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Probono 06-29-2007 05:14 PM

So I just watched Sicko and ..
 
I know the the US system for medical too well. Want to here from the British, Canadians and others who have a government healthcare system. Does it work for you?

In the US we are told government healthcare is a failure everyplace is that true?

pigman 06-29-2007 11:11 PM

You dont have to worry in any Scandinavian country anyway.

tony286 06-29-2007 11:42 PM

My Dad had a heart while on business in the UK, got excellent care and it cost him nothing.

bobby666 06-29-2007 11:49 PM

no problems here in europe, system working fine

BigCashCrew 06-29-2007 11:53 PM

Quote:

Originally Posted by tony404 (Post 12682242)
My Dad had a heart while on business in the UK, got excellent care and it cost him nothing.

Yeah, it cost him nothing... It cost the fucking taxpayers of England. It wasn't free. Someone had to pay for it. The taxpayers.

Porn Farmer 06-29-2007 11:56 PM

Quote:

Originally Posted by Probono (Post 12680993)
In the US we are told government healthcare is a failure everyplace is that true?

No.

Think about it for a second, if the English, Canadians and Australians had healthcare systems that sucked you would hear them complaining about it all the time. But they don't. They paise it. Even most conservatives in those countries appreciate the value of universal healthcare.

pimpware 06-30-2007 12:13 AM

Quote:

Originally Posted by BigCashCrew (Post 12682275)
Yeah, it cost him nothing... It cost the fucking taxpayers of England. It wasn't free. Someone had to pay for it. The taxpayers.

But that's the idea, kindo of 1 for all and all for 1.

Most people in US don't understand that, maybe because they are so so so so afraid of the Socialism ghost :1orglaugh

This is nothing about socialism, it's about taking minimum care of other people.

It's easy for a healthy guy say that the insurance system works great, but on the 1st real health problem you will change your opinion because it's all wounderland when you are puting money on the insurance company pocket but at first expensive treatment you are kicked from the system.

In general, US people believe too much on urban miths instead of thinking by they selfs.

RAM 06-30-2007 12:19 AM

American Health Insurance is a rip off IMHO.

Sebastian Sands 06-30-2007 12:25 AM

Sweden has been on top of the list for their health care system for years, I actually believe everyone has dental covered there no matter what.

The health care system here in the US sickens me, a friend of mine got in an accident a few years a go and the hospital where he went to sent him on his way because they didn't do business with his insurance company.. are you fucking kidding me?..

And then those commercials about health cards (we are not an insurance company) but we will give you anywhere between 10 - 60 % off on Dr bills etc etc.. bull fucking shit.

Pisses me off.

Sebastian

D 06-30-2007 12:30 AM

My Canadian Grandfather had some cardio issues before he passed.

When the docs figured out what was up, he has a pace-maker installed within the week, at no cost.

In retrospect, that's a hell of a lot faster than my HMO woulda done it.

GreyWolf 06-30-2007 01:03 AM

Quote:

Originally Posted by Probono (Post 12680993)
I know the the US system for medical too well. Want to here from the British, Canadians and others who have a government healthcare system. Does it work for you?

In the US we are told government healthcare is a failure everyplace is that true?

Nothing is perfect anywhere, but can't complain about universal healthcare - it cuts out administrative crap and concentrates on patient care without concerns over money and no pre-existing condition rubbish. Universal healthcare has been the norm in all industrialized western countries for decades.

Understand how you will hear tales about how universal healthcare is a "failure" elsewhere - you can thank the people who profit from it in the US to make these claims - along with the 2000'ish lobby groups they finance to support this myth. Nothing could be further from the truth....

Cyrano 06-30-2007 01:07 AM

Unfortunately, I have somewhat of an intimate relationship with the Canadian healthcare system for various reasons. Despite the whining expressed by numerous Canadians, I can honestly say it's beyond satisfactory.

