can someone explain or link a good site that explains how europe handles healthcare. im having a hard time finding information. is everyone insured? i hear there are long waits to see doctors unless you have $$$$
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Bobman479 said:Depends on the country really....
I know in Britian everyone is insured but there is still stratification in their health care system. I.e., if you have the money for private insurance you go to better Hospitals and see better doctors. Anyone who knows the British mindset should not be surprised at this in the least bit.
However, as you go into more socialized countries in mainland Europe, things become more normalized. Two summers ago I broke my ankle in France. I went to the hospital and they admitted me, x-rayed me, casted me, and gave me crutches... no questions asked. I will admit, I was impressed. There was no wait and the whole process was smooth. France's problems in their healthcare system does not lay in lack of couverage or poor service. That is not to say they do not have problems. I do not like their Med-school system which I consider to be MUCH easier and have a lax mentaility. Their Emergency Medicine SUCKS simply put.... Ok, every now and then they do an exciting surgery but Europe has rarely seen a Noble prize for medicine.
European medicine does have strong points but certainly it has its week points.... They manage to cover everyone, something we can not say. However, European governments pay a lot for this and as Europe starts to get older some cracks in their socialized programs will probably start to show up....
razmataz said:do you know what some of the problems are over there in britain and france? if they seem to be able to give coverage to everyone (different levels depending on $$$, but still coverage non the less) what is the difference between what they do and what we do. are our cultures that much different to where less people are injured or sick or something... maybe less gangs... i dont know.....
Bobman479 said:Depends on the country really....
Ok, every now and then they do an exciting surgery but Europe has rarely seen a Noble prize for medicine. QUOTE]
I heard some prize money comes with the Nobel Prize. whats the going rate these days?
sennp9 said:OP: Type socialized healthcare into Google and read your heart out.
The average family of 4 in Canada pays around $5,000 in taxes to cover medical expenses. So it is not really "free." Some other things are: that this system provides no incentive for doctors to specialize, or be entrepreneurial, being that they get paid similarly. The technology in clinics is, more often than not, "behind the times" since there is literally zero incentive for them to have the latest, most attractive diagnostic equipment. Hundreds of people die on waiting lists for common surgeries. Private healthcare is illegal, therefore, people who can't get medical attention quickly will come to the US to get surgery and pay out the 4$$. So on one end of the spectrum it is free, and on the other end it is so absurdly expensive that few can afford to do it. Essentially, the government monopolized healthcare, yet lose money. (all info is from things I have read on the web, thus I could be completely off the mark)
razmataz said:can someone explain or link a good site that explains how europe handles healthcare. im having a hard time finding information. is everyone insured? i hear there are long waits to see doctors unless you have $$$$
sennp9 said:(all info is from things I have read on the web, thus I could be completely off the mark)
Bobman479 said:They manage to cover everyone, something we can not say. However, European governments pay a lot for this and as Europe starts to get older some cracks in their socialized programs will probably start to show up....
sennp9 said:Hundreds of people die on waiting lists for common surgeries. Private healthcare is illegal, therefore, people who can't get medical attention quickly will come to the US to get surgery and pay out the 4$$.
Why do you think French med schools are easier? I'm reasonably familiar with both American and French med schools and from what I've seen it's just the opposite. French Med schools seem to push academic pressure to an extreme. (At least with regard to preparation for their concours and the internat.) And for the med students who also make it into either Inserm or the ENS, things get even more extreme. I know some American students strive to be in their school's Alpha Omega Alpha chapter and many schools require a thesis but if you think that's comparable with French students who do Inserm or the ENS, I think you may not be familiar with French schools.Bobman479 said:However, as you go into more socialized countries in mainland Europe, things become more normalized. Two summers ago I broke my ankle in France. I went to the hospital and they admitted me, x-rayed me, casted me, and gave me crutches... no questions asked. I will admit, I was impressed. There was no wait and the whole process was smooth. France's problems in their healthcare system does not lay in lack of couverage or poor service. That is not to say they do not have problems. I do not like their Med-school system which I consider to be MUCH easier and have a lax mentaility. Their Emergency Medicine SUCKS simply put.... Ok, every now and then they do an exciting surgery but Europe has rarely seen a Noble prize for medicine.
I think you're right but it's partly because Medicine is becoming expensive and politicians are balking at the looming size of health-care budgets. I think they should just bite the bullet and accept that it's expensive. The US now spends over 15% of its GDP on healthcare without even making an attempt at universal coverage. So politicians and civil servants in France should take a hard look at that figure and remember it the next time one of them has a fit that French healthcare spending is now approaching two thirds of that (as a percentage of its smaller GDP).Bobman479 said:European medicine does have strong points but certainly it has its week points.... They manage to cover everyone, something we can not say. However, European governments pay a lot for this and as Europe starts to get older some cracks in their socialized programs will probably start to show up....
sennp9 said:OP: Type socialized healthcare into Google and read your heart out.
The average family of 4 in Canada pays around $5,000 in taxes to cover medical expenses. So it is not really "free." Some other things are: that this system provides no incentive for doctors to specialize, or be entrepreneurial, being that they get paid similarly. The technology in clinics is, more often than not, "behind the times" since there is literally zero incentive for them to have the latest, most attractive diagnostic equipment. Hundreds of people die on waiting lists for common surgeries. Private healthcare is illegal, therefore, people who can't get medical attention quickly will come to the US to get surgery and pay out the 4$$. So on one end of the spectrum it is free, and on the other end it is so absurdly expensive that few can afford to do it. Essentially, the government monopolized healthcare, yet lose money. (all info is from things I have read on the web, thus I could be completely off the mark)
rsfarrell said:You are. Private healthcare isn't illegal in Canada, the infant mortality rate and life expectancy are higher, and waiting for critical surgeries is a myth.
