Queue on 13/11/2013 at 15:00
Quote Posted by Aja
... She was given a CT scan within the first few hours ...
That's one of the things that is, here, a talking-head-point of attack--the seeming lack of immediacy, or long wait times. One would argue, 'Why within the first few hours was a CT scan was performed, when a CT scan should have been performed immediately?'.
And, from experience, I have to say there is a bit of truth in that. When my son was finally diagnosed with a brain tumor, the CT scan that found the tumor had been performed within the first hour after being admitted to the ER--and it would have been much sooner if there had been a nurse on duty at that time of night that could assist in an emergency CT scan, though the one that was called in rushed to the hospital at breakneck speed through back roads and city traffic.
Now I will say that up until this point, the system had failed us. But this was fully because of a truly shitty doctor who refused to open his eyes and see what was really happening over an eight-week period. Once my son entered into an emergency room situation, things happened very fast and smoothly.
Because we were at a small-town, local hospital, he was quickly medevaced to a much larger and more capable hospital. Once there, now just past midnight, an MRI was performed immediately, with the neurologist already on site and waiting for the results (he was called in at the time the medivac was occurring). By 1am, my son, had been MRIed, was stabilized in intensive care, and we were in conference with the doctor who explained the situation, what needed to be done, and felt it was safe to wait until the following morning to do surgery because his team was off duty and hadn't been assembled--but assured us that if any signs arose that my son's condition was worsening, his team would be on site and and ready to go into surgery. By 4am, he suffered an unseen neurological episode due to increasing pressure in his head. The doctor's team was on site within 30-minutes, and surgery was scheduled immediately. By 7am, surgery had ended.
We went from an ER diagnosis, to a medivac trip to a hospital 40 miles away, to an MRI, to a conference, to assembling a team, to a successful brain surgery all within a seven-hour period--and this all happened while having to call people in for duty, several from rural areas, during the night on their day off. And the best part of all, we were approved for medicaid - since we were uninsured - during all this, which paid for everything and has continued to pay for my son's yearly MRIs.
So, I can see where some people may have anxiety over healthcare being administered in a timely fashion if the US went to a system like Canada's.
Quote:
One flaw here is that prescription drugs aren't covered ....
A truth is, though, that Canadians and most of the world pay less for American made prescription drugs - much less - than patients in the U.S. do for the exact same drugs. U.S. patients pay higher prices, insured or out-of-pocket, for name brand drugs for one reason: to further research into new drugs. The thought behind this is that without someone (namely us) paying the higher prices, drug companies would not make a profit, and would therefore not be compelled to, or have the funds needed to, develop new drugs.
I see this as capitalism gone wild, but I can also see the logic behind this...a have to agree with practice. No company exists to do things out of the goodness of their heart. The exist to make money, and if they cannot make money, then why are they in business.
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For the record, I'm all for a national healthcare system; but a sensible one. The cost of healthcare is insane. For our little experience, if medicaid hadn't kicked in, our bills would be deep in the hundred-of-thousands of dollars, and we would be in ruin. But that's were the problem lies, that healthcare costs too much. And insurance is not the answer, insurance is the problem. It' simply: Healthcare in this country costs too much because of insurance companies trying to make outright profits from the insured, instead of investing premiums and making money off the investments. Over the years, the practice of whittling away at bills has forced medical providers to over-inflate the actual price to the point receive full compensation. It's like when you finally need to use the insurance you've been paying for all these years, and the company sends out an adjustor to see where the payoff can be reduced, or how to get the company out of having to pay for anything. So, this new price from the providers is now whittled away by the insurance company, causing prices to once again rise. And over and over this happens, throughout time, until the cost for a band-aid in now a $100. And then there is the notion of many insurance companies NOT paying the bill if it cost LESS than what they believe it should. So, the bill has to be inflated, or the patient gets stuck with the check. So, we are at the mercy of what insurance companies decide to pay, and how much they decide healthcare is worth.
With this new system, we are not making healthcare "affordable", instead it is forcing everyone to have insurance. So the problem continues, placing the cost of healthcare in the hands of an insurance company. Everyone being insured does not get rid of the $100 band-aids.
As for Obamacare, at least they tried, but the law is truly a bad law in the sense that nothing will change in the end--but the insurance companies certainly will have a lot more premiums being paid in. And the whole notion of opt-out fines.... Seriously, what struggling family or twenty-something-year old has the money to pay for health insurance - even "affordable" health insurance - when, even after discounts and government assistance, it's still cheaper to pay the
tax fine?
Aja on 13/11/2013 at 16:03
Quote Posted by Queue
That's one of the things that is, here, a talking-head-point of attack--the seeming lack of immediacy, or long wait times. One would argue, 'Why would within the first few hours when a CT scan should have been performed immediately?'.
I said a few hours, but it was probably less. We didn't find out exactly what happened for maybe an hour an a half, so I suppose the scan was done earlier than that. Waiting for a CT scan was not an issue, or at least we never felt as though it was. Waiting until the morning for the first surgery is different, but I get the sense that was more a case of wanting to have the neurosurgeon well-rested for the delicate operation, which kinda does make sense.
