my experience of a different healthcare system

fh2000

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I am not comparing different healthcare systems. I am simply reporting what I experienced below, and consider it our ER alternative for healthcare:

I contracted pneumonia last month during my annual travel back to my home country (small country in Asia, not one of those 3rd world countries though). We are dual citizens and covered by universal healthcare system back home.

Two days after we landed, I started to have a fever (38.5 C = 101.3 F). I first went to a local clinic and received antibiotic pills. Three days later, doctor told me to go to hospital ER immediately because my temperature persisted. I went to the ER of a large hospital in my city. They did an X-ray, a blood test, an EKG for my heart, and showed that I have pneumonia and needed to be checked into hospital right away.

For the next 14 days, I stayed in the hospital. The doctor that was assigned to me tried 3 kinds of antibiotic on me via IV. The first 2 did not bring down my temperature, only the 3rd one finally and gradually did. The nurse tried to ask me to produce mucus so they can do culture and find out what germs that caused my pneumonia. But I only had dry cough without any mucus.

Doctor and the hospital did a lot of tests on me overall: total 3 X-rays, 3 blood tests, a CT-scan, an ultrasound, and EKG, and a procedure that inserted a tube thru my nose to the lung to clean and extract the mucus. The whole time, numerous nurses and care-takers on different shifts around the clock that administered my IV, pills, meals, and newspaper. I was in a private room with my TV on the whole time too.

My DW had to take a taxi to the hospital in the mornings; stayed with me the whole day; take taxi home late afternoon to our apartment in the city which is next to her parents'.

This is my first hospital stay in either my home country or in US. So I can not compare the qualify of the care that I received but the doctor and nurses there all seem very professional and seem to know what they are doing. They explained to me daily of what the plan is and I was quite comfortable of the care. The only thing that I did not understand is why the doctor there could not prescribe the right antibiotic the first time. I would have stayed just for one cycle of the IV (7 days), instead of 2 failed in mid-cycle and had to go on the 3rd full cycle (which made my stay a total of 14 days).

In the end, the bill that I received is a small slip of paper with 14 items on it. I had to pay for the private room, otherwise the shared rooms would have been no cost to patients with coverage. The actual medical cost in all is around $1,900 US dollars. If you are a foreigner with no insurance, I guess this is what you would pay. Since I am covered, my out of pocket is 11% = $211.27 US dollars. The hospital provided me the Discharge Diagnosis in English, and a CD with my X-ray images. After I came back to US, I showed my primary doctor these, and my doctor said they tried "everything", maybe excessively.

We are very surprised with the low cost. We are still w*rking in US (me 61 and DW 56 now) because we are still relying on employer health plan in US. DW is now thinking we could ER and have a catastrophic hospital stay plan in US. With any non life threatening illness, we could buy a plane ticket; fly home; seek care there and still be much cheaper. We may have to stay in hospital much longer than the US system but a private room is something we can live with.
 
All I can ask is does a steak dinner cost a nickel there? Well, that, and which country in case I ever get sick without good insurance?

Cost is the single biggest problem with Heathcare in America. And, little, to nothing, seems to be focused on addressing that issue. Sigh.

As many know US spends something like 5-6% more of our GDP on healthcare compared to other Western countries.
 
Interesting story, but of course would be more helpful if you identified the country as others could then relate their experience in that country or even include it in consideration of a medical vacation trip.
 
All I can ask is does a steak dinner cost a nickel there? Well, that, and which country in case I ever get sick without good insurance?

Cost is the single biggest problem with Heathcare in America. And, little, to nothing, seems to be focused on addressing that issue. Sigh.

As many know US spends something like 5-6% more of our GDP on healthcare compared to other Western countries.

Yea. Used to be one of the 4 dragons in Asia, but due to the abuse by the politicians in the name of democracy in the last 20 years, the economy of the country has been lagging behind all other dragons. Not to mention the rise of China has put a big shadow of the country.
 
I contracted pneumonia last month during my annual travel back to my home country (small country in Asia, not one of those 3rd world countries though). We are dual citizens and covered by universal healthcare system back home.