What you have been reading on the web is propaganda by free-market ideolouges afraid universal healthcare will happen here.
rsfarrell said:You are. Private healthcare isn't illegal in Canada, the infant mortality rate and life expectancy are higher, and waiting for critical surgeries is a myth.
What you have been reading on the web is propaganda by free-market ideolouges afraid universal healthcare will happen here.
I have a feeling rsfarrell meant to write that Canada's infant mortality is "better" or "lower"...unless he really can't stand little babies. 😉sennp9 said:So what is the system all about then? Plz share. And, is having a higher infant mortality rate really a plus ? 😀
sennp9 said:So what is the system all about then? Plz share.
http://www.pnhp.org/facts/international_health_systems.php?page=all1.In a single-payer national health insurance system, as demonstrated by Canada, Denmark, Norway, and Sweden, health insurance is publicly administered and most physicians are in private practice.
2. Great Britain and Spain are among the OECD countries with national health services, in which salaried physicians predominate and hospitals are publicly owned and operated.
3. Highly regulated, universal, multi-payer health insurance systems are illustrated by countries like Germany and France, which have universal health insurance via sickness funds. The sickness funds pay physicians and hospitals uniform rates that are negotiated annually (also known as an all-payer system).
f_w said:Oh, the famous 'waiting lists'.
The ideologues who are so quick to point out that a patient with stable coronary artery disease might have to wait for a couple of months to get his CABG in some european country are happy to ignore the problems at home. I have seen more than one US citizen who had a monthlong delay to get a suspicious breast lesion excised because none of the local surgeons was willing to provide charity care.
Just to echo this: I've seen 2 close friends have oncologic surgeries within a week of their diagnosis here in Canada (one TAH-BSO, one mastectomy).
. Of the hundreds of docs I've worked with in Toronto and London, in academic and community settings, only 1 had opted-out. The situation is different in Quebec, with billing numbers being restricted in certain areas, etc., but in most other provinces, there aren't many physicians providing private care.asked to choose to continue within the private or public sector
Another difference is that most physicians are generalists, unlike here. Those in specialties don't get bogged down with primary care issues, because of their strict referral system for non-emergent care.Anastasis said:As for your questions:
What's the difference between what we do and what they do?
Well, their docs go to school straight out of secondary school (they do A-lvls in Bio, chem, etc. An A-level is like an AP test but much more stressful) They spend 5 yrs in med school (though this might vary, I'm not sure) they come out a bit more specialized (like if you're going into OB/GYN you have a different degree than someone who will doing general practice) - basically you're a doctor alot quicker there, for better or worse.
AndrewB said:Canadian socialized healthcare, in general, provides adequately for most people who live in urban areas. However, there is a huge doctor shortage almost everywhere, especially in the rural and Northern areas. Wait lists are long, except for critical surgeries which, in my experience, are often performed same day. Waiting for several hours to see a GP about a sinus infection is the norm. Going to emergency at the hospital at 8PM with a broken wrist means you will be there until the early morning. The severely limited and mis-managed resources of the government are often allocated specifically to keep a hospital from running itself into the ground and not for increasing elective and non-critical operating room hours and providing more beds for patients. The nurses and doctors do the best they can, but Canadian doctors are paid a set fee for every procedure they perform, and as an example, a family doctor may see 40 patients a day but he/she can only bill the medical services plan for a certain number of those because of restrictions put on their salaries. Yearly threshold caps also exist for the amount that can be billed to the government for the services provided by the physician. This obviously reduces the incentive for a physician to see as many patients as possible, but most still do, resulting in an overworked and underpaid physician population. These are just a couple of examples of cost-controls implemented by the government which are eroding the base of healthcare in Canada. Private surgical clinics are slowly emerging and in the next decade or so I think that we will see a fully two-tier system of private and public healthcare options out of necessity.
Anastasis said:I know in the UK everyone gets NHS coverage but generally you need to wait forever to see a doctor. I was an American citizen living there and I got to see a doctor for free about a chest cold, only problem was it took me 6 hrs, yes, six hours, to see one after sitting in a free clinic. One of my friends had to wait a yeah and a half to see a gyn. after being referred and finally the pain was so bad she went private just to get the care she needed.
As for your questions:
What's the difference between what we do and what they do?
Well, their docs go to school straight out of secondary school (they do A-lvls in Bio, chem, etc. An A-level is like an AP test but much more stressful) They spend 5 yrs in med school (though this might vary, I'm not sure) they come out a bit more specialized (like if you're going into OB/GYN you have a different degree than someone who will doing general practice) - basically you're a doctor alot quicker there, for better or worse.
"are our cultures that much different to where less people are injured or sick or something... "
Um, well, I don't feel qualified to answer this bit. I lived in Northern Ireland, so people got injuried/shot/knocked out by a brick a bit more commonly than I would suspect in the mainland. I know they had a mentality of not going to the doc as often as we do, but I think figuring out whether that was first or the NHS was first is the chicken and the egg.