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US health system ranks last compared with peer nations – report

theguardian.com

81–90 of 239 posts

Re: US health system ranks last compared with peer nations – report

#81
post #36

One thing that's surprised me about the US is the general slowness of most things. In India, you can get MRIs and CT Scans same day. Or you could the last time I was there. And it didn't cost very much in comparison. My doctors have all been good (attested to by my parents who are surgeons themselves) but the healthcare system is wonky. One thing I didn't expect is that the Indian system where you just drag your heal…

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Re: US health system ranks last compared with peer nations – report

#82
post #8

Lately I can’t even get a doctor - both the specialist and primary care doctors are booked months in advance. And I have one of the best insurance coverages currently available. Remember how we laughed at Canadians and Brits waiting for months to see their free/cheap doctors? Well we’re at a point where we have to wait _and_ pay through the nose. And then they can’t really do anything or fuck you up even worse.

There are a ton of benefits to having continuity of care, but also access to care. Do any out-of-network providers have appointments available? If so, and you can't find one in-network, you may be able to get an out-of-network provider covered as in-network due to an inadequate network.

I've heard of people calling their insurance company and keeping them on the line while they call a handful of offices and get turned down for appointments to get this approved.

Re: US health system ranks last compared with peer nations – report

#83
post #71

Earlier quoted context omitted.

The general slowness extends to simple things like x-rays and blood tests too. This is not just US but whole of the west seems to have the exact same attitude. Most of Asia has same day or next day medical tests. In India you can order something like UberEats where in a technician comes home collects your blood samples and the results are emailed within the next 24 hours or so. Medicine seems to be commoditzed in the…

> The general slowness extends to simple things like x-rays and blood tests too. This is not just US but whole of the west seems to have the exact same attitude. In Switzerland I get an MRI within 48 hours if my doctor orders it. Mind you, healthcare is also very expensive comparatively but the quality is very high and coverage is extensive.

I feel the seiss system really nails it. Health insurance is mandatory. If you can't afford even the basic level, the government pays for it. The basic level itself covers basically everything from emergency care, hospital stays and gp. The extras you can pay for are things like single rooms in hospitals or access to private clinics. Compared to the local salaries, the basic package is quite cheap - doubly so compared to the UK where National Insurance extracts a very hefty portion of your paycheck and this gets you the dire waiting times of nhs...

Re: US health system ranks last compared with peer nations – report

#84
post #36

One thing that's surprised me about the US is the general slowness of most things. In India, you can get MRIs and CT Scans same day. Or you could the last time I was there. And it didn't cost very much in comparison. My doctors have all been good (attested to by my parents who are surgeons themselves) but the healthcare system is wonky. One thing I didn't expect is that the Indian system where you just drag your heal…

MRI and CT scans done in India vs US will have vastly different quality.

Basically, for equal quality in india you'll always end up paying 2x-5x of what you'll pay in any developed nation.

This is the primary reason, if you are rich and want quality - you will overpay in india.

Re: US health system ranks last compared with peer nations – report

#85
post #60
post #36

One thing that's surprised me about the US is the general slowness of most things. In India, you can get MRIs and CT Scans same day. Or you could the last time I was there. And it didn't cost very much in comparison. My doctors have all been good (attested to by my parents who are surgeons themselves) but the healthcare system is wonky. One thing I didn't expect is that the Indian system where you just drag your heal…

Electronic interop, in my experience talking to my GP (not US), is tricky not because of technical challenges but very strict privacy implications.

Classic example of government overregulation fucking over the regular citizen.

I go to two hospitals and am dealing with a medical condition and it's a total nightmare. Each hospital uses the same backend but I have to go through a lengthy and convoluted process to let them share information with each other after every single appointment.

I'm getting really sick of this affecting my treatment in the name of "privacy." I have a medical condition, for god's sake. Privacy is completely irrelevant if my doctors cannot even efficiently communicate to treat me.

Every week I curse whoever it was that thought this would be a great idea. I'm sure it sounded great in their heads, as regulations tend to do for most bureaucrats.

