As an American I'm curious what it's like if you need to go to the doctor and how much you pay from say a broken arm to general checkup. Also list what country please

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[–] 118 points 6 months ago* (last edited 6 months ago) (5 children)

Canadian here.

$0 for everything, generally

If you have blood pumping from a stump, or have something catastrophic and are in immediate peril, you are seen quickly and get first class treatment....in most cases... However, our Indigenous population and other vulnerable sectors do not always get treated well sadly, and in some remote places access to health care is limited

Now if it's something "minor", you will wait for an appointment, or in the ER...for a long time, like 6-18 hours. which I have done many times However, you will get seen, and you will get services... The biggest bill I ever had was like $15 for parking

Some examples from my own experience: My mother had multiple, debiliatating illnesses over 20+ years, $0 Dad had a heart attack 15 years ago, $0 I was born , c-section, $0 i had multiple children, $0 Vasectomy (no more children haha) $0 Massive car accident, many injuries, $0 See my doctor annually for checkup, $0

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

    I came into this thread to speak about wait times too, but you said it much better than I could have. Thank you :)

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  • [–] 34 points 6 months ago

    You are very welcome.

    We need to acknowledge the problems if we want to address them.

    The system isn't perfect, but it does (generally) have your back when you get sick

    Healthcare is one of, if not THE most important, valuable and defining parts about being Canadian. Right alongside being polite and friendly, in my opinion.

    ...unfortunately, the shitheads know this too, hence the attacks on public healthcare. It will not work tho, as the reptile people hate each other and cannot concieve of even small sacrifices to help others, and they cannot understand liking others either.

    Canadians like each other, have a great thing going, and know it.

    Stay strong hosers

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

    Wait times suck in the US, too. I snapped my collarbone when I fell off my bike. It was gnarly. I waited in the waiting room for three hours to get a bed in the hallway then I waited another another two hours to have my first x-ray. Between waiting for each nurse or PA, I was there for 9 hours. And during that time all they did was take some x-rays, told me my collar bone was really fucking broken and scubbed dirt out if my wounds. I was sent home considerably uncomfortable. I had to wait a week to see a doctor to assess my collar bone and another week have the surgery. It sucked

    And here's another fun example: I started having chronic nonstop migraines a few years ago. After a couple very long months of back and forth with my primary care, I finally got a referral to neurology, but I had to wait over a month for them to contact me, and then even after they finally contacted me I had to wait EIGHT MONTHS to finally have a video appointment.

    Edit: fixed lots of careless typos.

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  • [–] 4 points 6 months ago

    I have walked out of an ER waiting room with a multiple fractured hand/wrist, after waiting 6 hrs.

    I needed to eat, that day.

    I bought a brace and splints at a Rite Aid, and just set it myself, while biting down on a wallet, and then taught myself to be left-handed.

    Years later, got an xray, Doc was surprised to learn I'd set it myself, said I did a pretty good job.

    My having taken a comprehensive combat first aid / trauma response training course at a local gun range, a decade ago, was more useful than the entire US healthcare system.

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  • [–] 6 points 6 months ago*

    We had to rush my SO to the ER in the last year and the wait time was actually only about an hour. It's probably specific to the area you are in but I was shocked too since I kept hearing about the long waits so I braced myself. All in all the whole visit took likr 6 hours since they kept having to run more tests and he had to wait for results. It didn't end up being anything major and the overall experience was mostly positive.

    Oh and of course the entire visit was $0.

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

    Canadian here:

    Some provincial governments are purposely underfunding healthcare in their provinces in order to make it worse. The purpose behind this is to try and push for more private healthcare. They figure if everyone thinks the current healthcare system sucks, it's easier to sell them on private. I'm fucking tired of this shit. The world is just full of greedy selfish assholes.

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

    This is what the US is doing with other successful public services, like our postal service, social safety services, along with our limited public insurance options. I feel like the goal of this tactic generally needs to be shouted out, taught, put on billboards for a decade, because it just keeps working for right-wing saboteurs in so many situations

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  • [–] 17 points 6 months ago*

    Reagan was open about "starve the beast," and many Republicans literally run on the idea.

    These people are so inundated with constant propaganda that they believe they want this.

    This isn't happening behind the right's back, they are cheering it on

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

    Some provincial governments are purposely underfunding healthcare in their provinces in order to make it worse. The purpose behind this is to try and push for more private healthcare.

    Some are trying similar things here in France. They've been doing that with many other public services too.

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  • [–] 3 points 6 months ago

    They have success because people don't have a consistent, active defense. Heroes die, the laws of nature stay the same.

