DISQUS

AMERICAblog: My whopping $32 emergency room visit in the land of socialized medicine

  • bodhikai · 5 months ago
    Obama shouldn't be worrying about making "health insurance" affordable. Health insurance is the crux of the problem. We need to focused on making health CARE affordable.

    We need to take profit-based insurance companies completely out of the equation. Their job is not to provide health care or access to health care - it's to take as much in premiums as possible and pay out as little as possible.

    With that incentive, they will ALWAYS be in the way of affordable, accessible health CARE.
  • TimK · 5 months ago
    There needs to be a "Love" button for comments like this one. "Like" just doesn't get it.

    I've been saying for ages that we need to do two things: get private insurance companies out of the healthcare business, and sever health care/health coverage from employment.
  • SusieQ · 5 months ago
    Thank you bodhikai, it is indeed health CARE, not health INSURANCE. And everybody please stop debating the Public OPTION - it should not be an OPTION, it is the entire reason for health CARE reform.
  • Keith · 5 months ago
    .
    One word captures what is wrong with the American Health care system, and America in general.

    Greed.
    .
  • angison · 5 months ago
    This story can easily be told in Canada... I know because I live in Canada and see it myself everyday. The horror stories coming from some American Politicians is deceitful. I would never, NEVER give up my health care system!! Let see them put me on American TV to say that!
  • Rob_Denmark · 5 months ago
    Let me share my story then.
    I live in Denmark, and a few years ago, my Dad was diagnosed with skin cancer. Surgery and check ups. Nothing cost him a dime (because we pay via our taxes).
    This year?
    At my Dad's last check up, a lump was discovered, and the doctor told him it had to be removed as a precautionary measure. He rode his bike from the doctor to work, and before he got to work the doctor had called him (this was a Friday): There was a cancellation Monday, he could have that time slot and be operated on, that Monday.
    My Dad was at the hospital for two weeks. Although the lump thankfully did not contain any cancer, his wounds too longer than expectet to heal enough for him to go home, but everything ended OK.
    A few monthes ago, my daughter got ill with stomace pains. The doctor told us to take her to the hospital where test confirmed that it might be her appendix. It was removed that same night (between midnight and 1) and after two days, she could go home.
    A month and a half ago, my wife had problems with her throat. Turned out, it was a boil that ended up making her unable to talk (yeah ;o) and unable to swallow (including swallowing pills). She went to the hospital four times (first hospital referred her to another hospital where they specialize in throat surgery): She went to the second hospital two times for having the boil drained, and one time for checkup.
    Of course I was nervous for both my Father, my daughter and my wife at and around the time when they had surgery, but at no time did I have to think about the cost, or worry that I or my father or my wife would end up with a bill for the surgery or the checkups.
    And (and this is something I have seen used as an argument more than one time): At NO TIME did we have to discuss the necessity of surgery with ANYONE but a doctor or a surgeon! They diagnosed and at the same time they decided that surgery was necessary!
    If a politician in Denmark were to suggest, that we stopped national health care, that would be an end to his or her career as a politician: Most every Dane think we pay to much in taxes, but the part of our taxes we pay towards national health care, we pay gladly - especially when learning about how things are done in America ("Sicko" was a great film in that respect).
    Wake up, America!
  • Sarasvatia · 5 months ago
    Six years ago (in LA, CA) I experienced sensations usually identified as a precursor of a heart attack. Insurance Ok'd an immediate visit to an emergency room.
    After a prolonged admittance procedure where the only thing I didn't need to reveal was my granny's shoe size, I was directed to a emergency room where I spent about 75mins. One X-ray later, a lot of very busy people in different coloured informal clothing, and one MD with either a terminal speech impediment or under the influence (couldn't tell, he never got close enough), I was discharged. A few days later I received a bill for $7,600. Yes, seven thousand six hundred dollars and some change. I refused to pay. After a long, almost one-year long, fight, the hospital seriously revised the bill to an amount that the insurance paid in full. Throughout this nightmare, the insurance did nothing to help.
    Frankly, if the predatory insurance companies, especially the parasitic HMOs go out of business, I'll be the first to celebrate. I hope that Kucinich's idea to follow the Canadian example goes thru: the one that lets progressive States introduce "socialised" medicine. Even with higher taxes, it will be cheaper than what I have to pay for the "privilege", plus co-pays, deductibles, out-of-pocket expenses and the insane, never-ending stress. And the prospect of euthanasia in old age or suicide, if I have the means to carry it out.
    I would much rather know that my taxes can and will help me, and anyone in need, rather than contribute to a billion-dollar bank account of a CEO who knows little to nothing about medicine, but all about accounts in the Bahamas.
  • Marvin · 5 months ago
    Great story. It's important that these sorts of stories are shared with all of the lies the right wing private health insurance company apologists are spewing.

