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Topic: US v. UK Healthcare -- if you were really in need...  (Read 11349 times)

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Re: US v. UK Healthcare -- if you were really in need...
« Reply #60 on: March 15, 2005, 11:40:50 PM »
Just a couple of random comments from some of the posts:

First, wait times varry at different hospitals and in different cities.  Triage is used to determine the greatest need based on a varriety of issues.  Those in immediate need to save life or limb will move ahead of the guy with a "simple" broken arm or a split lip.  I've been in the ER / A&E in both countries: both serious where I was taken back immediatly and not-so-serious where I've had to wait, in pain, until those ahead of me were treated.

Second, when it comes to medical bills in the states, as much as it does suck all around, you can NOT be sent to collections or have added fees as long as you make payments on time (those payments can be as low as $5/month).  In one year, I racked up $25K AFTER my insurance paid (yeah, $25,000).  I was making about $10K/year and being sick, was barely making that.  I managed to pay $5/month (barely) and got some forgiveness from the hosptial after 2 years of not missing a payment and being able to prove I had no money.

I've said it before, I'll say it again, I would be treated in either country (and have been), but would likely choose the States for a life-threatening illness, just to be near my family.  I've found both systems to have their pluses and minuses over all, but would not go so far as to say that one is better than or worse than the other.


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Re: US v. UK Healthcare -- if you were really in need...
« Reply #61 on: March 16, 2005, 01:34:48 AM »
Steve,

If you go back and click on the overall section heading ("Healthcare and Insurance"), then go to the third page [3], you'll see that I started a topic titled "A Stay at an NHS Hospital," the third down from the top on that page. It was very PRO-NHS, as you'll see. I won't give all the details here, as I've already done so in that link. My only gripes about that particular ordeal concern the delay in surgery (it was 26 hours later than originally scheduled). Also, other than when my surgeon checked in on me with some med students in tow, for the purpose of telling them about my breaks and what he'd done, I never saw him, much less spoke to him (I was unconscious, obviously, during surgery, and another doctor dealt with me in follow-up visits, after which I went to a physiotherapist).

As far as this particular link goes: I've heard many bad stories about the NHS, particularly when it comes to botch-ups with caesarean sections, etc. Every hospital makes mistakes. The NHS is understaffed and has an overwhelming number of people to serve, so it's understandable that mistakes happen. I have nothing but respect for the medical profession, particularly nurses, and I didn't mean to imply that medical professionals are any less qualified here than they are in the States. My point was simply that the government and private foundations tend to pour more money into research and hospitals in the States than they do here--hence the so-called "brain drain" of some of the best British and other European professionals to the States, where there's more funding for research and what would be considered experimental surgery here.

As a freelancer in the States, I paid for my own insurance, with no contribution from an employer, as I was self-employed--I paid twice as much as those employed by a company. (I don't know how much you know about medical insurance in the States, but generally speaking, if you work for a company, they take a certain amount of money toward private health insurance out of your paycheck, and match it. If you're not working but your spouse is, he or she can put you and your children, if you have any, on his or her insurance policy.)

Except for going to my GP for an initial visit to find out what was wrong with my hip, and following up on his referral to an NHS orthopedist (after paying out of pocket to get X-rays privately, rather than wait for a few months), I've paid for all my doctors' visits here out of pocket (that included a visit to a private orthopedist, who asked for additional Xrays; an MRI to get a more accurate assessment of how far the disease had progressed, as X-rays give only an initial impression; a visit to a Harley Street surgeon--and more X-rays, etc.--believe me, the costs have added up alarmingly). The ONLY advantage I "take" from the NHS is for Oxycontin prescriptions (I have to take it every day). I simply couldn't afford private costs for that, along with everything else.

As far as private insurance goes, it wouldn't matter if I got it here now: what I have would be considered a "preexisting condition," and private insurance wouldn't cover it. (They have a saying in the States: "It's like closing the barn door after the horse has fled"--in other words, it's too late for private insurance to help.)

There are two surgeons in the UK who've been trained in the procedure I mentioned in my last post. One--the Harley Street one--won't do the procedure through the NHS. The other (in Birmingham) has stopped doing it through the NHS--in other words, both want the money that goes with it.

On a side note, my husband, who's been sporadically reading what I'm writing over my shoulder, said I should mention that his grandfather checked into the local NHS hospital for a severe bladder infection. He and other patients contracted MRSA on the ward, which subsequently led to the ward's being shut down/quarantined for 10 days. His grandfather was originally told he'd be in and out of the hospital in five days. Instead, he battled MRSA for eight weeks, and never left--he died directly from MRSA. My in-laws (it was my mother-in-law's father who died) complained repeatedly to the hospital staff about how filthy the ward he was in was--for instance, there was food smeared on the floor that wasn't mopped up for three days, etc.). I know these stories aren't the norm, but even my British husband and in-laws consider time spent in an NHS hospital a gamble, at best.

