How many of you have health insurance?, page 2
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reply posted on 13-5-2008 @ 11:03 AM by Britguy
Living in the UK, I contribute to the NHS system through my Income Tax / National Insurance. I also have private medical insurance through my employer. Much as the government seems to want us all to have private medical insurance these days, they never offer any decrease in Income Tax or NI contributions to offset paying into a private scheme.

A few years ago I was unfortunate enough to end up in hospital requiring surgery. They wouldn't let me go home, telling me I needed immediate attention, but there were no beds available at the hospital.
after several hours of waiting I rang a colleague at the office. she informed me she had just been given our BUPA membership numbers just before I called - we'd both just been taken on full time from contract positions.
I went to the receptionists desk and informed them of this and within 30 minutes I was in a gown on a trolley being wheeled up and prepped for surgery
The hospital actually had an almost empty wing full of beds but reserved for private patients. I was seen by the same doctors and operated on by the same crew and surgeon who had previously been prodding and poking me as an NHS patient. I was in hospital 3 days and and 2 days after I went home I received the invoices for payment.
Needless to say I was quite shocked by this ridiculous situation.

I am personally all for a national health system, if administered properly and not run as a for profit organisation or massive money pit as it has become over the last couple of decades. The private medical insurance system is a scam from the pharmaceutical companies supplying the drugs and equipment down to the private companies running the various functions - cooking, cleaning, admin etc. It never used to be this way.


reply posted on 13-5-2008 @ 04:13 PM by StargateSG7
This topic is near and dear to my heart...

As a Canadian I am covered by our universal Health Care program
called Medicare which covers EVERYONE from Birth onwards without
regard to pre-existing conditions.

Every three months I pay $160 Canadian ($170 US) or about $55 a month.

Each Province in Canada (Equivalent to a State) has it's own separately
run and administered program but every year our Federal Government
gives out Health Transfer Payments that covers about 75% of the total
cost of care while the provincial governments pay about 25% out
of annual budgets. This coverage includes BOTH care and Proescription
Drugs.

You are allowed to make monthgly payments, quarterly or yearly payments.
I pay every 3 months of about $160

The medical system is very similar to the US and the only real difference
is that for specialist services I MUST be referred by my family doctor or
the walk-in clinic doctor. I can't just walk into an MRI or XRAY lab and
demand to get that procedure done...I need to be referred by the GP
or clinic ... The referall is FREE but it must be MEDICALLY necessary
otherwise I must PAY for the procedure/specialist out of my own pocket
it the procedure is NOT considered medically necessary.

Our emergency departments are NOT as overloaded as most US hospitals
because we have NUMEROUS walk-in clinics (some of them open 24 hours)
which takes care of the small stuff such as aches, sniffles and colds.

For certain procedures, there IS a waiting period/lineup but this is only
due to a shortage of certain specialists such as Obstetrics or Geriatrics
specialists or Hip surgeons.

My British Columbia Medicare coverage is NOT tied to my job
and is portable to any province in Canada that I may visit or move to
although I must REGISTER myself with the provincial health care plan of
the province I move to within 30 days.

I cannot imagine paying $400 to $600 a month in U.S. Based Health
Insurance and what about people with pre-existing conditions who are
ALLOWED to be DENIED coverage by the private US insurance system.
How does that work if you are young and get hit by an uninsured car
and you are uninsured or underinsured?

In Canada the province takes care of my bills no matter who is at fault.

Although there are SOME horror stories about long waits for certain
specialists, it is NOWHERE NEAR the problem that it's made out to be
by the US media or US health industry.

I think the US system is DEFINITELY BROKEN and needs a Canadian Style
effort. To keep some privatization, I say move to a two-tier system
where the BASIC checkups, doctor visits, prescription drugs
and referred specialists for ALL citizens are covered but that
non-emergency or highly specialized EXTRA services such as full-body
scans or unusual treatments would be charged EXTRA by third-party
insurance providers. To also fix the system, ALL patient records and
medical imaging MUST be fully computerized on a country-wide basis
so that your records are SAFELY encrypted and backed up but are
still available for access and use in any state you move to by
authorized medical personnel.
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