MoldyMan 06-30-2007 01:09 AM

I'm not a fan of this guy, and Sicko might just make me hate him more. It'll be interesting to see. Personally here in Australia it works mostly. In my opinion nothing is perfect and it's easy to beat up a dramatic story like Michael Moore has done before. His one sided social commentary has made him a bomb of money.. hope he is generous with charities..

pornask 06-30-2007 01:20 AM

Some complain that waiting times for some surgeries in Canada are long. The solution is simple - if you don't wish to wait, go to the US and pay their fee. Only US fees are so high, vast majority of people will wait till their time to get free surgery comes.

If you don't like it, there's always ither options, but people are like that - they will bitch just for the sake of bitching. Either way, most of canadian will only have good things to say about Canadian health care system.

GreyWolf 06-30-2007 01:43 AM

Quote:

Originally Posted by pornask (Post 12682475)
Some complain that waiting times for some surgeries in Canada are long. The solution is simple - if you don't wish to wait, go to the US and pay their fee. Only US fees are so high, vast majority of people will wait till their time to get free surgery comes.

If you don't like it, there's always ither options, but people are like that - they will bitch just for the sake of bitching. Either way, most of canadian will only have good things to say about Canadian health care system.

Not sure if it's the same in Canada, but in the EU you can elect to pay if you wish and have "private medical care". It's basically the same docs, operating theaters etc - just more of a hotel environment.

Doubt in reality there is much difference in "waiting times" over universal healthcare countries or the US - if a healthcare problem is not time-senstive - it will be scheduled as appropriate - otherwise treated as urgent.

pornask 06-30-2007 02:14 AM

Quote:

Originally Posted by GreyWolf (Post 12682527)
Not sure if it's the same in Canada, but in the EU you can elect to pay if you wish and have "private medical care". It's basically the same docs, operating theaters etc - just more of a hotel environment.

Doubt in reality there is much difference in "waiting times" over universal healthcare countries or the US - if a healthcare problem is not time-senstive - it will be scheduled as appropriate - otherwise treated as urgent.

Anyone can go to the US to get the operation done - provided they can pay for it. Based on Sicko - reattachment of a middle finger is $60 000 US dollars. More serious operation will go at about half million dollars. Some complicated shit like transplants or what not will be 6 or 7 figure number. For as long as you can afford to pay such high prices, you can certainly get it done in the US. Regardless of where you live - whether it be Canada, EU or any other place in the world.

The thing is, that we're talking about 1% of people who can afford this shit. However the option is there. US doctors are in it for the money. If you can afford it, it doesn't matter to them where you are from. So people from other parts of the world have an option to go to the US or visit a privately owned hospital in their country, where they will not have to wait, but will be charged a feww that's not low. People from the US don't have these options, they always have to pay (unless they go for a trip and pretend it happened to them while being there, so they can get free treatment from that country). They can get themselves insured, but after having seen Sicko, it's fairly interesting to know how insurance companies will find the way to make sure you are an exempt form the coverage, should there be the situation...

Mutt 06-30-2007 02:15 AM

Quote:

Originally Posted by GreyWolf (Post 12682527)
Not sure if it's the same in Canada, but in the EU you can elect to pay if you wish and have "private medical care". It's basically the same docs, operating theaters etc - just more of a hotel environment.

there are 'private' hospitals in Canada but they're for very specific things - non life-threatening type things. you can't go to a private hospital for heart by-pass or cancer treatment/surgery. there is pressure for a private alternative tier of healthcare/hospitals.

all situations are different - depending on where you live, what illness you have - in some situations the Canadian system is superior and in some inferior. People's lives and health are in jeopardy due to long wait times for surgery and cancer treatment in many cities. For the average person, 'free' healthcare is wonderful - you're 25, you work at Kinkos, and get appendicitis, you're operated on and out in a few days not owing a thing - an American at that age usually doesn't have any insurance and he leaves the hospital with a debt of probably $40,000. Depressed? Anxious? The government pays for your shrink - a weekly visit to a private shrink is a luxury for the rich in the United States. In Canada it's a right.

the one thing Canada and all the other countries with similar health systems is NOT - is free. It's free alright to the hundreds of thousands of freeloaders who don't earn a living - working Canadians pay much more in taxes than Americans do. If you're upper middle class you'll be paying more for healthcare via taxes than a similar person in the United States pays for a good health insurance plan.