I'm glad to hear that your son is okay :)
The complaint about wait times in this country revolves more around things like hip and knee replacements, heart transplants, critical but nonemergency procedures. Unfortunately, I've been to ER several times this past year for various relatives, but it's always been fast.
faetal on 13/11/2013 at 19:05
I suppose when everyone is being treated equally, you might need to wait a little longer.
It's still better than the US system which costs too much for what you get, schedules unnecessary tests a lot of the time to get more money out of clients (patients) and is the single largest cause of personal bankruptcy in the US, with > 70% of those bankruptcies being people who have insurance. The words "co-pay" and "treatment cap" should not exist in a sane society.
Queue on 13/11/2013 at 19:18
Boy, I really blew that sentence you quoted. :o It's been corrected.
Thanks for the kind words, Aja. It's nearly ten-years out, and still cancer free. It was a nasty kind that slowly grows, undetected and fingering out, until it's too late. But, fortunately in this case, a cyst had developed inside the tumor causing rapid swelling, allowing it to be found due to symptoms caused by hydrocephalus. By the time it was detected, the tumor and cyst were 12cm across. Of course, his pediatrician was convinced he was throwing up, grabbing his head, and screaming in agony because he had GERD... so instead of treating him for a fucking brain tumor, he was enduring suppositories to calm his upset tummy. Fuck me.
Yes, we hear all sorts of doom and gloom here about universal healthcare systems around the world, and it's good to hear right from those who use the system what the truth really is.
In my mind, most of the dire warnings come from those working for - or influenced by - insurance companies.
Quote:
The words "co-pay" and "treatment cap" should not exist in a sane society.
Quoted for truth.
faetal on 14/11/2013 at 12:08
Thank fuck for cysts!
Even medicaid isn't ideal though, since that is just giving tax payers' money to private business, so a lot of that will be consumed as profit. Plus the sheer amount of medicaid fraud which has been exposed over the year. I'm a firm believer in the notion that health care just does not suit markets. It's one of the few things which should be provided by the state and without any profit motivation whatsoever. That way, everyone gets the best deal, except people who just want to get rich from it.
SD on 14/11/2013 at 18:32
Quote Posted by faetal
The US system is indefensible and one of the least efficient / most expensive in the world, since most of the money is creamed off as profit or ploughed into the legal side of having a non-integrated healthcare system.
The fact the UK seems to be dead set on following suit makes me super glad I'm fucking off to France.
This is news to me.
The ultimate irony, of course, being that you're moving from a socialised healthcare system to a universal health insurance system largely operated by private providers.
Nicker on 15/11/2013 at 07:16
Quote:
Now, I'm not so naive as to say that what happened is representative of all Canadian health care or medicare in general. But this certainly wasn't a fluke, and not a day goes by that I don't feel grateful for how amazingly well the system worked in this case. I've often wondered what the case would have been were we living in the United States. One flaw here is that prescription drugs aren't covered -- my mom's employee health plan pays for her anti-seizure medication -- but it's looking like that might be changing in the near-future, at least in Alberta.
There was a period in the 80's, while Premier Ralph Klein and his minions were busy downsizing and privatising the province to make it a suitable source of wage slaves, when wait times were atrocious. People spent days being living and being treated in hallways by harried nurses and doctors who spent much of their time apologising for the short staffing situation and dealing with distraught relatives.
The Conservatives (read: Republicans) loved to point at the crisis they created as proof that universal medicare did not work. Sound familiar?
faetal on 19/11/2013 at 14:23
Quote Posted by SD
This is news to me.
The ultimate irony, of course, being that you're moving from a socialised healthcare system to a universal health insurance system largely operated by private providers.
Yes, and already, the entire system is
(http://www.theguardian.com/commentisfree/2013/nov/15/competition-killing-nhs-bournemouth-poole) hemorrhaging public money while NHS trusts have to defend themselves against private clinics raising competition grievances due to the non-profit NHS places being able to outbid. The UK system is going to become a universal system with private providers, which will cost a stupendous amount more then the NHS and thus end up either being not fit for purpose or needing to be subsidised by people having additional insurance plans. It'll be a 2-tier system within 5 years, possibly even shorter. The idea now is to make it profitable, not to make sure people get the help they need. Sickness is a business.
SubJeff on 19/11/2013 at 18:30
The government is eroding the NHS so much it's pretty certain that the entire system will "have" to change. Just look at the latest announcements re: regulating/measuring staff levels and healthcare staff now being subject to 5 years in jail if they neglect patients. It's all building up to a big announcement that the NHS is no longer fit for purpose and needs a big overhaul which will mean everything being privatised in reality even if you don't think it is from looking at the front doors. Then slowly slowly it'll all be revealed - means testing for subsidising your healthcare and finally a two tier system of private/subsidised and a government supplied alternate stream for the less well off.
It won't happen this year, but after that... any day.
faetal on 19/11/2013 at 21:20
Yeah, it's heart-breaking. NHS will just become a corporate logo for a bit :(