    And they always seem to take this end stage where awful people get in-charge and destroy the conditions that enabled them.

    It is because humans are inherently flawed in a fatal way, and are destined to wipe themselves.

    I hope something better founded replaces us.

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  • [–] 6 points 6 months ago

    We've also got luxury health for our teeth only. Its not like we need them to eat properly and its not like we need to do that daily.

    I've spent thousands of dollars of government money for digestive issues that I'm fairly confident link back to the fact that my teeth only make contact in 4 places, but the cabal of dentists and orthodontists keep teeth payable and I can't afford $10k for braces that I (who am not a medical professional) think I need, but that orthodontists (who, in this country are licensed tooth renovation salespeople) think they could give me nicer looking teeth for.

    I agree to an extent that cosmetic medicine doesn't need to be covered, but there's no option for me to get my teeth medically corrected so I can eat properly, or, and what may be my biggest gripe, that I have a medical practitioner that wants to get me out of the healthcare system rather than sell me a fucking smile.

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

    Australian here.

    Just took my wife to the ER twice this weekend. Stressy.

    Blood tests, consults, medication, drip, snacks and drinks, the lot.

    $0

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

    Can you imagine, on top of all that stressy, you had a MASSIVE , life-altering bill?!

    What the fuk kinda social agreement is that?

    ...Like what's in it for the average yank now?

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

    I'm Norwegian, where you have to pay about $30 to go to the doctor (which is set to $0 after spending $150 in a year).

    I'm not sure about a broken arm, but I think it's free.

    I live in Denmark now - the only difference is that there is no cost with going to the doctor.

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

    I think you’ve been in Denmark for to long hehe.
    It’s $350/year these days.
    Still very good though, and hospitals are usually free.

    After giving birth a few years ago, the only cost was ish $30 in parking for two days.

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  • [–] 11 points 6 months ago

    Yeah, I think you're right! 7.5 years is quite a long time... But too long, considering the inflation in Norway? It's been fun spending my Danish kroner in Norway - it's like it all is 40% off.

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  • [–] 2 points 6 months ago

    I (the dad) had to pay my stay in hospital hotel after the birth, but it wasn’t outrageously expensive. The food at the restaurant was outrageously bad and expensive though.

    Also I had to pay 500$ for vasectomy at a private health care provider, because the public ones don’t do it anymore. Our system gets a little better and a little worse at the same time.

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  • [–] 1 point 6 months ago

    Genuine question, what’s the point of charging the nominal fee? Wouldn’t it start to cost more in administration to charge and keep track of? Does it go to the particular office or to the system?

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  • [–] 43 points 6 months ago

    I used to live in the US and now I live in Denmark. I recently fell off my bike and got hurt. I went to the non-ER hospital and had some x-rays, an ultrasound at a specialists office, got a sling, and some nominal amount of ibuprofen/paracetamol/cut cleanup thrown my way. Then had a follow up with a specialist and got a little PT as well.

    $0. It's unreal as someone who has experienced injury in the US. I got amazing care in a pretty timely fashion and didn't have to worry about going broke

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  • [–] 35 points 6 months ago (7 children)

    UK.

    There were complications when my wife gave birth. 2 weeks in hospital, some surgery, and nurses and midwives on call 24/7. The biggest cost was me stress buying snacks for my wife (until she told me to stop!). Even parking was reduced to £11/week, since she was in for multiple nights.

    Another occasion. I had a benign lump in an annoying place. It took 14 months to get through to get it removed. It's only when I went in I realised it was not a 5 minute snip. Around an hour for a plastic surgeon to properly remove and stitch it up.

    The NHS has its problems. Mostly caused by previous governments trying to starve it (to let their mates sell us for profit healthcare). The system and staff are absolutely awesome.

    If I'm asked to point out what makes me proud to be British, the NHS is the prize jewel in that particular crown.

    Cost wise, we pay national insurance, a fixed percentage of income. ("Payment by ability, treatment by requirement.") Prescriptions are £9.90 each, or £120/year. They also wave the fee for a lot of groups who might have problems with it. It's massively more cost effective than the American system.

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

    we pay national insurance, a fixed percentage of income

    With no limits? One of the many problems with the us system is we don’t do this.

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

    There are some limits to it, and ways around it for the rich (as per usual ☹️).

    The cost still mostly scales with your income, rather than how much care you need.