If you're poor or working class 'free' healthcare is great. That's the philosophy of it - that good healthcare should be for everybody regardless of their station in life. It's a huge load on taxpayers and depending on the type of illness you have can be dangerous to your life.

GreyWolf 06-30-2007 02:53 AM

Quote:

Originally Posted by pornask (Post 12682618)
Anyone can go to the US to get the operation done - provided they can pay for it. Based on Sicko - reattachment of a middle finger is $60 000 US dollars. More serious operation will go at about half million dollars. Some complicated shit like transplants or what not will be 6 or 7 figure number. For as long as you can afford to pay such high prices, you can certainly get it done in the US. Regardless of where you live - whether it be Canada, EU or any other place in the world.

The thing is, that we're talking about 1% of people who can afford this shit. However the option is there. US doctors are in it for the money. If you can afford it, it doesn't matter to them where you are from. So people from other parts of the world have an option to go to the US or visit a privately owned hospital in their country, where they will not have to wait, but will be charged a feww that's not low. People from the US don't have these options, they always have to pay (unless they go for a trip and pretend it happened to them while being there, so they can get free treatment from that country). They can get themselves insured, but after having seen Sicko, it's fairly interesting to know how insurance companies will find the way to make sure you are an exempt form the coverage, should there be the situation...

The story of the two fingers was more than pathetic *lol* What doctor would actually only elect to perform an operation based on cost and leave a person one fingertip short?? (Other than in the US).

The irony is any US person travelling thru any universal healthcare country would have medical attention if needed - and at no cost. If it was the guy missing his fingers - they would attempt to replace both of them without talking about money.

Yup - can think of even a few evolving countries where US people travel to get treatment like heart operations - tho most of this is fee-based, but at around 25% of the cost of the same operation in the US.

Got this healthcare travel insurance and it's OK on cost - unless you elect to travel to the US *lol* Then the cost increases around 5 fold. Can see the point of that elderly lady from Canada not travelling to the US unless she had healthcare insurance.

Truth is healthcare has become a profit center for the benefit of insurance companies - all they need to do now is expand that to include services from law enforcement and fire services - then check with the insurance company when there is a murder to see if it's covered before calling the law *lol*

GreyWolf 06-30-2007 03:09 AM

Quote:

Originally Posted by Mutt (Post 12682623)
That's the philosophy of it - that good healthcare should be for everybody regardless of their station in life. It's a huge load on taxpayers and depending on the type of illness you have can be dangerous to your life.

Sure.. would consider healthcare to be a basic human right - it's the only healthcare I've ever known and can think of many people who are thankful for that over their lifetimes. I'd be more than happy to pay extra for people who may not earn much to ensure they all get full healthcare.

One particular US friend had severe healthcare problems - after having "served" the US well. Because of that favorite "pre-existing condition" excuse and having paid out a substantial lump of money - there were no funds left. That was the first clue I ever knew anything was wrong with US healthcare - where it would allow anyone with a very serious condition to go untreated. I ended up paying a substantial amount to complete the treatment and all is well now - but annoying that a "first league country" can't actually take care of it's own people.

It's worth noting that tho we many moan about costs in universal healthcare countries - it's still a lot cheaper per person for taxation in healthcare than it is in the US. Bets on - if the US provided a universal healthcare option - the overall current costs would sink over a few years when the preventative medicine element kicks in.

pornask 06-30-2007 03:20 AM

Quote:

Originally Posted by GreyWolf (Post 12682812)
It's worth noting that tho we many moan about costs in universal healthcare countries - it's still a lot cheaper per person for taxation in healthcare than it is in the US. Bets on - if the US provided a universal healthcare option - the overall current costs would sink over a few years when the preventative medicine element kicks in.