I am a security engineer btw, I have worked on privacy and security featuresets for products that billions of people use every day. I am 100% confident that it is doing more harm than good in the medical-information-sharing space.

Re: US health system ranks last compared with peer nations – report

#86
post #31
post #13

Earlier quoted context omitted.

Aha! But Germany is also a federation. So it's only fair to compare Alabama to Saarland. Oh, wait...

Well, Bavaria is famously the Texas of Germany…

Does the Bavarian power grid also routinely go down because they don't invest in it and at the same time also refuse to add interconnects with other regions?

Re: US health system ranks last compared with peer nations – report

#87

Quality of care is shit. Doctors barely care about their patients. It’s all a racket. Most areas seem to have a local monopoly that takes over the local hospitals. Obamacare has done nothing to really change anything meaningfully.

Obamacare is a mixed bag, but I don't think I'd go back to a pre-obamacare era if I had a choice. So many people stayed at jobs for longer than ideal because they had pre-existing conditions that wouldn't be covered under a new insurance plan.

The consolidation of the last 20 years has been a real black mark on the system. It was supposed to improve outcomes by making all the records easily available in one system. Instead we've seen the independent doctors office largely go by the wayside and local competition decrease.

Not all outcomes are comparable or worse though. The outcomes most improved seem to be net worth of executives.

Re: US health system ranks last compared with peer nations – report

#88
post #71

Earlier quoted context omitted.

The general slowness extends to simple things like x-rays and blood tests too. This is not just US but whole of the west seems to have the exact same attitude. Most of Asia has same day or next day medical tests. In India you can order something like UberEats where in a technician comes home collects your blood samples and the results are emailed within the next 24 hours or so. Medicine seems to be commoditzed in the…

> The general slowness extends to simple things like x-rays and blood tests too. This is not just US but whole of the west seems to have the exact same attitude. In Switzerland I get an MRI within 48 hours if my doctor orders it. Mind you, healthcare is also very expensive comparatively but the quality is very high and coverage is extensive.

Condition is if "your doctor orders it" and how long does it take to get to that doctor if it isn't an emergency. I don't about Switzerland but it is quite bad in majority of EU countries.

And Why can't you just walk in to a clinic to get x-rays and tests done like it is in done elsewhere. Have clinics compete for price.

The other part no one mentions is the utter cheating that goes on in statistics to show that the health care system is doing good. Things like counting the patients who were admitted but not counting the rest 90% who died just waiting for months.

Re: US health system ranks last compared with peer nations – report

#89
post #71
post #36

One thing that's surprised me about the US is the general slowness of most things. In India, you can get MRIs and CT Scans same day. Or you could the last time I was there. And it didn't cost very much in comparison. My doctors have all been good (attested to by my parents who are surgeons themselves) but the healthcare system is wonky. One thing I didn't expect is that the Indian system where you just drag your heal…

The general slowness extends to simple things like x-rays and blood tests too. This is not just US but whole of the west seems to have the exact same attitude. Most of Asia has same day or next day medical tests. In India you can order something like UberEats where in a technician comes home collects your blood samples and the results are emailed within the next 24 hours or so. Medicine seems to be commoditzed in the…

I had some pain in my lungs and they gave me an xray in about 30 minutes here in Spain to confirm that i had pneumonia. I waited 45 min to see the doctor in the emergency room and then another 10min waiting for the doc to check the xrays.

Re: US health system ranks last compared with peer nations – report

#90

Earlier quoted context omitted.

If you're a billionaire or close to it, the US healthcare system is fantastic, unless of course you're traveling in one of the "medical deserts" and have an acute emergency.

If you’re a billionaire EVERYTHING is fantastic.

You'd still stuck with the built environment as it is, just as everybody else.

A billion is just three Manhattan skyscrapers, so it can't change a city. Depending on where you live, you might well experience the exhaust, dust and noise of these environments, no matter how luxurious your individual dwelling.

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