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  • [–] 1 point 6 months ago

    I don’t understand why so many of my fellow citizens wouldn’t want this

    I guess we sort of have some, in that if you’re on Medicaid or on one of the exchanges, you get subsidized coverage based on your income

    But higher income people don’t pay more, plus I imagine that at some point you have enough income that you wouldn’t need health insurance….. and people wonder why our system is so expensive

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

    When I was born I had a cleft palate, which then lead to ear issues and braces. When I started work (23 years ago) I had a leg pain issue that was never diagnosed, but went away….to generalise, I’ve never had an issue getting an appointment, I or my parents have never had to pay anything (Prescriptions aside), with my leg I think we had to wait up to 3 months for certain appointments, like the op, ~90~% stuff was quicker.

    I rang my new doctors after 8am on Monday, triage call Wednesday, doctors appointment Friday noon. I’d only joined a couple of days before. It’s underfunded and understaffed, but the NHS is a diamond. Absolutely baffles me that people think a for profit service could be better.

    Hope you don’t mind me jumping on your comment.

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  • [–] 2 points 6 months ago

    UK here too and agree with the everything but the national insurance part is a common misconception. The amount you pay in national insurance has no direct tie to benefits or the nhs, and has not been connected for a long time.

    All national taxes go into a big pot which the government allocates any way it wants in the budget. For example, the recent class 1 employers national insurance rate increase from 13.8% to 15% does not mean that increase in funding goes directly to the NHS.

    The amount of years that you paid national insurance for in your life does effect the amount of pension you received. Once you've worked x number of years, you receive the full pension available. The amount you paid has no impact. In fact, you just have to have been paid a salary of the lower threshold, which means technically you don't pay any national insurance, for that year to be marked as qualifying. Lots of owner managed business pay themselves salary of the lower threshold (£6.5k), then pay the rest in dividends - results in them meeting the pension eligibility for that year, pays no national insurance, pays no income tax, and then pays the lower income tax rate for dividends.

    Fun fact, once you hit the legal retirement age, you stop paying national insurance even if you carry on working. This makes it a regressive tax!

    Successive governments have not made this clear because it is politically easier to raise national insurance rates ("helping the NHS") than income taxes, even though income tax is a more progressive tax and it all goes to the same pot.

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

    In Australia.

    I went to the doctor complaining of weird headaches and vertigo, so she sent me for X-ray and MRI. They discovered holes in my bones that proved I have blood cancer (myeloma). Further blood tests proved that I was not long for this world and organs were failing, got pushed to the top of the list and sent to hospital the same day that the blood tests came back. At this point, treatment hadn’t cost me anything.

    In hospital for four weeks with IV medications and chemotherapy, sent home with chemotherapy and a whole bunch of other tablets. Spent a year not responding to chemotherapy, told to get my affairs in order. At this point, treatment hadn’t cost me anything.

    A specialist recommended a stem cell (“ bone marrow”) transplant, and then because it worked so well, another one six weeks later. In hospital for two weeks each time, with IV medications and chemotherapy. At this point, treatment hadn’t cost me anything.

    I then spent 18 months taking chemotherapy tablets daily; these cost the government $28,000 a month; I paid $6.50 a month. Another twelve months on weekly immunoglobulins, which cost me nothing.

    Six years after diagnosis, I’m now in remission (although “myeloma always comes back”). I’ve been two years with “no evidence of disease”.

    I’m grateful and lucky that I live in Australia and have the public health care system. I would not have been able to pay for any of this in a country with healthcare-for-profit.

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

    Fuck yeah remission! I got scared when I read “myeloma”… I hope it stays gone for good (or until you’re nearing 100 and DGAF anymore.

    I’m sorry you had to go through that, but I’m very happy you’re here to post your experience.

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    [–] 28 points 6 months ago* (8 children)

    UK.
    Visit to doctor: free
    Ambulance trip to hospital: free
    Broken arm: free
    Pregnancy care, maternity, birth, etc: free
    Cancer treatment, including multiple rounds of Chemotherapy, surgery, post-op care, etc etc: free

    Prescription: about £10, but I get an annual fixed price unlimited pass which pays for itself in a month or three all the stuff I'm on.
    Parking at the hospital: not free.

    Dentist: not free.

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

    And, how long is the wait for any of the free services for a typical UK resident?

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  • [–] 4 points 6 months ago

    Depends. My annual checkup needed to be booked weeks in advance, whereas when I rang them about a mole that started bleeding, they wanted a picture and when they saw it, they referred me urgently to the dermatology department. I had an appointment that Saturday and they froze it off, but the dermatologist didn't think it was skin cancer. Since I was there anyway and it was annoying, it was bye bye mole. The NHS can move fast when it needs to. My aunt waited quite a while for her hip replacement but when my other uncle fell and broke his they did it straight away.