I think someone said it here that the total cost of health care in Canada (what we pay in taxes) is overall more than what it would cost a US citizen to pay cash for his treatment. I don't know whether this were true or not, but I think it's not even so much a matter of how much it's going to cost you over the priod of years - it's more of a matter of not being rejected when you go to the hospital, or being told that this is not covered by the type of insurance you've been paying for, etc. It's a peace of mind, more than anything, that should a situation arise, I will be taken care of. And I think this is what many people in the US fear (maybe not those who are well off, but anyway) when they complain about their health care system.

pimpware 06-30-2007 03:29 AM

Quote:

Originally Posted by GreyWolf (Post 12682812)
but annoying that a "first league country" can't actually take care of it's own people.


That's why some other countries can't be at first league, because somehow more or less they take care of it's own people, of course it is expensive.

Dealing with money the way US does, many countries could be rich as US, but in this life money it's not everything :2 cents:

Remember a rich person can get top quality healthcare anywhere in the world, poor people are fucked up :disgust

pornask 06-30-2007 03:35 AM

Quote:

Originally Posted by pimpware (Post 12682844)
poor people are fucked up :disgust

...not if you live in Canada. You're gonna get the same medical assistance regardless... even if you're poor.

Firehorse 06-30-2007 03:48 AM

The public medical system in Australia is a mess, even politicians can't deny it publicly any more!

Fizzgig 06-30-2007 03:58 AM

Quote:

Originally Posted by pornask (Post 12682862)
...not if you live in Canada. You're gonna get the same medical assistance regardless... even if you're poor.

There is an exception to this rule. It's possible to live in Canada and not have access to necessary health care, but it takes some really bad luck to fall into that category.

Don't even ask, I'm sure none of you will ever have to worry about it.

Twisted Dave 06-30-2007 04:03 AM

Quote:

Originally Posted by BigCashCrew (Post 12682275)
Yeah, it cost him nothing... It cost the fucking taxpayers of England. It wasn't free. Someone had to pay for it. The taxpayers.

LOL! So what? I'm a UK taxpayer, and I don't mind ... because there's a LOT of fucking countries with much worse healthcare!

Taxes suck, but I'm sorry ... how the hell do you think this country would be without a National Health Service?

We'd be fucked.

Porn Farmer 06-30-2007 06:36 AM

Quote:

Originally Posted by Firehorse (Post 12682890)
The public medical system in Australia is a mess, even politicians can't deny it publicly any more!

Please point me to a link where a politican has called Australia's medical system a mess.

Aside from the isolated Dr. Death incident in Bundaberg the system is actually coping quite well.

buzzy 06-30-2007 06:44 AM

Quote:

Originally Posted by BigCashCrew (Post 12682275)
Yeah, it cost him nothing... It cost the fucking taxpayers of England. It wasn't free. Someone had to pay for it. The taxpayers.

erm actually we only pay a couple of % more than you americans

BigCashCrew 06-30-2007 02:24 PM

Quote:

Originally Posted by twisted Illustration (Post 12682918)
LOL! So what? I'm a UK taxpayer, and I don't mind ... because there's a LOT of fucking countries with much worse healthcare!

Taxes suck, but I'm sorry ... how the hell do you think this country would be without a National Health Service?

We'd be fucked.

yeah. you are proving my point. it was not free. you had to pay for it.

BigCashCrew 06-30-2007 02:24 PM

Quote:

Originally Posted by twisted Illustration (Post 12682918)
LOL! So what? I'm a UK taxpayer, and I don't mind ... because there's a LOT of fucking countries with much worse healthcare!

Taxes suck, but I'm sorry ... how the hell do you think this country would be without a National Health Service?

We'd be fucked.

yeah. you are proving my point. it was not free. you had to pay for it.

Doctor Dre 06-30-2007 02:26 PM

In the canadian healthcare system you have to wait, but at least you're not getting fucked in the ass by the big corporations.

There are horror stories in every system. But I like our system even thought it's not perfect.

eroswebmaster 06-30-2007 02:28 PM

Imagine if we had universal health and dental care in America.

Imagine how many sick days we could eliminate causing downtime in business.

