Not wanting to derail the New Mexico thread. The following members made a couple great points deserving discussion:
Originally Posted by NW-Bound :
The problem with living in a small town anywhere is lack of advanced health services when one gets older. It may not be a big problem when one is in the 50s or 60s, but by the time people are in the 70s, many health issues surface. Of course, some unfortunate people need advanced healthcare quite early, way before their 70s.
Meirrlde replied:
Of course this depends on the size of the region. If you get up to 20-30k then you have reasonable options all be it no level 1 trauma center (they fly folks to San Antonio for that). If you have a big city 60-80 miles away if you need that kind of care you are close enough to get at it. (In some small towns in counties of 4k folks you have to leave town even to find an OB/GYN.
My wife and I are trying to figure where to move for ER in a few years. Neither of us like big cities but we keep seeing the 'best hospital' type studies and are questioning the quality of care in the smaller cities we prefer.
I had colon surgery at a a 'best hospital' facility in the Boston area last summer. The surgeon was great but the quality of care at the big city hospital was much worse than when I had other surgery a few years back in Pac NW suburbia smaller hospital. It felt like I was just a number and that the staff was stretched too thin. Might just be the Boston personality differences compared to the west but I guess that's a different discussion...
With the transfer of technology, flow of information and training available today, are the smaller city hospitals significantly different than the big name hospitals? Have the big research hospitals always been less personal? How much of quality health care is having the absolute top experts on your case vs. having caring, qualified people close to an area you want to live? Can you find high quality care in smaller cities or do you need to be close to the big University hospitals?
Originally Posted by NW-Bound :
The problem with living in a small town anywhere is lack of advanced health services when one gets older. It may not be a big problem when one is in the 50s or 60s, but by the time people are in the 70s, many health issues surface. Of course, some unfortunate people need advanced healthcare quite early, way before their 70s.
Meirrlde replied:
Of course this depends on the size of the region. If you get up to 20-30k then you have reasonable options all be it no level 1 trauma center (they fly folks to San Antonio for that). If you have a big city 60-80 miles away if you need that kind of care you are close enough to get at it. (In some small towns in counties of 4k folks you have to leave town even to find an OB/GYN.
My wife and I are trying to figure where to move for ER in a few years. Neither of us like big cities but we keep seeing the 'best hospital' type studies and are questioning the quality of care in the smaller cities we prefer.
I had colon surgery at a a 'best hospital' facility in the Boston area last summer. The surgeon was great but the quality of care at the big city hospital was much worse than when I had other surgery a few years back in Pac NW suburbia smaller hospital. It felt like I was just a number and that the staff was stretched too thin. Might just be the Boston personality differences compared to the west but I guess that's a different discussion...
With the transfer of technology, flow of information and training available today, are the smaller city hospitals significantly different than the big name hospitals? Have the big research hospitals always been less personal? How much of quality health care is having the absolute top experts on your case vs. having caring, qualified people close to an area you want to live? Can you find high quality care in smaller cities or do you need to be close to the big University hospitals?