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  3. Non-Americans, what's it like when you're sick and need to go to the doctor?

Non-Americans, what's it like when you're sick and need to go to the doctor?

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  • L [email protected]

    Thank you for doing so! Our insurance varies drastically. The last time I had insurance available from work it was $134 per pay period so ~3500 U.S. dollars a year. It had a $5000 deductible, so while you had a co-pay/consult fee so the doctor would see you for $15. But if you needed them to do something, say fix a broken arm, you pay out of pocket until you pass that $5000 mark for the year. Prescriptions they pay some of, but for people like me it's not much different than just not having the insurance. Amoxicillin is less than $10 with a prescription, and that's usually all I need if I get a soar throat and jazz. So once every couple years I'll get that and Mucinex D and I'm usually good in a few days.

    Now if you want dental or vision those come separate. My last job offered them but I can't remember what they are split, something like $20 per pay period, so another $240 a year.
    You also pay copays for the visits and deductibles for the procedures and something's aren't covered like normal.

    The sad thing is that is considered pretty good insurance to many people. My uncle always used private healthcare, and his was much higher than that.

    H This user is from outside of this forum
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    wrote last edited by
    #120

    5000$ deductible ? shit... must make you wonder why you're insured in the first place. The other big difference is that your insurance is tied to your job. What if you're unemployed, do you just not get glasses ? or the tooth filling that you need ? what's the alternative ? if you're unemployed at the moment, it stands to reason that you would have less earnings... at least 240$/year for dental (or is it dental+vision?) seems more reasonable.

    There will be a day where USians will be able to boast about how good and cheap their coverage is, I'm confident. First the people have to win the revolution for that to happen, but surely it's something worth fighting for.

    L 1 Reply Last reply
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    • return2ozma@lemmy.worldR [email protected]

      Which country are you in and what's a typical doctor visit like? How much? Wait time? Etc

      P This user is from outside of this forum
      P This user is from outside of this forum
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      wrote last edited by [email protected]
      #121

      French here. when sick, I use an app to book a appointment to a medical center I have that's like 5 minutes away by foot ( not typical for all french residents but I am quite lucky with where I live). I usually have an appointment in the next 2 to 4 hours tops. Depending on what it is, I walk away with a prescription and certificate for work stating how many sicks days I have. This costs me nothing, appart from the occasional optional medication that is not reimbursed.

      V B 2 Replies Last reply
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      • C [email protected]

        Why do you have private healthcare?

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        wrote last edited by
        #122

        In addition to what slazer said, in Australia once you earn over a certain amount you get hit with an extra tax if you don't take out private health.
        The conservative coalition brought that in a long time ago because their donor mates in private health asked them to ruin our public health care and this was their first step towards that.

        I still have private cover as it seems like the least bad option even though it pisses me off. I guess that's the point.

        C 1 Reply Last reply
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        • H [email protected]

          5000$ deductible ? shit... must make you wonder why you're insured in the first place. The other big difference is that your insurance is tied to your job. What if you're unemployed, do you just not get glasses ? or the tooth filling that you need ? what's the alternative ? if you're unemployed at the moment, it stands to reason that you would have less earnings... at least 240$/year for dental (or is it dental+vision?) seems more reasonable.

          There will be a day where USians will be able to boast about how good and cheap their coverage is, I'm confident. First the people have to win the revolution for that to happen, but surely it's something worth fighting for.

          L This user is from outside of this forum
          L This user is from outside of this forum
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          wrote last edited by
          #123

          Standardly you lose the insurance on the day your job ends. There is a program called COBRA that exists where you can pay more (whatever the employer was paying on top of what you were paying, and a fee) to keep it going until you find your next job. I think it maxes out at a year but I'm not sure. Never done it, as I couldn't afford it between jobs. Hope that day you speak of comes sooner than later. Also I hope all goes well in life for you. Best of luck

          H 1 Reply Last reply
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          • P [email protected]

            French here. when sick, I use an app to book a appointment to a medical center I have that's like 5 minutes away by foot ( not typical for all french residents but I am quite lucky with where I live). I usually have an appointment in the next 2 to 4 hours tops. Depending on what it is, I walk away with a prescription and certificate for work stating how many sicks days I have. This costs me nothing, appart from the occasional optional medication that is not reimbursed.

