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India Wants to Give Half a Billion People Free Health Care

nytimes.com

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Re: India Wants to Give Half a Billion People Free Health Care

#131
post #65
post #35

Earlier quoted context omitted.

Almost every universal healthcare system is has some degree of mix of private and public. Norway is on the far extreme with it's strict restrictions on private healthcare. Almost every other country has private healthcare insurance as at least an option. The question tends to be how much you end up contributing towards public healthcare if you take out a private option - ranging from no difference (you pay the same t…

Strict restrictions? I can chose whatever hospital I want and the government will pay for it regardless as long as a GP has referred me to them. If you want you can just pay out of your pocket as well without going through a GP. There is even a portal where you can search for your ailment and choose hospital (private or public) based on their waiting lists. https://helsenorge.no/velg-behandlingssted The government al…

Yes, strict regulations. Private providers in Norway have a number restrictions on which services they can provide which tends to be much stricter than most places.

The argument for this has traditionally been that there is a unique scalability problem in medicine: You can't e.g. just educate twice as many heart surgeons, because they need a sufficient number of operations that they can assist in etc. to gain proficiency with real patients, and that pool of patients is limited.

This creates a problem where not restricting which services can be offered has the potential to lower quality of service for all. Something that's a particular concern in countries with smaller populations.

The services that are not restricted are in general areas where there's either a higher volume of patients, or where it requires less training. A sinus infection is a good example of both.

Note that I'm not arguing that this is worse in any way, but used it to delineate one of the most restrictive alternatives when it comes to the availability of private services.

Re: India Wants to Give Half a Billion People Free Health Care

#132
post #79

Earlier quoted context omitted.

Restrictions aren't just on users, but on providers as well. If you don't see restrictions as an user, it's because most of the restrictions are on the providers. And nothing wrong with that, I actually support that model, just like in Switzerland, where healthcare is private, but mandated by the government and heavily regulated (with less-regulated private complimentary insurance options). It allows for innovation a…

Yeah, the the post I replied to claimed there were restrictions on private clinics specifically, but the public clinics/hospitals have to follow the same rules. Also: are there any places that charge for births???? That sounds ridiculous and insane to me.

I think you misunderstand.

The restrictions in Norway are on which services private providers are licensed to provide.

It's not that many years ago that private providers were unable to offer surgeries that were covered by public healthcare at all. E.g. most private providers in Norway once they started getting licensed at all only offered things like cosmetic surgery. The first private hospital in Norway wasn't started until 1985 (Ring Medisinske Senter, now Volvat) and I remember the controversy it caused, even though it's services originally were very restricted (they were "famous" early on for being the first place in Norway you could get breast enlargements, as they were not covered by public healthcare)

It's been softened up gradually, but you'll note i you click around on the linked provided earlier that for many types of operations the only providers are either non-profits like LHL or government run hospitals - for some this is simply because no private providers have wanted to enter that space yet, but for others it's down to concerns about availability/training making the government hesitant to allow more providers, as described elsewhere.

As I pointed out in my other reply, I'm not criticizing it (at least not as long as it is regularly evaluated for whether or not it continues to offer the best treatment options, as it seems to have been).

Re: India Wants to Give Half a Billion People Free Health Care

#133
post #117

One of my uncles got paralyzed on his whole left side of body because of carelessness of govt hospital, lack of sanitation, corruption, and the general don't give a fuck attitude of the employees( if they cared to show up to work in the first place). There is a running joke in India that "You can only go to a govt hospital" implication being that you'd not return alive. I suspect this is another scheme concocted to g…

> There is a running joke in India that "You can only go to a govt hospital" implication being that you'd not return alive. I have never heard this joke atleast in Mumbai or Pune.

Do you or your folks go to govt hospitals?

Re: India Wants to Give Half a Billion People Free Health Care

#134

India doesn't get it. Defending the world from terrorism is 1000x more important then basic health insurance. How can health insurance defend the people against suicide bombers? The only thing that can defend people from suicide bombers is the 1.5 Trillion dollar F-35, the greatest war plane ever made.

Number of people dying in india due to health is ~1000x more than ones killed in terrorism.

I was being sarcastic.

Re: India Wants to Give Half a Billion People Free Health Care

#135
post #117

Earlier quoted context omitted.

> There is a running joke in India that "You can only go to a govt hospital" implication being that you'd not return alive. I have never heard this joke atleast in Mumbai or Pune.

Do you or your folks go to govt hospitals?

I have not been treated in govt hospital if that is what you are asking but I have been to govt hospitals to check up friends and others who were treated there.

Re: India Wants to Give Half a Billion People Free Health Care

#136
post #32

Earlier quoted context omitted.

Let me translate that: "I sure have a lot of money". The point is having a doctor available for everybody , not just the people who can afford it. Yes, those of us who make more money pay more for it, in the form of taxes. Ultimately, you'll need to decide if you want to care only about your wellbeing, or about society's wellbeing.

> The point is having a doctor available for everybody Not necessarily in a timely manner, which is important for things like Autism (and because of the belief in the system, can actually harm the person). Even if you can afford it, you don't necessarily get to see a doctor, even with years long wait times. And even if you see a doctor, the actual service they provide might be worthless (e.g. suggesting you put your…

[deleted]

Re: India Wants to Give Half a Billion People Free Health Care

#137
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