    We have to fight their lies with the truth. Over and over again.
  • G D · 5 months ago
    About two years ago I had a swelling on my jaw (a tiny piece of glass had got stuck in there and became infected). Nothing big, but it was getting painful so off to the E.R. I go. The verdict? "It's acne." The result? 1100$ ER visit. Two days later and it's so swollen I can't turn my head, and back to the E.R.. This time the doctor was paying attention and saw it was infected, and I got a antibiotic and an anti-inflammatory. Bill: 2300$. A week later it isn't looking any better - one more trip to the E.R., only to find the doctor wouldn't see me because "acne isn't important". Despite not even having seen a doctor, 900$ bill.

    The end result: Over 4,000$ in hospital bills, which UHC (and later Blue Cross) refused to cover. It took almost a year for me to get the money out of them, but not before my credit was wrecked.

    If you're wondering how I knew it was a piece of glass - my neighbor is a veterinarian. He fixed it for me, got an antibiotic prescription from a doctor friend of his, and it cost me... a nice bottle of scotch.
  • easilyconfused · 5 months ago
    I'm confused, you could wait and go to the ER then wait and go back, then get treated by a vet? The E in ER still means Emergency, right?

    Sounds like the valuable lesson I'm going to take from this is that you should really go see your regular doctor instead of going to the ER for regular treatment.

    You are what is broken with the healthcare system.
  • mark1555 · 5 months ago
    I second that. I do practically everything I can to not go to the ER. Not because it is bad, but because I would be embarrassed to tell anyone that I went to the ER with out a real medical emergency. I guess I have too much pride... or respect for people who are actually in need of emergency treatment.
  • Ellid · 4 months ago
    People without insurance routinely go to the ER in this country. Don't you read the papers? It's one of the reasons health care costs are so high - people who can't afford a doctor put off seeking treatment until it's acute, and then it really *is* an emergency.
  • BeccaM · 5 months ago
    My wife suffered a retinal tear while we were in India for the last few years. It also first showed up as more floaters and then a few small lines of darker stuff -- which we were told was blood.

    We went to one of Bangalore's super-specialty hospitals -- the Manipal. While I can't say the place was ultra modern, it did have all the most important modern equipment. Emergency laser surgery was called for. Later, follow-up visits to check on her recovery.

    Our total cost, from the minute we walked in the doors -- the initial exam, the surgery, some prescription meds, and two follow-up examinations -- was $39. Thirty-nine dollars.

    We spent more on hired cars to get us from where we'd been up in Andhra Pradesh and back again.
  • boloboffin · 5 months ago
    Viva la France!
  • Butch1 · 5 months ago
    Simply amazing. This is the story you should be telling Congress as a witness to the type of socalized care one really gets not the scare stories the republicans and blue-dogs want you to believe. This really should be published for all to see.
  • leliorisen · 5 months ago
    Hey John, thanks for sharing your story. I am glad you got the medical attention you needed.

    For the next week, take it easy, don't over-exert yourself, and give yourself time to heal.

    I am sure I speak for many by saying my thoughts and prayers are with you.
  • 1970cs · 5 months ago
    What, no 6 week wait for a $1,250 appoinment with a specialist? damn socialists.
  • john · 5 months ago
    My insurance in the US is $250 per month. My doctor visit copay is $30 and my emergency visit copay is $100. I don't need prior approval or need to stay in network. I have personal insurance that I get reimbursed for by my employer, so that is the entire amount. Perhaps people ought to shop around for better insurance.
  • lessthanacitizen · 5 months ago
    I had a similar experience in Paris, but with a sharp pain in my shoulder. I went to the surgery of a local physician during his office hours. (No appointments are necessary to see a primary physician in France: he has surgery hours and will see everyone who turns up before he closes.) He examined me and recommended an X-ray. He gave me the telephone number of an X-ray clinic near by. I telephoned and was told they could see me in 45 minutes if I could get there. I could and did. After the X-ray, the technician asked me to wait while he wrote a brief report for the physician. I took both back to the physician who was still at his office. He examined the print, read the report. Made a further examination and prescribed a medication which I obtained from a pharamcy nearby. The physician charged me 20 euros, the clinic 56 euros, the pharmacist 6 euros. It was all over in the course of one afternoon. Had I been French, most of that expense would have been paid by the French single payer system.
  • NotTimothyGeithner · 5 months ago
    My parents were in France on the day of apparently the biggest gay pride parade in Europe and the ordainment of the new priest, you know so they don't have to walk far to get to the parade. My mother fell, was seen by an equivalent of a nurse practitioner, a specialist, and a general practitioner, left the hospital with more oxycotin than Rush Limbaugh could ever fantasize about, and all of it was under an hour on a day the ER was swamped with people passing out at that parade (apparently it unseasonably war). Their visit came out to about $180 based on what father thought was an appropriate exchange rate for when he received the bill which they sent to him in back in the states. They told him don't worry about it we'll just mail it to your home when he tried to pay at the hospital.
  • falloch · 5 months ago
    My Mum keeps asking me why I live in the UK and wouldn't I like to come home because what I do here, I could do in NY. And I say, no, because I couldn't afford the health insurance. I've chronic asthma and eczema - and I pay for all my prescriptions with an annual pre-paid certificate which costs about $100. Any other prescriptions that I might need (for flu, arthritis, even cancer drugs (though I really hope not)) would be included in this. There are gaps in all this - different counties have different budgets, hospitals, etc. - yes, sometimes you have to be really assertive to get different, esp. new, kinds of treatment, but a lot of the discrepancies between different areas have emerged because US Pharma companies are trying to make inroads - just like in Canada. Health care shouldn't be a privilege but a human right, and the faster we get rid of the disgusting health insurance lobbyists and their disgusting suck-up politicians the better.
  • Amy · 5 months ago
    Move to Belfast - from January Northern Ireland has free prescriptions

