"Norwegian hospitals are free though. I was just surprised the first time I learned Norwegians pay at all to visit the doctor because I assumed we had the same system."

Sauce: https://satwcomic.com/everything-is-relative

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[–] 67 points 6 months ago (24 children)
  • [–] 38 points 6 months ago (20 children)

    seems a bit steep, but I assume it's to keep it affordable but not used willy nilly

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  • [–] 48 points 6 months ago (18 children)

    We have a system like that in Sweden too. The patient fee differs from region to region and it’s generally quite small. You’re still required to pay it if you book a visit and don’t show up.

    I think it is essentially to deter unnecessary visits.

    Youth do not pay at all. There’s also a high cost protection so if you end up paying a certain sum, then you’re given a free card and any subsequent costs for that year are nulled. That includes most anything, including medication, but not dental care.

    Currently that sum is 1450 crowns, about $150USD.

    There is some push to have dental care fall under the same rules.

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  • [–] 32 points 6 months ago (12 children)

    Just to complete the comic. I'm in the US. I spend about $90 on a regular yearly checkup. Spent $218 to get seen to get something prescribed for a three week cough I had that was getting worse (plus another $68 or so for the meds themselves).

    Several of my friends are jealous of my health insurance because I've got the good one that covers more. Please shoot me.

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  • [–] 24 points 6 months ago* (last edited 6 months ago) (1 child)

    I called 911 and went to hospital, unable to stand and uncontrollable vomiting black sludge with white specs in it, imagine over-used engine oil with seaseme seeds mixed in. Turns out my liver was leaking into my gi track. 43k bill from hospital, 1200 from ambulance to drive 1 mile, combined 3k from various doctors, 8k for all the tests they ran. Yes all separate bills. I was there for 3 days. That's about a total of 55k in bills for 3 days...

    Even if the 25 dollar an hour minimum wage bill passed, and I worked full time for minimum wage with no other expenses(no food, no rent, no gas, no nothing) I still couldn't pay it in a year(yearly pay at 25 an hour is 52k a year).

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  • [–] 23 points 6 months ago (2 children)

    And how much a month is your health insurance?

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  • [–] 5 points 6 months ago* (5 children)

    We don’t do regular yearly checkups in Sweden.

    At a certain point when you reach a particular age or if you are at risk for something, that may change, but the average person doesn’t do yearly checkups.

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  • [–] 4 points 6 months ago (4 children)

    You should though. Most ages would benefit even if only from a quick opportunity to ask about anything that might have come up plus the chance for some bloodwork to verify nothing obvious is abnormal. Prevention is way better than getting to a problem when it's already serious, and preventative checks can spot a lot of things (liver issues, some cancers, metabolic problems, etc.).

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  • [–] 6 points 6 months ago (2 children)

    As far as I understand, yearly general health checkups aren't that effective at catching things. That at least seems to be the basis for why we don't have them. One meta-analysis I found referenced was this one published in the BMJ.

    That isn't to say that people don't get regular checkups here. Depending on your medical history, your age, and your potential for particular problems, there will be regular specific health checks. If a particular group of people are more likely to be affected with a particular condition, then said group will be called for checks.

    You can absolutely do regular yearly health checkups, but that's generally done by private clinics, and you pay for that yourself.

    --

    I have very mixed feelings about our healthcare system. On one hand it works well for the most part, but there are obviously some horror stories making the rounds. There are also some really questionable practices, for example you can get a referral to a chiropractor. Everyone knows that's bunk science. At best chiropractors are con artists and at worst they're butchers.

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  • [–] 3 points 6 months ago (1 child)

    Yeah, we really need to remove chiropractors and osteopathic practitioners from public systems.

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  • [–] 1 point 6 months ago

    Is osteopathy not just a cheaper MD that's slightly easier to get into over there? Here in the US it's basically the same but with like one class added that's basically vestigial at this point. Here we may as well just eliminate the remaining difference and make the schools the same.

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  • [–] 2 points 6 months ago

    Preventative checks are used in Sweden where there's evidence for their efficacy - for example, mammograms for all women over 40, screening for colorectal cancer for everyone over 60, etc.

    It's just that evidence for efficacy is the bar that each screening has to clear, and general yearly health checkups did not clear that bar.

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  • [–] 13 points 6 months ago (2 children)

    As a Dane, I beg to differ. I think its essential that it's free to visit the doctor, to not deter necessary visits.