Thanks for sharing your experience. I thought that to be covered in most countries citizenship was not enough or irrelevant; one had to be a tax-paying resident. Is the country in Asia that you went to an exception to that rule?
 
Thanks for sharing your experience. I thought that to be covered in most countries citizenship was not enough or irrelevant; one had to be a tax-paying resident. Is the country in Asia that you went to an exception to that rule?

The healthcare premium there is income based. The higher the income, the higher the premium. We never gave up our citizenship even though we lived in US close to 30 years now. We have been paying the monthly premium the whole time albeit not paying much taxes other than my property tax there.

There is a healthcare reform 2.0 currently in their congress. It may put more restrictions to expats such as us.
 
Thanks for sharing your experience. I thought that to be covered in most countries citizenship was not enough or irrelevant; one had to be a tax-paying resident. Is the country in Asia that you went to an exception to that rule?

I guess you could say, their Universal healthcare, is indeed universal. There are low income/no income citizens who pay no taxes. But as long as you are citizen and pay the premium, you are covered. Homeless people, and older people who live alone are those that fell thru the crack.
 
My ER healthcare plan is somewhat similar to what OP is considering assuming I cannot qualify for reasonably priced health insurance in the USA: Catastrophic USA policy combined with travel tourism.

Initially, I considered inquiring about OP’s home country; but, that detail really does not matter to me. The plan works for me because I enjoy travel to many countries that have excellent healthcare available at much lower cost than what I find at home. Destinations that currently fit this description and my travel plans for the next few years include Mexico, Costa Rica, Panama, Philippines and Thailand.
 
Medical Tourism is becoming a big deal for many people. I know people who have gone to Tijuana for surgeries that are not covered by medical insurance (bariatric, cosmetic, etc.) and the hospitals are first class - modern, clean, and a professional staff. Often the doctors are trained in the USA and some even teach at USA medical schools. Ideally your personal physician would be behind the decision and provide care when you get home.

Cost is anywhere from 25% to 40% of what it costs in the USA.
 
The healthcare premium there is income based. The higher the income, the higher the premium. We never gave up our citizenship even though we lived in US close to 30 years now. We have been paying the monthly premium the whole time albeit not paying much taxes other than my property tax there.

There is a healthcare reform 2.0 currently in their congress. It may put more restrictions to expats such as us.
So you're a citizen there? Is it different for non-citizens?
 
I had an emergency situation in Italy where my DSI lives. An ambulance took me to University of Bologna Medical Center and I saw 2 specialists. The situation did require surgery when I got back to the states. The entire cost in Italy was $50.

My DSI is amazed what we put up with regarding Healthcare in this country. Yes, they pay higher taxes but no one ever goes bankrupt over medical issues.
 
My DSI is amazed what we put up with regarding Healthcare in this country. Yes, they pay higher taxes but no one ever goes bankrupt over medical issues.

Your DSI is not alone.
 
I’m glad you are okay. It sounds like you have been paying health insurance premiums in your home country and thus the health insurance paid for most of your costs (like my health insurance would here, in the USA). The cost of your procedures to people who do not have health insurance there seems amazingly cheap at $1900 if that is what that figure indicates. Even that must be subsidized, considering how much medical care it covered.
 
So you're a citizen there? Is it different for non-citizens?

I am a citizen. Non-citizens can't pay into the system. Those who receive permanent residence status and legal work visa can pay. Without coverage, anyone can still go to hospitals to get care and pay the full cost, which is still a fraction of what would cost in US.

The Universal healthcare was established in the '90s. Before that, hospitals would refuse to provide care unless patients produce cash first. Doctors would accept bribe before they see patients. There were so many horror and heart-breaking stories. That all changed once single payer universal healthcare was available to everyone.
 
Only related because it's healthcare I guess. No insurance, dental. Had to have an implant, just the oral surgeon nicked me a shade under 3 grand for a procedure that took less than an hour. Now I get to pay the dentist to make me a new tooth. I understand it's not a simple procedure, but really.:mad:
 
The healthcare premium there is income based. The higher the income, the higher the premium. We never gave up our citizenship even though we lived in US close to 30 years now. We have been paying the monthly premium the whole time albeit not paying much taxes other than my property tax there.

