I have formed opinions about the system in America the last few years, and they were largely stimulated by contrast- I moved to France and experienced
a different system. It made me more critical of things I had never questioned in the US before.
I find it too bad that medical school is all completely privatized and super expensive.
In France it is basically free to go there, though entrance exams are very difficult to pass.
The huge loans students must get in the US mean they must charge even more for their services later to pay them back.
I think it is less than ideal that money has become the biggest motivator for kids to become doctors.
In France, the doctors and facilities are private, and free to charge as much as they like. But because the national healthcare program has a set
amount they are willing to pay for specific treatments and services, the doctors are in competition for patients, and so if the patients have to pay a
lot more above that amount, they will not choose the doctor that asks that. This means that doctors are still in the higher level of income, but not
as rich as the ones in the states.
Someone asked me once, "But if they cannot look forward to a very high income, then they have no reason to go to medical school for all those grueling
years!" Eh... only the people who have a passion for healing the sick do.
It weeds out the ones that don't care and only want the money. Ends up with more attentive and caring doctors!
Doctors do housecalls. They call you at home once a week if you have had important surgery to find out how you are healing up. These little things
matter and help you heal better. I'd like to see more of that in the US. I've never felt like anything more than an object on a conveyor belt at
doctors offices in the US.
So many people in the US are not free to choose their doctors either.
I talk to my friends and family, and they are limited to the facilities and practioners that their insurance will allow.
Though we have national social security that pays a percentage of our bill, (and all of it in serious cases of illness and surgery) that goes the same
for any doctor we choose. I like having the choice.
I don't know a whole lot about the program Obama has come up with. It doesn't sound like what they have here. In France, you only get social security
when you become employed. You can also have a "mutual" as well if you choose or can, to add to your coverage. A Mutual is like an insurance company,
except it is non-profit. That makes a very big difference to the consumer in the end.
Those are two particular ideas that I would have liked to see added to the american system.
edit on 20-11-2011 by Bluesma because: (no reason