            V This user is from outside of this forum
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            wrote last edited by
            #124

            Same here, but sometimes there is a day or rarely more (when everyone is sick in school in the winter and your kids bring it home to you for example), so you have to wait or get an appointment with another doctor (we usually go to the same one). In these rare cases I usually wait when I know I don't need to go to the doctor but I need the work-paper so I get paid.

            Also you can always call a "flying doctor" (they come by car 😁) or go directly to the hospital if you feel it's an emergency. There is a semi-urgent phone number you can use to sort out your options too if you don't really know.

            I have used them all BTW.

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            • return2ozma@lemmy.worldR [email protected]

              Which country are you in and what's a typical doctor visit like? How much? Wait time? Etc

              R This user is from outside of this forum
              R This user is from outside of this forum
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              wrote last edited by [email protected]
              #125

              Australian here from Victoria. Going to the GP will cost me around $80 up front and I get around $50 back from Medicare later. This is for about a 30 minute consultation with a doctor. The wait time is rarely longer than 15 minutes but it really depends on the practice. I've waited 2+hours for a GP that was fully covered by Medicare.

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              • return2ozma@lemmy.worldR [email protected]

                Which country are you in and what's a typical doctor visit like? How much? Wait time? Etc

                R This user is from outside of this forum
                R This user is from outside of this forum
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                wrote last edited by
                #126

                Canada

                Wait 7 years to get a family doctor. Wait 3 months to get an actual appointment. Lose family doctor. Rinse and repeat.

                S C 2 Replies Last reply
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                • catladyx@lemmy.worldC [email protected]

                  in my city (southeastern Brazil) we have two facilities for public healthcare: the emergency center (UPA - unidade de pronto atendimento, emergency medical unit) and the family health center (UBS - unidade básica de saúde, basic health unit)

                  at the UBS I can see a doctor or a nurse, get prescriptions, get referred to specialists and exams/tests, IST tests, and so forth, if I'm not in meed of urgent care

                  at the UPA I can be treated (rather) quickly if I'm in an emergency

                  a few weeks ago my uncle had a heart attack. it was nothing serious, thankfully. we called the ambulance and in 5 minutes they were here, he was treated quickly, sent to another city nearby for emergency catheterism and angioplasty, and he paid a total amount of zero reais for everything

                  I love SUS (sistema universal de saúde - universal healthcare system)

                  G This user is from outside of this forum
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                  wrote last edited by
                  #127

                  And if you really want to pay for that appointment, you can schedule one for R$ 50~200 (more or less 8~40 dollars) depending on the place you go.

                  catladyx@lemmy.worldC 1 Reply Last reply
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                  • L [email protected]

                    Standardly you lose the insurance on the day your job ends. There is a program called COBRA that exists where you can pay more (whatever the employer was paying on top of what you were paying, and a fee) to keep it going until you find your next job. I think it maxes out at a year but I'm not sure. Never done it, as I couldn't afford it between jobs. Hope that day you speak of comes sooner than later. Also I hope all goes well in life for you. Best of luck

                    H This user is from outside of this forum
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                    wrote last edited by
                    #128

                    Cheers, same to you

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                    • L [email protected]

                      In addition to what slazer said, in Australia once you earn over a certain amount you get hit with an extra tax if you don't take out private health.
                      The conservative coalition brought that in a long time ago because their donor mates in private health asked them to ruin our public health care and this was their first step towards that.

                      I still have private cover as it seems like the least bad option even though it pisses me off. I guess that's the point.

                      C This user is from outside of this forum
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                      wrote last edited by
                      #129

                      I'm sorry. Yeah that sounds dumb to me. As an American health insurance seems like it shouldn't exist.

