentary. Outcomes need to control for baseline health.
An argument could be made that because Canadian healthcare is "free", Canadians are more likely to see a primary care physician regularly, which in itself influences the rates of obesity, smoking, and addiction.
Most annual visits in the US are also free. The system sucks though and frankly we are entitled so many don’t show up. I would also say I don’t think physicians influence obesity, smoking or addiction. People have to want to change. A doctor talking to someone about it imo has nearly no influence.
You are mistaken. I never said an MRI in 2-3 dys is better healthcare but if your doctor wants to order an MRI and it takes 2 dys vs 12 months, then yes that is better healthcare. If you disagree, then next time you need to see a doctor or get labs/imaging, then just make an appt for 12 months.
Does it cover 360 million people who are a heterogeneous population and all the immigrants too?
Nothing would help the community more than shutting down a hospital….
Australia has 26 million people.
An aspect of the Australia system that I like is how Medicare there works. For each CPT code (or their version of it), Medicare pays $X. You can charge above that rate and bill the patients for the difference.
There’s enough hospitals in nyc to take care of the difference - and I’m sure the typical NYU langone patient won’t have any issues. They dump the people who actually need help on other hospitals anyway. Other hospitals would probably be more than fine taking more higher paying patients. This is Manhattan, not rural Iowa critical access hospital.
Yeah, I think most Americans really don't realize how different Canadians are health-wise despite an overall similar culture.
Manhattan absolutely is not underserved. In the 5 mile stretch up and down the east side there are literally 4 quartenary care hospitals, including two Level 1 trauma centers.