    If you turn up at A&E (emergency room) at the weekend after pub closing time you'll be waiting hours and hours, but they deal with the most urgent stuff first.

    It used to be better before the conservatives underfunded it for a decade and a half, and having an anti-immigrant policy and restricting placed on UK training hasn't helped the recruitment crisis any, but it's still good and I didn't have to mortgage my house to pay for my relative's cancer treatment.

    Privatisation ruins everything for everyone except the CEOs and shareholders.

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  • [–] 2 points 6 months ago*

    I used to live there and the NHS wait times were lower than any I had in the U.S. with insurance. Probably depends on the area, and I’ve heard it’s worse than it used to be because the conservatives keep expecting them to do more with less.

    There’s also no wasted time. If your appointment was at 9:30, you’d be called in almost right at 9:30. If you’re called into a room, you’re not going to sit there waiting for a nurse to come take your blood pressure and ask what’s happening so they can relay it to the doctor. When you’re done with the doctor, you leave. You don’t have to go pay or wait for someone to check your finances or any of that.

    And their health insurance is better because it has to at least offer something the NHS doesn’t.

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

    Its great in Australia, i farkn love medicare (what we call it). My wife had a recent health scare and we had to run around seeing all these different people (getting scans done, follow up appointments, second opinions etc) and it was amazing walking out each time not needing to pay anything.

    We have to pay for meds but its cheap as chips (my meds for my heart shit are like $20 each pick up).

    I really feel for you yanks, its insane America of all countries doesnt have it.

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

    Canadian here... I had a boss who was American. He would often talk about how the American system was so much better then the Canadian system. This upset me but luckily I could go to the hospital and get my feelings checked for free.

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

    The only people who actually think our system is better are total chodes who just inhale Fox News 24/7. Anyone with half a brain knows it's utter shit and getting anything treated correctly is a major pain in the ass and potentially will bankrupt you. Fuck the American Healthcare System.

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  • [–] 19 points 6 months ago

    Canadian here: wait times can be long depending on seriousness but it honestly doesn’t register. You need emergency care, you go to the hospital, you get taken care of, you leave. No fees. It’s not perfect efficiency but it works.

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

    UK

    I got hit by a driver a couple of years ago. Ambulance to A&E was free. Triage and being seen was free. CT was free. Sling for broken clavicle was free. I had 6 weeks off work due to lingering effects of concussion - getting signed off by the doctor was free.

    I usually see the GP once or twice a year for minor things and those visits are always free.

    My partner's antidepressants are free. Therapy is free. Birth control is free.

    In Scotland all prescriptions are free.

    I can't imagine having to consider finances in the event of any health issues.

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  • [+] -11 points 6 months ago (4 children)

    Free? That's hardly free. I pay monthly NHS and barely get appointments. R.I.P, people with conditions that need to be diagnosed early.

    Accidents? Yeah, you get help immediately. Other conditions? You better go private.

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

    Just went to the ER last week and I was there for 3 hours before I got seen. It wasn't life threatening. Then, I was just sitting in the back for 8 hours. Nurse saw me twice. No doctor. I got checked, was given Tylenol and said I was "fine".

    I'm glad I didn't crash out. Then I scheduled an appointment with my PRIVATE doctor and could get one in 9 weeks.

    I pay $1100 a month for health insurance for me and my family.

    I haven't got the bill for ambulance yet or the hospital. But my last ambulance ride was $2800, which insurance was willing to pay 75% of it.

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

    Yeah, Canadians bitch about waiting in ER thinking it's different in the USA. Dumbasses have never lived outside of Canada.

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  • [–] 3 points 6 months ago*

    I lived in America for 6 years, 07306 and 98125. Canada in the V9, V3, V8, V0, T2, K2, K3 postal codes.

    Wait times were identical.

    Care was identical.

    The only difference was American healthcare has a credit card machine on the way out, and Canadian healthcare has no payment stuff -- but may ask you to confirm your health number when you find it (came in without any paperwork) for the records.

    I pay $0 extra for healthcare, beyond normal income tax (which consistently ranks 1% below American, something I've been tracking from before when I had to file in both countries).

    I will say our conservatives are consistently trying to open the door to the two-tier setup, and hearing how well it's done for the NHS I really want us to avoid that. They'd like to get us under the mercenary American system, and their corpo donors are really pushing for that. Especially because our gun laws prevent Luigis.

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

    Loved one recently diagnosed with cancer. Within a week she has a team of 5 medical professionals assigned to her to kill this thing. If she was in the USA, this would bankrupt the family.