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                      • return2ozma@lemmy.worldR [email protected]

                        Which country are you in and what's a typical doctor visit like? How much? Wait time? Etc

                        archmageazor@lemmy.worldA This user is from outside of this forum
                        archmageazor@lemmy.worldA This user is from outside of this forum
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                        wrote last edited by
                        #130

                        Swede here, if it's something minor I can get an appointment within a few days, if it's more major there's some open clinics I can turn to, but if I have to see a professional I have to get in a months-long line.

                        S 1 Reply Last reply
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                        • archmageazor@lemmy.worldA [email protected]

                          Swede here, if it's something minor I can get an appointment within a few days, if it's more major there's some open clinics I can turn to, but if I have to see a professional I have to get in a months-long line.

                          S This user is from outside of this forum
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                          wrote last edited by
                          #131

                          Similar to Canada unless you have to see a mental health professional and then it’s like there are none.

                          But also the hospital allows patients to fall out of bed and play the ‘I didn’t do it’ game.

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                          • R [email protected]

                            Canada

                            Wait 7 years to get a family doctor. Wait 3 months to get an actual appointment. Lose family doctor. Rinse and repeat.

                            S This user is from outside of this forum
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                            wrote last edited by
                            #132

                            I think this is why they went the urgent care route now after closing clinics.

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                            • B [email protected]

                              It's immensely expensive!
                              I went to the doctor and he charged me 1 euro.
                              The imaging in the hospital and the orthopedist only cost 2.8 euro.
                              So they're really leeching it.

                              But seriously it's difficult to get an appointment and nowhere do they take new patients.
                              Smart government decided on a numerus clausus and now there aren't enough doctors.
                              The ones that are there lately don't want to work fulltime, so even less availability.

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                              wrote last edited by
                              #133

                              You forgot to mention the region this is for

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                              • B [email protected]

                                Norway, I book online if it's not urgent and wait a few weeks. If it's urgent I call them and get it same day. Costs about ~250 NOK or ~20 USD I think.
                                Public doctors are always at least 45 minutes late (unless you are late if course, then they call you on time)

                                I also had a non-urgent matter, but felt like wait time was too long (holiday season) so I went to a private clinic, got appointment same day and paid about 700 NOK I think.

                                I go there, tell my story, if they need to take some samples they can usually do them on site right away for no additional charge.

                                If I need some medicine they prescribe that and tell me to come back in x weeks if it's not getting better.

                                If they can't help me I get a referral. It could take a long time to get certain procedures, especially if they are not urgent/very important, but most of the time it's been a few weeks for my issues.

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                                wrote last edited by
                                #134

                                Do you need to pay for any prescription medicine?

                                B 1 Reply Last reply
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                                • D [email protected]

                                  Yeah but you need to go there once a quartal to give them your insurance card. So if you are sick less than that you still need to go every time.

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                                  wrote last edited by
                                  #135

                                  I've heard there should be another option, iirc bringing the card in later when you're not sick/infectious anymore (better for everyone methinks), but that this takes extra administration on their side and so they mostly refuse to acknowledge you have this legal option. Or so a colleague mentioned some months ago, I probably mix up some details

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                                  • return2ozma@lemmy.worldR [email protected]

                                    Which country are you in and what's a typical doctor visit like? How much? Wait time? Etc

                                    goldholz@lemmy.blahaj.zoneG This user is from outside of this forum
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                                    wrote last edited by [email protected]
                                    #136

                                    Germany

                                    Had 3 surgeries (wisedom teeth, nose bone correction and a refilling tooth surgery), an X-Ray, MRI, and i think 4 doctor visits plus all 3 months a psychiatrist to get my adhd medication.

                                    The only thing i had to pay was 50€ for a none concret filling on my tooth, and 30€ for 6 days in hospital.

                                    Hospital food was better than i expected and always heared about.