Suzanne

P.S. I appreciate and respect your views, as well.


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Re: US v. UK Healthcare -- if you were really in need...
« Reply #62 on: March 16, 2005, 08:55:38 AM »
As far as private insurance goes, it wouldn't matter if I got it here now: what I have would be considered a "preexisting condition," and private insurance wouldn't cover it. (They have a saying in the States: "It's like closing the barn door after the horse has fled"--in other words, it's too late for private insurance to help.)

Suzanne,

You might want to check this, My ex-wife got private medical ins. for a preexisting condition and they were fine with it, she went with AXA PPP - just a thought that may help you in the future.

Steve


Re: US v. UK Healthcare -- if you were really in need...
« Reply #63 on: March 16, 2005, 09:10:24 AM »
HSA's private medical insurance accepts preexisting conditions, after a two year qualifying period.


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Re: US v. UK Healthcare -- if you were really in need...
« Reply #64 on: March 16, 2005, 10:06:16 AM »
I see you've moved from the Vatican to New Zealand now Mr Nibbles, a good choice.


Re: US v. UK Healthcare -- if you were really in need...
« Reply #65 on: March 16, 2005, 10:19:59 AM »
Ah, I get that a lot. South Georgia and the South Sandwich Islands, actually :) Great location, if you can handle the distinct possibilty of volcanic eruption. And all the fish you can eat!


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Re: US v. UK Healthcare -- if you were really in need...
« Reply #66 on: March 17, 2005, 07:48:11 PM »
Thanks for the insurance advice, Steve and Senor. I'll check it out, but since my condition is unpredictable (as in, it might be more than one-off surgery because it can inflict multiple joints, years down the road), I don't know how that would work. Senor, I've been out of commission for two years; I don't know if I could play healthy for two more years before making a claim.


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Re: US v. UK Healthcare -- if you were really in need...
« Reply #67 on: March 17, 2005, 10:35:08 PM »
Suzanne,

I know PPP accepted my ex-wife who had to have her Gual-Bladder removed knowing that the condition had been diagnosed and she was on the NHS waiting list.  I have a phone number knocking around somewhere, let me know is you want it.

Regards

Steve


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Re: US v. UK Healthcare -- if you were really in need...
« Reply #68 on: March 18, 2005, 02:42:18 AM »
Steve,

Please send me a PM with the number. Again, you have to bear in mind that, once I received my diagnosis (avascular necrosis, also known as osteonecrosis), I checked out every site, registered with two support sites, etc. In fact, the hostess of one (which has 6000 members) emailed me the other day to ask why I hadn't posted anything recently. I wrote her back that it was honestly too much to take, sometimes. Not only do I have it in one hip, I think it's starting in the other. There are people on the support sites who've had, one by one, a hip replaced, then the other hip replaced, then a knee, then the other knee. There are people on the sites who've had their elbows and shoulders replaced. There are even some who've had their ankles and jawbones replaced. It's debilitating, and I consider myself lucky that, so far, I have one hip that requires surgery. I can't begin to tell you how devastating it is to be in good health (or so you think) one day, go to a doctor for what you think is a bad bruise, and leave, with your husband, absolutely gobsmacked at what that seeming bruise actually is. But it's all relative, I remind myself. What I have isn't life-threatening, as are so many other diseases. It's just life-diminishing. I used to be an active person; now, without the help of very strong painkillers, I'm housebound. This isn't a "boohoo, feel sorry for Suzanne story." The last thing I would want is pity. But I just have to say that one never appreciates the saying about never taking your health for granted until something happens that drastically changes it.
« Last Edit: March 18, 2005, 02:53:37 AM by Suzanne »


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Re: US v. UK Healthcare -- if you were really in need...
« Reply #69 on: March 18, 2005, 02:46:29 AM »
P.S. Just to give you an idea of the small things you think about if you have AVN: I'm trying to get on "Who Wants to Be a Millionaire?" Chances are I'll never get in the hot seat, even if I can get on the show. But little things you take for granted, such as quickly standing up, or climbing onto a chair, aren't easy for me. So the choice would be to take no meds, bite the bullet, and have nagging pain, or take my meds, but be slower in reaction and foggier in mind.


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Re: US v. UK Healthcare -- if you were really in need...
« Reply #70 on: March 20, 2005, 09:26:22 PM »
If I had loads of money, I would go to the US, but since I don't have any health insurance there and no piles of cash lying around, it's most likely I would be staying here with the NHS. Worrying, but maybe I'd luck out and get a clean hospital.