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

    Actually if she was in the USA. She would need to call around to find a doctor accepting new patients that take her insurance.

    My friend has a tumor on her spine. It took 4 months to get an appointment with a doctor who took her insurance.

    The doctor met with her to tell her that "she doesn't feel qualified to assist. This case is is clearly too critical for her( the doctor)".

    And.....

    Now she's calling around again.

    While the tumor grows

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

    Yeah, I had an ear issue and got referred to an ENT. The ENT required that I do a hearing test. I said my hearing is fine, I have pain in my ear. Well it's a requirement to get an appointment. Ok, fine, sign me up for that. 30 days out I get this hearing test, then have the appointment 4 months later. So I just had to deal with pain for 4 months. I went to urgent care and ER while waiting because I was in pain daily and couldn't keep waiting. They all said they couldn't see anything and I would need to talk to an ENT. The ENT sees it and says the same shit as the urgent care and ER. So 4 months has gone by and all any doctor did was throw their hands up and say IDK bro. I see another ENT who gives me a steroid ear drop that doesn't fucking work. We're 6 months in and fucking nothing has happened. Eventually it gets kinda better just on its own after I straight gave up on trying to get it taken care of. I still have flare-ups here and there, but it's mostly better. Uh hopefully it's not fucking cancer or something. 🤷‍♂️

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  • [–] 3 points 6 months ago

    Yep if it ain't in the checklist or easy to fix things I know how to bill for - I ain't fixing it.

    Imagine if most mechanics, or any other profession worked this way.

    Well shit, you don't need an oil change, an air filter change, and your spark plugs are good. Nothing I can do. This case is too complicated for me. Best of luck That'll be $83739

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  • [–] 16 points 6 months ago

    EU here, I was pregnant and gave birth both in Germany and in France.

    In Germany, the overall cost was 0€. It included monthly follow ups with a gynecologist, many blood exams and echos, the birth, MUCU for baby for three days, hospital stay for both of us for four days, at home visits for ten days, monthly visits with the gp for a while. Health insurance is through your work, so you pay for it via taxes but significantly less than in the US (I think my partner and I were paying just under 200€/month? It’s a percentage of income) I had 3.5 months of maternity leave at full pay, then I could stay home longer with 60% pay for up to a year cumulative with my husband.

    In France, the overall cost was a bit higher (~50€) because not all blood exams are completely free, so over the first 6 months of pregnancy I payed less than 10€/month for some blood tests. Gp and gynecologist visits are free, so are the ecos and the hospital stay. I decided to pay a little extra (50€/day) to have a private room after the birth where my husband could stay overnight. It should still be conferred by my extended health insurance (not mandatory). I was also in sick leave for the white pregnancy, and for the first 3 months I had full salary, then it dropped to 1/3, the got back to 100% when I went in maternity leave (~4.5 months). I decided to stay home a bit longer, without pay. My husband can also choose to stay home without pay, and has one month of paternity leave.

    I also lived in the US. Incomparable. On top of not having to pay, when there is a charge it is always stated clearly upfront, while in the US knowing what you’ll have to pay is a wild guessing game. Overall: I moved back to Europe for a reason.

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

    Brazil

    We have a weird hybrid system. While the universal care is not known for its efficiency, and sometimes sick people will have to wait for hours to see a doctor, I am sure it beats having to mortgage your house because of a broken arm.

    Besides universal care, people can decide to pay private hospitals and doctors directly. It's expensive. Few people can afford it (but interestingly, still much, much cheaper than in the US). And then, all of this combined generates affordable and actually good health insurance plans. You get a mix of getting guaranteed care, with a typical insurance monthly fee, which also most companies provide for their employees. Of course there are many tiers of insurance plans, but the most basic and affordable ones are typically very good. It's rare for insurance companies to deny procedures, something that is completely different than in the US. (It happens, though, depending on the procedure).

    Either way, you never have to worry about what it'll cost you. No life changing charges, no astronomical bills.

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

    Also a brazilian here, I think it's cheaper than in the US simply because there's a public health system for the private ones to compete with.

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  • [–] 15 points 6 months ago

    UK here, NHS is constantly being underfunded and gutted by contracting out to private companies, it still works but just barely.

    For example, ambulance target response time for a cardiac arrest, not a simple heart attack but full on unconscious not beating not breathing, used to be 8 minutes or less. Now they aim for 20 minutes and only achieve that 60% of the time.

    I'd much prefer a Norwegian style model where you pay say £30 per doctors/non-emergency hospital visit up to a cap of £150 per year with those who can't afford that getting those fees paid for by the government.

