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Brian1946's avatar

For those of you who live in countries with single-payer/universal healthcare, what have been your experiences?

Asked by Brian1946 (32592points) March 15th, 2023

Have they been mostly good ones?

Are you glad that you’re not in a for-profit system?

For those of you who live in the US, has your state done anything to facilitate access?

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9 Answers

kritiper's avatar

If you don’t make enough, you qualify for Medicaid.
If you make enough, you can afford to buy insurance.
If you make too much for Medicaid, but not enough to afford insurance, you are SOL.

SQUEEKY2's avatar

I love Canada’s universal health care, yes it has it’s flaws but at least you won’t face financial ruin if you fall ill and don’t have over priced health insurance,

Forever_Free's avatar

I am honestly happy with the for-profit system in the US versus a public/government system.
I pay good money but have world class care when needed in the Boston area. I may think differently if I lived in a different part of the US that did not have the same level. It is part of the reason I live where I do.
New Hampshire last considered single payer health care in 2015. The state House of Representatives killed the bill, due in large part to the cost.

Blackwater_Park's avatar

This is the sort of thing where if you have money you want the ability to just pay for the best healthcare you can get but if you don’t have money you want universal care. So, live in Canada and travel to the US if you’re wealthy I suppose…

Forever_Free's avatar

@Blackwater_Park Agreed it is slanted toward the rich.

SQUEEKY2's avatar

@Forever_Free what system isn’t slanted toward the rich?

Forever_Free's avatar

@SQUEEKY2 I never said there was. I was agreeing.

flutherother's avatar

I live in the UK and have nothing but the highest praise for our National Health Service and its doctors and nurses. I have always found NHS staff to be capable and kind and I wouldn’t want to be in a for-profit system. The focus should be on health not wealth.

longgone's avatar

I love Germany’s system, though it is far from perfect. I’ve had overwhelmingly good experiences. Just last week, I walked into a doctor’s office without my ID or credit card. I had injured my ankle. They asked me for my name and the insurance company, found me in the system, and treated me very efficiently. I got x-rays and an exam, then was sent down to have a brace fitted. I had to pay 5€ as co-pay for the brace, nothing else. And the whole thing took just an hour.

Things that have surprised my American husband:

- we never get a bill for our procedures
– no, really, never. Not for a walk-in x-ray. Not for an MRI, not for dental surgery.
– if you’re being treated, you don’t have to worry that anything would not be covered. Doctors are required to get your explicit consent and signature for anything that’s not covered, plus quoting the price up front
– all insurance companies have to cover roughly the same procedures and, more importantly: they all charge the same
– “deductibles” are rare and happen mostly for things like hospital stays, physical therapy, and certain meds. You’ll never be asked to pay more than 10€. For example, you can get a CPAP-machine for 10€. For a hospital stay, it’s 10€ per day, but only for the first ten days.
– insurance companies cannot operate for profit
– they also can’t turn anyone away for pre-existing conditions (they can’t ask about that)
– your monthly premium is on a sliding scale depending on earnings. It’s 15% of your income, and your employer (if you have one) is required to cover half.
– if you’re unemployed or a student, you pay about 80€ per months, or the state pays
– even if you stop paying your premiums, you will always be treated if you’re having an emergency or are in pain. You will never pay for an ambulance.
– insurance covers a lot of screenings
– kids can be on their parent’s plan for free until they’re 25
– dental is covered, even some cosmetic stuff
– therapy is covered
– if you’re savvy, your insurance may pay you small amounts of cash for taking classes on topics like meditation, aerobics, or quitting cigarettes

Things I don’t like, off the top of my head:
– lots of meds are covered, but those that are just for symptom relief often aren’t
– eyeglasses are covered only for children, as though you don’t need your eyesight as an adult
– wait times for therapy are very long unless you’re actively suicidal
– wait times for some specialists (such as dermatologists) are too long unless you’re currently in pain
– when you want them to cover unusual procedures, it can be time-consuming to talk to your health insurance company
– people who do not speak German need more patient advocates and information about their rights
– those who are severely mentally ill need prompt help so they don’t slip off the radar, and that’s not happening reliably

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