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Re: US v. UK Healthcare -- if you were really in need...
« Reply #71 on: May 11, 2005, 10:19:04 PM »
i would rather be in the usa for healthcare as they are more sterile conditions (cleanliness) and more organized.
I for one have been waiting 11 months for what is deemed "routine" gall stone (laporscopy (keyhole) surgery and i have yet to get any answers. the healthcare system in the uk is lacking and very poor in my opinion.


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Re: US v. UK Healthcare -- if you were really in need...
« Reply #72 on: May 12, 2005, 05:56:55 AM »
Just a few words about MRSA

There are a lot of myths/misinformation out there about MRSA.  Approximently 30-40% of the population has MRSA living/ colonized on their bodies and it can stay there for years, never giving you a problem unless you become sick, develop a wound etc etc.  You may never know you have it. A hospital in the US did a study and swapped every patient immediately prior to their stepping foot in the hospital for a length of time (i think it was a month) and found that 73% of them were already colonized with MRSA.  Im so sick of hearing people say the got mrsa from "dirty" hospitals.  Sure we need to keep hospitals clean to prevent the spread of this stuff and staff should wash their hands like it's a religion but that's only going to help so much when patients are constantly bringing it into hospitals themselves.  When they are in hospital and unwell that's when the MRSA that may have been living on their bodies for years can overwhelm them so to speak and become a problem.
MRSA is an issue in US hospitals as much as it is in the UK but the media in the US doesn't conduct witch hunts aimed at tearing down the hospitals like their UK counterparts. 

If I had my way I would swab every single patient on admission (not just the elective surgery ortho ones) and aim for more private rooms but it's money I guess.


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Re: US v. UK Healthcare -- if you were really in need...
« Reply #73 on: May 13, 2005, 05:41:55 AM »
Nicole,

Good post. I've never spent any time in the hospital before I moved to the UK, so I can't speak for American hospitals. I suspect, just from a few in-and-out, daylong visits, that U.S. hospitals are cleaner, though. I stayed in an unusually modern wing of the Brighton/Hove hospital (according to my husband and in-laws), but I DID notice that doctors and nurses NEVER washed their hands between tending patients. My mom used to be a nurse, and even in her prime, that was grounds for getting fired on the spot.

Suzanne


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Re: US v. UK Healthcare -- if you were really in need...
« Reply #74 on: May 13, 2005, 09:31:08 AM »
Yeah I agree US hospitals are probably cleaner and have a better layout.  They also have handwashing stations in every room and the rooms are usually single or doubles.  The ward I work on here is a nighting gale ward which means that I have 15 beds lined up down one side and 15 beds lined up down the other side.  The sink is located at one end which is miles away from the bottom end of the ward.  So if I am with patient in bed 15 and the patient in bed 14 needs something I have to walk down to the sink all the way past 14 beds (14 people shouting NURSE) wash my hands then head back again past 13 beds back to where I started.  Of course I do this because I'm psycho about washing my hands properly but by the time I get back to bed 14 its about 15 minutes later and he is screaming at me because I was right there and went away and came back again.  Not a good layout at all.   It's the kind of layout that causes staff to not wash their hands because it takes forever and gets patients ticked off because you went flying by their beds to wash hands to get back to another patient and then they have to wait.

It's also pretty bad if you are with bed 15 and look over to notice that the guy in bed 14 doesn't look so hot (turning blue, gray or some other oh oh colour)  walk all the way down to the handwashing station and leaving him  might not be too smart at that point. 

Telling patients as you are walking by their beds that you just need to wash your hands, then see to another patient down  the ward, and then you will be with them as soon as you wash your hands after that usually lands you a tirade of swearing and abuse that would make a sailor blush.  Honestly.  Can't tell you how many times I have been called b*tch and worse  because I got to someone 5 minutes later than they wanted me too because I went to wash my hands first.

A lot of us are now carrying around hand sanitizers clipped to our belts which is very helpful but to me it seems that washing hands first then using then using the sanitizer is best practice.

I really think if they got on the ball with re-structuring some of these older nightingale wards it would improve things dramatically.  However......

At my hospital they started a renovating these old wards but of course they have to shut them down to do it, which led to a massive bed crisis, targets not getting met, etc etc and so they had to abandon.   They shut down one medical ward for 6 months to re do it and it screwed up the elective surgical lists for a year. This is because all the patients getting admitted for medical emergenices had to get put into beds on surgical wards causing surgical patients to get their ops cancelled. It caused a lot of problems.

Yikes sorry to ramble on like this..... ::)


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