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  • [–] 9 points 6 months ago

    I concur. I grew up in poverty and even though the sum isn’t particularly large for me today, thinking of the economic situation I grew up in every little bit counts.

    Sure kids don’t pay, but having a sick parent in poverty is not great.

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  • [–] 0 points 6 months ago

    There's a line, and I don't know where it is. I'd very much rather someone go who didn't need it than the other way, but medical care is to some extent a finite resource that can be over utilized.
    Maybe the answer is to incentivise using it correctly instead of penalizing using it incorrectly. Get a check for showing up to or giving proper cancellation notice for all appointments, getting your regular checkups and stuff like that. Appropriate use of whatever we're calling non-emergency walk in clinics. (At least where I am, your doctor has a lead time before appointments, and the emergency room is more geared towards immediate specialized care. The clinics are designed for "let's give that sprained ankle a double check and pop a stich in that gouge". Routine care that shouldn't wait)

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  • [–] 4 points 6 months ago*

    We tried something like that in germany for a while, then it was deemed ineffective and got reverted. Any flat fee also has the usual issue of disproportionately affecting poor people - 150€ a year (ik you used usd but close enough) isn't a lot for me, but for some people it can be more than they can afford.

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  • [–] 10 points 6 months ago

    Japan could use that. Ambulances are free and so they sometimes get overused because old people call them at the drop of a hat. But I got a tooth filled for οΏ₯1700 (less than 20 USD) so they're doing something right.

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  • [–] 4 points 6 months ago (2 children)

    That is about 3x what we pay in Belgium. So much!

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  • [–] 33 points 6 months ago (1 child)

    In France, we used to be at the top, now I need to wait 6 months to see a lung specialist because we lack of doctor (yeah teaching 3000 doctors per year in the 90's was a brilliant idea), we pay ~30€ and get 19€ refunded for a basic general consultation. If you want more, you need a fucking insurance. I remember spending a night in children ER waiting more than 4 hours to have an asthma attack handled because the hospital was empty. Privatization is the way to speed run turning anything into a fucking disaster.

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  • [–] 61 points 6 months ago

    Plot twist, the American didn't even hear the conversation. He just showed up violent and obnoxious.

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  • [–] 29 points 6 months ago

    β€œEuropeans pay for health care. Americans pay for health insurance.”

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  • [–] 15 points 6 months ago (1 child)

    $17.14 USD at the time I checked.

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  • [–] 42 points 6 months ago (3 children)

    Health is a commodity. Think about that. Fucking Americans. I live in the US. We have commodified health.

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  • [–] 8 points 6 months ago (1 child)

    This is ridiculous, usa kid wouldnt even acknowledge the other kids exist.

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    [–] 3 points 6 months ago (2 children)

    Do they not practice "free card" in Norway? if you spend more than 230 American zlotty, the rest is free?

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  • [–] 2 points 6 months ago

    Is this the new pol balls?

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  • [–] 2 points 6 months ago (1 child)

    By American standards, I have extremely good health insurance through my wife's workplace. We still have to pay $25 per doctor visit on top of paying every month for the insurance.

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  • [–] 2 points 6 months ago (2 children)

    160 kronars is a lot, its not fair.

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  • [–] 3 points 6 months ago (1 child)

    The joke has been done to death, but I love the art style!

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  • [–] 2 points 6 months ago (3 children)

    As an American, I think the Dane has a point. Beating us is a really low bar

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  • [–] 1 point 6 months ago (4 children)

    β‚Ή5 in Kerala. Although you have to pay for meds yourself

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  • [–] 2 points 6 months ago (3 children)

    Doesn't processing 5 rupees cost more than the fee itself?

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  • [–] 1 point 6 months ago* (2 children)

    sorry didn't understand. processing what?

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  • [–] 2 points 6 months ago (1 child)

    Processing the payment. Fees, etc.

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  • [–] 1 point 6 months ago* (last edited 6 months ago)

    The 5 rupees is inclusive of taxes and stuff. Also there are no payment processing fees in India AFAIK. At the counter you can give a 5 rupee coin or pay 5 rupees via UPI or card, and you get a receipt and token number. But paying for the medicines and public transport would cost extra, so you would be spending almost β‚Ή100 (or even β‚Ή200 if expensive antibiotics are involved) by the time you reach home.

    Edit: this is only for regular illness such as the flu or COVID, and most people wouldn't use life/health insurance for that. Doing surgeries or therapy (which is still hard to find here) will cost a lot more, and insurance and stuff will likely complicate things.

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