There is a healthcare reform 2.0 currently in their congress. It may put more restrictions to expats such as us.

That is basically how it works in the individual market under the ACA, here in this country, if your MAGI is below 400% of federal poverty level.
 
Wow - even $1900 for someone uninsured sounds like an incredible bargain!
 
WOW!
Things are different:
1) Can you file suit for malpractice? After all you spent 7 extra days that is usually worth about $50K to the poor mistreated patient in the US.

Things never discussed during health care discussions:
1) Open pricing (knowing what each test etc the doc is charging)
2) Capping or ending malpractice damage awards
 
Only related because it's healthcare I guess. No insurance, dental. Had to have an implant, just the oral surgeon nicked me a shade under 3 grand for a procedure that took less than an hour. Now I get to pay the dentist to make me a new tooth. I understand it's not a simple procedure, but really.:mad:

You didn't have to have an implant. You could have gone without the tooth. Or you could have had some sort of removable prosthesis.

You chose the "cadillac" solution. The OS who placed your implant had at least 10 years of education post-high school. Think about what that cost him/her, not to mention the cost of running the office, post education.

The restorative dentist has at least 8 years of education, post-high school...

Neither of those caregivers will have anybody other than themselves to fund their retirements.
 
I had an emergency situation in Italy where my DSI lives. An ambulance took me to University of Bologna Medical Center and I saw 2 specialists. The situation did require surgery when I got back to the states. The entire cost in Italy was $50.

My DSI is amazed what we put up with regarding Healthcare in this country. Yes, they pay higher taxes but no one ever goes bankrupt over medical issues.

+100
 
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On my last trip to Thailand my buddy got sick, just a cough and Clem. We went to the local clinic with no appt., got seen by a doctor right away and went home with a prescription all for $3

Another friend of mine goes to Mexico for dental work, he will actually be going next week for something, he even had some kind of eye procedure done there, I’m too afraid to go to Tijuana
 
You didn't have to have an implant. You could have gone without the tooth. Or you could have had some sort of removable prosthesis.

You chose the "cadillac" solution. The OS who placed your implant had at least 10 years of education post-high school. Think about what that cost him/her, not to mention the cost of running the office, post education.

The restorative dentist has at least 8 years of education, post-high school...

Neither of those caregivers will have anybody other than themselves to fund their retirements.

I had an implant last week. Other than numbing me up, it was a 5 minute procedure and quicker than a filling.

My local oral surgeon wanted $2250 plus $500 for an abutment 3 mos. later. then it is another $850 for a crown. They charged $895 for pulling the tooth and putting in a graft. $4500 is just too much for one simple implant since little is covered by my BCBS insurance.

I paid $900 for the implant and am saving $1850 by driving a little to an out of town dentist.

Some implants can be difficult. Mine was simple and straightforward.
 
I had an emergency situation in Italy where my DSI lives. An ambulance took me to University of Bologna Medical Center and I saw 2 specialists. The situation did require surgery when I got back to the states. The entire cost in Italy was $50.

My DSI is amazed what we put up with regarding Healthcare in this country. Yes, they pay higher taxes but no one ever goes bankrupt over medical issues.

My DW broke her thumb on a bike trip a couple of years ago in Sicily. She was treated at a hospital in Catania. She had excellent care and the cost was under 100 euros.

Amazing what other developed countries have been able to accomplish with their health care systems. I suspect the “secret” is single payer.
 
Agree completely. Three years ago dw fractured a vertabae in Kuala Lumpur.

Half a day in hospital, Xrays, consult, MRI, another consult, prescription drugs, full written report, and a CD of the MRI. Total cost was $750 CAD.

DW is/was a healthcare professional. Her opionion....top notch service, nop notch medical care. We learned later that the hospital was both a teaching hospital and attracted a good deal of medical tourism.
 
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