Imagine how many people's self confidence would be boosted because they had a beautiful smile, therefore moving up to a better job and not having to suffer in lower economic status.

Imagine how much less we would spend because preventative health care caught someone's disease before it became terminal.

tranza 06-30-2007 02:29 PM

Quote:

Originally Posted by BigCashCrew (Post 12684642)
yeah. you are proving my point. it was not free. you had to pay for it.

Aren't you a tax payer too?

BigCashCrew 06-30-2007 02:41 PM

Quote:

Originally Posted by tranza (Post 12684651)
Aren't you a tax payer too?

Read above and see what my original quote was and then read the reply to my quote... then read my reply. :)
Yes, I am a tax payer.

pornask 06-30-2007 02:45 PM

Quote:

Originally Posted by eroswebmaster (Post 12684650)
Imagine if we had universal health and dental care in America.

Imagine how many sick days we could eliminate causing downtime in business.

Imagine how many people's self confidence would be boosted because they had a beautiful smile, therefore moving up to a better job and not having to suffer in lower economic status.

Imagine how much less we would spend because preventative health care caught someone's disease before it became terminal.

This is true. I stole the following from a Canadian board - Canadian Health Care vs "Sicko" by Michael Moore - but it pretty much sums it up nicely:

Despite US being the most powerful economy, I think they fail to realize that it is NOT cheaper to not have universal health care. Because if you let people get sick, the cost for a society increases on an overall scale.

If people in your country become sick and remain sick due to their inability to afford a medical care, what happens is that your resources squander - namely their human resources, among other things by failing to give a chance to the weak, sick, disabled to live a productive life, abandoning them to be a burden to their family and their community. Children, old people, disabled can be left to their own devices. Or not. Guess what is cheaper at the end of the day?

BigCashCrew 06-30-2007 02:47 PM

Quote:

Originally Posted by buzzy (Post 12683163)
erm actually we only pay a couple of % more than you americans

It looks like anyone who makes over £34,600 gets taxed 40%. Compare that to the highest tax bracket in the US which is 35% if you earn $336,551 and above.

£34,600.00 is $46,853.63 is USD. In the USA you would only pay 25% taxes on that. We have 2 more tax brackets before you get to the highest bracket of 35%. Looks like you have to pay more taxes.

Tax Bracket In the USA.
* 10%: from $0 to $7,550
* 15%: from $7,551 to $30,650
* 25%: from $30,651 to $74,200
* 28%: from $74,201 to $154,800
* 33%: from $154,801 to $336,550
* 35%: $336,551 and above

Tax Bracket In the UK

Taxable Bands table Taxable Bands Allowances 2007-08 (£)

Starting rate 10% 0 - 2,230
Basic rate 22% 2,231 - 34,600
Higher rate 40% over 34,600

Probono 06-30-2007 03:20 PM

Quote:

Originally Posted by BigCashCrew (Post 12684695)
It looks like anyone who makes over £34,600 gets taxed 40%. Compare that to the highest tax bracket in the US which is 35% if you earn $336,551 and above.

£34,600.00 is $46,853.63 is USD. In the USA you would only pay 25% taxes on that. We have 2 more tax brackets before you get to the highest bracket of 35%. Looks like you have to pay more taxes.

Tax Bracket In the USA.
* 10%: from $0 to $7,550
* 15%: from $7,551 to $30,650
* 25%: from $30,651 to $74,200
* 28%: from $74,201 to $154,800
* 33%: from $154,801 to $336,550
* 35%: $336,551 and above

Tax Bracket In the UK

Taxable Bands table Taxable Bands Allowances 2007-08 (£)

Starting rate 10% 0 - 2,230
Basic rate 22% 2,231 - 34,600
Higher rate 40% over 34,600


In the US we also pay Social Security and Medicare taxes that are scaled to cost the most to the poor and middle class, plus in most states a state income tax. we also still get to pay for health and dental insurance if we can get them and afford them.