    Some additional things I would add would be a slowly increasing VAT on private healthcare until it reaches double the normal VAT, paying student nurses/doctors a full wage and full living cost loan for the duration of their studies, whilst working they do not pay the interest on those loans, then if they move abroad before the university loans are paid back they have to pay the interest back as well.

    This would massively increase funding for the NHS by taxing those who can definitely afford the burden because at double VAT the only ones who'd still opt for private healthcare are those who employ workers and therefore no matter how much they try to wriggle out of paying tax they can't avoid this one.

    The second would increase the number of medical students and stop the current drain of young medical professionals leaving for other countries.

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  • [–] 14 points 6 months ago* (last edited 6 months ago) (4 children)

    In Sweden, on paper, everybody has the right to receive health care, even if you're not a citizen. This is humanitarian and beautiful. On paper. While I wouldn't trade it for what you have in the US, our system has some serious shortcomings. For example, because of the long waiting times, we had to come up we the term "health care guarantee", which is a guideline to health care providers that states, that they have to provide health care within two or three months of the application date. Since it's a guideline it's practically meaningless and some people have had their health irreversibly damaged because they didn't receice surgery or whatever in time. Another example are the people delivering babies abroad. Some clinics and hospitals are so taxed, that they cannot make room for one more person to give birth, which has lead to some infamous cases where people gave birth in their cars, on their way to a neighbouring country to deliver their baby abroad. Yet another example is how the physicians are trained to treat patients. While overdiagnosing and overexamining definitely is a thing and a fact in the medical world, our doctors far too often recommend us taking pain medication "walk it off", instead of actually examining. You rarely get a CT, yet alone an MRI, and if you do, you have moths for it.

    EDIT: trans specific healthcare is years behind. Again, on paper, everybody is accepted and we have our pointless pride parade, but when you actually voice your concern or need for gender affirming health care, you have to prove your dysphoria to a bunch of specialists, which takes up to five years. If and when they decide to diagnose you with gender dysphoria, then you are eligible for HRT or whatever you need. Once you get the diagnosis, the state pays for any and all gender affirmation, which is good, but the journey is murderous...

    EDIT2: Certain workplaces cover both examination, treatments and medicine.

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

    Another example are the birth giving refugees.

    Admittedly I don't watch the news, but I've never heard of this. When I've heard about problems in birth care (or health care in general, really), it's mainly the effects of cutting funding: Shutdowns of clinics in rural parts, especially in the north, leading to long distances to care; Not enough beds for the demand; Trouble with finding staff for the summer. It sounds short-sighted to me to blame refugees for a problem that's been brewing for decades.

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  • [–] 2 points 6 months ago* (last edited 6 months ago)

    My bad, the phrasing was weird. I have changed the phrasing now. Thanks! I meant to liken people that go abroad to deliver their babies to refugees, not to blame the shortcomings of the Swedish health care system on actual refugees. The blame lies solely on the ruling class.

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

    I have lived in Sweden my entire life and this, to me, sounds like just part of the picture. The public healthcare system is far from perfect and it can definitely be frustrating (and surely, in some cases, even a health risk) to wait for specialist care. However, my personal experience is that when really serious stuff happens this system works. My dad fell down from the roof of their house a couple of years ago and was unconscious when I found him (he’s alright - just a dummy not having any safety equipment). We were picked up by ambulance and in the ER not 15 minutes from my call.

    That said, I’m 100% for a larger welfare sector. Lessen the vårdköer and offer arbetstidsförkortning for hospital staff

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  • [–] 1 point 6 months ago

    I'm glad your dad is alright 🩵 and I agree on that once you do receive healthcare, the quality is nothing to complain about. And, as I said, I wouldn't change our system to that of the US or whatever for anything, because that would lead to only privileged people being able to receive healthcare.

    I wonder what happened with that experiment at that hospital in Mölndal, where they tried six hour workday with eight hour pay?

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  • [–] 14 points 6 months ago* (9 children)

    My husband was extremely drunk and cycling home at 3am. Fell off his bike, smacked his face on the road and fell unconscious. Was picked up by an ambulance called by a good Samaritan who found him.

    They put him on a drip, ran an MRI scan, found a fracture on his eye socket, told him he had a concussion, found some fibroids in his lungs (unrelated to the accident) etc. Was in the emergency ward for probably 12 hours until he was able to be discharged.

    Got follow up scans and appointments looking at the lung, eye and concussion issue over two years until they gave him the all clear.

    We paid not a cent for the whole thing. He did get a verbal lashing from me though.