                                    Had to wait a year for that surgery but the other specialist appointments were really quick in only a few months. Especially the wisdomtooth was in 2 weeks after the call for an appointment

                                    Wait time was only a few minutes.

                                    But had an appointment at a dermitologist and there i waited 3 hours!! Almost walked out. And i wanted was more info about my skin type and laser hair removal.

                                    Everything is covered by the insurance though it needs a huge reforms. There is a two class system and government workers dont pay into it at all but get the Premium benefits.
                                    And that the insurance companys are covering less and less with dental now only 1 check up every half year.

                                    Yes i am outrages that only concret to fill holes or build up a tooth is free. Fucking concret!! It is an outrage!

                                    ripcord@lemmy.worldR 1 Reply Last reply
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                                    • L [email protected]

                                      Do you need to pay for any prescription medicine?

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                                      wrote last edited by
                                      #137

                                      Yes, at the pharmacy, but it's not very much, I pay maybe 200 NOK for my two allergy medicines combined, they both lasts me about 3 months.

                                      I just checked and there's a maximum payment of 520 NOK for 3 months worth of medicine for chronic illness, it's more complicated if there's more than one illness and multiple medications, but the norm is maximum 520 NOK for the months.

                                      Amd ylthe cost I pay for prescription drugs for one time prescription have always been so small that it almost don't register.

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                                      • P [email protected]

                                        French here. when sick, I use an app to book a appointment to a medical center I have that's like 5 minutes away by foot ( not typical for all french residents but I am quite lucky with where I live). I usually have an appointment in the next 2 to 4 hours tops. Depending on what it is, I walk away with a prescription and certificate for work stating how many sicks days I have. This costs me nothing, appart from the occasional optional medication that is not reimbursed.

                                        B This user is from outside of this forum
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                                        wrote last edited by
                                        #138

                                        This feels like a joke.

                                        Like, just name all the shit that is wrong with the US and flip it joke.

                                        Comparison, my wife wasn't feeling well and insisted on going to the Dr. The closest appointment was over a week away, and the Dr. told her to go to the ER instead. Took a 25 minute drive to the nearest ER in the city, got her vitals in a few minutes and then waited hours to see a Dr who basically gave her 2 cups of coffee and some Tylenol and then had us go home. We won't get the bill for months, but it's usually in the 800 dollar range, and that is with insurance.

                                        I'm in the US if that wasn't obvious.

                                        P 1 Reply Last reply
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                                        • return2ozma@lemmy.worldR [email protected]

                                          Which country are you in and what's a typical doctor visit like? How much? Wait time? Etc

                                          hossenfeffer@feddit.ukH This user is from outside of this forum
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                                          wrote last edited by [email protected]
                                          #139

                                          UK.

                                          Until recently, if I wanted an appointment I had to phone the GP surgery the moment it opened at 8:30 in the morning, wait in a phone queue for ten minutes or so before I got to speak to a receptionist who'd give me an appointment with which ever GP had some free time that day. It wasn't usually possible to book an appointment several days in advance.

                                          A couple of months back they switched to an app which gives much more flexibility, allows you to choose which doctor you want to see and allows you to book appointments in advance. I do worry that they're going to push everyone to use that since old gippers are likely to struggle with the app unless they're semi-tech savvy. Also, it's obvious to me that they're setting this up to use AI to triage requests if they're not already doing that.

                                          Appointments always used to be face to face but since covid they're increasingly phone consultations especially for follow-ups. If it's a first, diagnostic appointment it's still likely to be face to face though.

                                          For face to face, the wait time is generally less than half an hour from the point I get to the GP surgery.

                                          Obv. it's free at the point of use. I've paid my taxes.

                                          Edit to add: if you're on low income, or are a child, old, etc you get your prescriptions free. Otherwise you have to pay for them at £9.90 per 2 month prescription. I'm on a shitload of medication and that would normally cost me well over £500 a year, but I get a prepayment certificate which costs me £114.50 a year and covers all medication.

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