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Ask HN: How can you buy high quality healthcare?

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Re: Ask HN: How can you buy high quality healthcare?

#101
You might want to contact the Mayo Clinic (particularly at the MN location) and see if they have what you are looking for. For example, they tend to do programs for executives where they get a comprehensive physical over a few days: https://www.mayoclinic.org/departments-centers/mayo-clinic-e...

In general, I've heard they are good at getting multiple tests done and multiple visits with specialists quickly.

Re: Ask HN: How can you buy high quality healthcare?

#102
post #99

Earlier quoted context omitted.

It really depends. I know plenty of people that are "fitness instructors" (mainly yoga and Pilates teachers) and I'd recommend them over regular PT in most situations. They know a ton about anatomy, how to read body imbalances, and can work with you to train your body back from injury. Personally, I had a debilitating shoulder injury, couldn't put any weight on my right arm at all, and one of my yoga teachers put me…

I would be careful with shoulder injuries, your body simply can’t repair certain things like rotator cup injuries if I recall correctly.

Absolutely, some things we actually need surgery for. But most of the time it's not necessary and really the only solution is to fix poor movement patterns and to strengthen the body. A lot of back pain comes down to strength and flexibility issues.

For my shoulder the main thing that worked was getting into the habit of doing pull-ups and stretching out my pec minor. Anytime I neglect pull-ups for a while the discomfort will creep back in. I probably should also buy a split keyboard.

Re: Ask HN: How can you buy high quality healthcare?

#103

Earlier quoted context omitted.

Unfortunately private care in the UK may not be so great when the NHS starts to fully break down

I don't think that is imminent. They've been saying it has been on it's knees constantly since the 1990s at least (and probably longer but I personally cannot remember any further back). It got through Covid without collapsing aswell- I don't think it is going away any time soon.

>I don't think that is imminent. They've been saying it has been on it's knees constantly since the 1990s at least (and probably longer but I personally cannot remember any further back).

Private Eye on "24 Hours to Save the NHS" https://twitter.com/KulganofCrydee/status/833654730849136641>

Re: Ask HN: How can you buy high quality healthcare?

#104
I've heard you can go to thailand and pay cash, but that was more for cosmetic stuff or simple things like amputations not complex stuff like cancer treatment (or really anything where the barrier is the drugs rather than skilled surgeon + access to antibiotics)

Re: Ask HN: How can you buy high quality healthcare?

#106

So, other medical systems around the world are cheaper, but that doesn't make them magic. Chronic pain - especially back pain - is often an unsolvable quagmire for most doctors. Not a doctor, but several family members have had to go through something similar. So here is my advice: - Get imaging tests (Xray, MRI). And screen out the any of the worst case scenarios (like tumor or etc). But if there is nothing inherent…

legitster says >"- For back pain, there is almost no medical solution other than surgery. If surgery is optional, don't take it. The recovery from a back surgery is brutal and long and can come with unintended consequences."

I have two friends who had almost identical spinal & neck issues: both got no relief until they had surgeries. Both say "Why prolong the suffering? Do the surgery!" One of them did have to wear a neck brace for months, but that was because his surgeon found the old neck vertebra was too delicate to keep, and so cut a chunk of bone out of his patient's hip, hand-carved it to the shape of a healthy vertebra and inserted it into his patient's neck. When the patient awoke he complained about the pain in his hip (his neck was fine).

Now that's the kind of surgeon I want!

Re: Ask HN: How can you buy high quality healthcare?

#107
post #36

Concierge healthcare. It's also gotten more widespread than when it first became a thing, so even there I would make sure to do due diligence to see what level of service you're getting. But if you're willing to fork over the money, the level of care that you're supposedly given seems far better than even anything in stories you hear about in Europe or Asia. Seems like you should expect to pay five digit amounts per…

This is what I came here to say - the answer is "Concierge Medicine" In my experience, that's generally a primary care doctor that has on the order of 1/4th or fewer as many patients, but they all pay a membership fee in order to make that sustainable. That means they can spend significantly more time - like hours every week - with you. That doctor is then well connected in the community, and can call up a friend at…

Yes, how to locate this please?

Re: Ask HN: How can you buy high quality healthcare?

#108
1. Concierge Medicine is the answer, as others have said.

2. In the meantime, or if concierge medicine isn't available, you can contact your insurance company and ask them to assign a care coordinator to help you get the maximum benefit from your providers. https://www.webmd.com/health-insurance/terms/care-coordinato...

Re: Ask HN: How can you buy high quality healthcare?

#109

So, other medical systems around the world are cheaper, but that doesn't make them magic. Chronic pain - especially back pain - is often an unsolvable quagmire for most doctors. Not a doctor, but several family members have had to go through something similar. So here is my advice: - Get imaging tests (Xray, MRI). And screen out the any of the worst case scenarios (like tumor or etc). But if there is nothing inherent…

> Talk to a fitness instructor.

I strongly agree out of personal experience. FIs have fixed all and every sedentary-job-induced ailment I've had so far. I highly recommend watching the athlean-x YT channel. Adding to that: also ask older, fit people you meet in the gym. They are full of good advice how to avoid injuries and, once you have one, getting over it.

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