    On the flip side, I had to have elective surgery to remove a 17cm cyst because it was really, really uncomfortable. Because it's elective, it's not covered by Medicare. The quote from the hospital came to $22K and we had to pull it out of the home loan.

    Location: Australia

    Forgot to say that we both have ambulance membership which costs us $70/year. Without it, the ambulance cost would've been around $3.5K.

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  • [–] 6 points 6 months ago* (8 children)

    Ambulance membership? lol. So you don’t really have universal healthcare

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  • [–] 8 points 6 months ago (7 children)

    Nope but our system is much more universal than America's.

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

    We have the same system for ambulances. You pay a yearly fee to insurance and ambulances are covered or made much cheaper.

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

    Hmmmm. Our ambulance membership costs go directly to the ambulance services though, not through an insurance company. The 'fee' without the membership is basically a penalty fee to encourage everyone to be a member so the ambulance is constantly funded.

    It really should be done as part of our tax system, but we tend to follow US crony capitalism.

    Edit: I'm half wrong. The money doesn't go to insurance companies but it's a state thing that sort of goes direct to the ambulance service.

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

    US crony capitalism.

    You can just say capitalism, calling it anything else only serves to mislead people about natural evolution of capitalism.

    Our ambulance membership costs go directly to the ambulance services though, not through an insurance company

    So what if you're outside that company's coverage area?

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

    You can just say capitalism, calling it anything else only serves to mislead people about natural evolution of capitalism.

    I think there's a little misunderstanding there (not US-crony-capitalism) but I'm happy to just call it capitalism.

    So what if you're outside that company's coverage area?

    It's not a company though. The ambulance is state run, so to be 'outside' the service area is to be in another state, where they'd have their own state run ambulance service.

    The membership covers costs for everyone within the state regardless of how remote you are.

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

    So if you're a NSW resident and you get hurt in Victoria, do you pay full rate or does the ambulance subscription cover you either way?

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  • [–] 3 points 6 months ago

    Very interesting question! I looked up what NSW has and they don't have anything like that. I also looked deeper into the ambulance Victoria requirements.

    So, if your primary place of residence is not in Victoria, you can't be a member and have to foot the entire bill unless your private health insurance covers it.

    If you're a Victorian with a membership, if you get hurt anywhere in the country, you're covered.

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  • [–] 3 points 6 months ago

    Yes and it allows people such as myself, low income earners, disability, to not have to pay for an ambulance (or an annual membership) if needed. ❤️ I think it's a pretty decent system especially compared to others.

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

    Spain. I have private health insurance (it’s quite affordable here).

    If you are dying, use the public services. They will do whatever it takes (under their material resources) to save you.

    If you want comfort and probably reduce waiting times, go private. Public hospitals have long waits for anything that’s not immediately disabling/life threatening.

    Example. My dad had a fall at home alone and broke his femur. He used his telemedicine device to call for help. When I got at his home, the paramedics were already there. They stabilised him, put him in ambulance and brought him to a public hospital. The same evening he had a titanium inserted. After five days in the hospital he was transferred to a recovery center.

    Guess the cost?

    Zero euros.

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

    Swede here, a doctors vist costs 300sek, though any public medical cost above 1450sek is 100% covered by the government.

    This includes prescriptions, hospital visits, and more.

    Back in 2019, I got mycoplasma, I was out of work for 1.5 months and stayed in a hospital for 3 nights, I paid 500sek or so for the hospital stay, this included hot meals and medication.

    I got sick pay from the government, and got back all vacation days I burned at work.

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

    For reference, 300sek is about CA$45

    Edit: (not for your reference, OC, but for others reading)

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  • [–] 2 points 6 months ago

    Yeah, I was wondering about that myself, but for USD. Right now (May 2026) the exchange rate is roughly $1.08 USD for every Swedish Krona.

    So 300sek, a doctor's visit, is roughly $32.50. 1450sek, the line above which everything is paid for by the Swedish government, is about $157.25. The 500sek or so Stoy paid per night, including meals and meds, is $157.25.

    This, as an American, is literally unimaginable to me. It sounds like the numbers from 30, even 40 years ago.

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  • [–] 13 points 6 months ago

    Poland

    My country may be poor backwards post-soviet hole, but social media and news present USA as Fallout-style post-apocalyptic dystopia.

    Every member of my family has a family doctor assigned (it's the same one for convenience). This doctor reminds us about mandatory vaccinations and tips us if there are any diseases spreading (for preparation sake). If anyone is seek we can usually schedule visit within a week, and most standard medicines are fairly cheap due to governmental control.