After reading the responses to this I think Michael Moore hit right on target and that the ingrained fear of "socialism" is a nonsense propaganda move funded by government and big business. Reality is that the US system does pay for the poor they end in emergency rooms and their fees are either paid for by government or those patients that pay their bills. If they system did provide free healthcare to all then costs would actually be reduced.

Probono 07-01-2007 08:14 AM

Waiting for someone to explain how US taxes are really lower? We have been lied to and mislead on many things in the Us because until the Internet person to person communication across international borders was rare.

The Duck 07-01-2007 08:21 AM

Quote:

Originally Posted by Sebastian Sands (Post 12682356)
Sweden has been on top of the list for their health care system for years, I actually believe everyone has dental covered there no matter what.

The health care system here in the US sickens me, a friend of mine got in an accident a few years a go and the hospital where he went to sent him on his way because they didn't do business with his insurance company.. are you fucking kidding me?..

And then those commercials about health cards (we are not an insurance company) but we will give you anywhere between 10 - 60 % off on Dr bills etc etc.. bull fucking shit.

Pisses me off.

Sebastian

Dental in Sweden is free up untilk your 20th birthday I believe, after that you need an insurance or its very very expensive. The cost of dental care is a hot topic in Sweden right now.

As for all other healthcare you pay a maximum of something like $200 a year for healthcare and medication, after that its free.

CDSmith 07-01-2007 08:31 AM

Quote:

Originally Posted by Mutt (Post 12682623)
For the average person, 'free' healthcare is wonderful - you're 25, you work at Kinkos, and get appendicitis, you're operated on and out in a few days not owing a thing - an American at that age usually doesn't have any insurance and he leaves the hospital with a debt of probably $40,000. Depressed? Anxious? The government pays for your shrink - a weekly visit to a private shrink is a luxury for the rich in the United States. In Canada it's a right.

You're right on the money there.

Quote:

Originally Posted by Mutt (Post 12682623)
working Canadians pay much more in taxes than Americans do. If you're upper middle class you'll be paying more for healthcare via taxes than a similar person in the United States pays for a good health insurance plan.

But I'll beg to disagree with you on that point. Canadians earning a higher income pay in the 40-45% range for income tax. So do Americans.
Canadians earning a middle or moderate level of income pay in the 35-40% range... so do Americans.

Maybe it differs from place to place in Canada, I don't know, but I've been a taxpaying citizen for over 26 years and know 100's of others in all tax brackets from low to high and I'm not seeing a difference in what we pay in income tax to what Americans pay. 40% is 40% regardless of what country you live in. I know some in the US pay as much as $600 to $1k per month for health insurance PLUS they pay income tax. How is that cheaper than what we pay in taxes alone? It isn't.


And nothing beats going in for a hospital stay, getting top level care, and leaving with a bill of $0.00 owing. Nothing. I'm not nor would I ever say our system is perfect, but I wouldn't trade it for the world.

How many have come onto this very board in the past 6 years and told of how they or someone they know has gone in for some emergency surgery or trauma etc and now owes tens of thousands of dollars? How many? I can recall dozens. NO thank you.

GreyWolf 07-01-2007 11:25 AM

Quote:

Originally Posted by Probono (Post 12687043)
Waiting for someone to explain how US taxes are really lower? We have been lied to and mislead on many things in the Us because until the Internet person to person communication across international borders was rare.

Doubt you'll get an answer.....

Face value taxes are, give or take a few percent either way, much the same in most industrialized countries. Most will get creative and invent as many reasons to tax as possible - Europe has refined "creativity" in dreaming up reasons to tax, but overall, can't see any difference between the US and elsewhere on this.

Probably the biggest difference is in what levels of funding are actually given back to taxpayers (after the govts have siphoned off/squandered a cut) and where a spectrum of services are provided - ie various levels of education, healthcare etc

The US is not particularly noted for giving back "services" to taxpayers and this shows in basic services like both education and healthcare where the taxpayer is left to deal with these - at added, and often absurd cost.

Probably overall the US taxpayer is paying a high price - whether in direct taxes or extra costs related to healthcare, education etc where, in comparison, most goverments usually pay for this from the proceeds of existing taxation.


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