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  • [–] 13 points 6 months ago (7 children)

    Australia

    Two years ago, my dad slipped at the boat ramp and broke his wrist. He went in the local ER, presented the family Medicare card, and they worked right away to put his arm in a cast and prescribe pain medication to him. Nothing was paid out of pocket, and the card was just to verify identity, since nothing is really deducted or anything.

    A few months later, he got stung on the ankle by a stingray (luckily the barb didn’t break in his leg,) and was driven to the ER by a step-family member he was able to peddle his bike to quickly. His leg was quickly put in warm water and got given antibiotics, and was admitted for a week stay. After 3 days, it was healed enough for him to voluntarily return home, even though the full stay was still there for assurance. Yet again nothing was paid out of pocket.

    For general checkups and appointments, it’s a bit hit or miss, where sometimes you need to pay around $70 AUD, but for others it is fully subsidised. For example, a blood test I had recently was fully free, whereas my most recent dental appointment required payment.

    The cool thing is that I actually found out through my MyGov account that Medicare emailed a notice telling me that they owed me $100 and a couple cents, since it was some sort of post-appointment subsidy. Pretty neat honestly, didn’t know at the time they’d even consider doing that.

    There’s also a new tier of healthcare facilities which were and are still being built by the Albanese Labor government both last and this term, which are called Urgent Care Clinics, basically being mini hospitals for mainly physical issues like broken arms, cuts or other injuries, which are easy enough to treat. These were created to ease the burden on emergency departments of full blown hospitals, so as to allow more elderly and sick patients to get treatment with less delay.

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

    Australia also has this cool thing called Royal Flying Doctor Service which are doctors flying across the country in the outback to service people and take them to and from the hospital

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

    How could I forget those absolute legends?

    I did some research and turns out the RFDS has 23 bases and a fleet of 79 planes, with a much smaller fleet of helicopters for rugged terrain and short, urgent trips.

    It mainly relies on a combination of donations and government funding, and is of course a non profit. It also tends towards mainly outback service, rather than equivalent organisations in other nations, which tend to focus on a mix of urban and rural service.

    Anyway, I’ll probably spend the next few hours obsessively looking up everything about the RFDS, and solidify that my sleep schedule is actually so shattered, but damn it’s an interesting organisation.

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

    I also watched the tv show and it was kinda cool, thought it was unique, not your regular hospital drama

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

    While looking up some of their statistics before, I did find out about the RFDS TV show and I’m pretty intrigued honestly. I’ll probably start watching it soon now that you’ve mentioned it. It might get me to stop focusing on the burnout I’m in currently haha

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

    Apparently here in Victoria it is covered by Medicare, but depends on which specialist you get. I feel for you for forking over that kind of cash, but from what I’ve been told from the many ADHDers in my life, as much as the cost might hurt at first, it’ll end up being worth it. Although, it would be a heck of a lot better to be covered by Medicare.

    Personally, I’m planning to get ADHD and Autism assessments in the future (not sure how soon, but probably a year or two away, since I’m still compiling data on myself), so I really should be doing research on eligibility for subsidisation for either.

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

    Canada.

    As someone else mentioned the current government is trying to make things worse so we can have American style hearth care.

    Primary care can be hit or miss. For my own GP I have to travel a bit back to my home town to see them because it's a bit painful to find a new one where I'm at now. It also might take a day or two to get an appointment.

    It is far from perfect but I'm incredibly doubtful that private health care would improve anything at all. I just don't think the incentives align that could allow for it at all.

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  • [–] 7 points 6 months ago

    Canada

    Conservative governments are trying to kill universal healthcare across the country and where they have privatized it, it does not produce better outcomes, it just costs more.

    The big difference from US care, aside from costs, is that Canada does not waste money on a plethora of pointless testing. When testing is required, it is prioritized which upsets people who are addicted to seeing doctors and insist on tests they don't need. The system is heavily abused by a few people.

    One patient in Quebec racked up 362 visits in one year.

    https://www.ctvnews.ca/montreal/health/article/one-quebecer-saw-a-family-doctor-362-times-in-a-year/

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

    As someone else mentioned the current government is trying to make things worse so we can have American style hearth care.

    Remember: this guy is the harm-reduction candidate. Poliestre would welcome American-style Mercenary healthcare for the country, like it is in Edmonton, demolishing what we have now for his rich friends.

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  • [–] 13 points 6 months ago

    Brazilian here. You just go to the nearest UPA (many general clinics around town) and get your arm patched up. Sure, there will be a line.

    Onde I cracked my head and went to one, they didn't let me wait, in 30 min I had the stitches already

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