    Also if you have certain medical conditions (eg diabetes) all prescriptions are free in the UK
  • debbieslp · 5 months ago
    Here is my insurance story. My husband was injured on the job. His insurance covered about half of his many tests and then rehabilitation, which was very lengthy for a sciatic nerve injury. He was out of work for six months, during which time I increased my work (I'm self employed as a speech therapist) from five to six days a week, sometimes seven, just to pay our monthly bills. He was still on the payroll at his company, who kept promising to find him an alternate position, since he could not return to his regular job due to the permanent effects of the injury. During this time he could not apply for unemployment. They never did find him another position, and dropped him from the payroll (and insurance) after a year.

    By this time we were really struggling to make ends meet on just my income, and moved to a tiny apartment after spending three months essentially homeless. Two years later, we did get a workman's comp settlement that covered just the outstanding medical bills from that event and the lawyer's fees, leaving us with all the debt accrued from living on one income all that time, but we'll let that one go.

    That summer, my husband found seasonal, low wage work at a farm. While scraping paint on a barn, he got a paint chip in his eye. The employer did not have any insurance for workers -- not legal, but that's what it was (the owners of the farm also are CPAs and own a financial services business, go figure). We did not want to pay for the ER, so made an appointment to see an eye doctor. Fortunately there was a slot that day from someone's cancellation. My husband did have to wait for over three hours trying not to move his eyes, but that was our choice. The actual visit took about ten minutes. The charge was $860.00.

    That Fall, we were blessed to find I was pregnant. I was 39, and we had been wanting a baby many years. The timing was bad because of no insurance, but we were thrilled! I was still working 6-7 days a week, and my husband was just finishing his seasonal work and looking for a job. Reluctantly, I did go to the hospital for a prenatal checkup, although I am extremely healthy and fit. The blood tests alone for that visit were $878.00. We were still paying on the bill for the paint chip. We planned a home birth with a midwife, to keep costs down, and no more "well" visits or screening tests. We wanted to save what little we could for necessities for the baby.

    Once his seasonal work ended, my husband was able to apply for unemployment -- which felt very strange for a guy who had worked all his life. He had been a truck driver since entering the Air Force as a teenager.

    Unfortunately I miscarried at three months, despite no complications and perfect self care. The visit to the ER to get some pain relief was $1522.72. The ultrasound later that day to verify the miscarriage was $1555.11. I forget what we paid for the percoset, maybe about $40. They wanted me to come for a follow up visit, to ask me how I felt! I declined.

    I still worked 6-7 days a week, taking just a week off for the worst part of the miscarriage. My husband was looking like crazy for employment, and doing odd jobs and handyman work for neighbors and family. He got several promises, but no offers, even for minimum wage and temporary jobs. After going through this for the winter, we decided to somehow put him through school so he could have better job prospects. We were still living paycheck to paycheck.

    The college required proof of immunizations before enrollment. Having been raised in an orphanage, my husband did not have these records. So-- back to the hospital! The blood tests came to $855.00. A few came back negative, and they asked if he wanted the measles and hepatitis shots. He declined due to the cost.

    Upon applying for college financial aid, we discovered that because I had been working 6-7 days a week for two years, our income on paper was too high and my husband did not qualify for any Pell grants, work study, or other aid besides regular and unsubsidized loans. It was a tough decision to choose between taking on $10,000+ per year in debt (cheap -- local college), or the alternative:

    We are now getting a divorce, so that he can qualify for better financial aid. We hope to keep the college debt below $2000 per year. We also hope to get back to being a two income, middle class, married couple with manageable debt and a decent home again, in about five or six years. Sadly, it will be too late for a baby then.

    I will continue to pay down our $5800 medical debt over that time, and hope we don't accrue any more, because we cannot afford insurance for the next few years.

    One relatively minor injury, and our lives are derailed. What a system.
  • bobgalasso · 5 months ago
    We were visiting my in-laws in Auckland, New Zealand and before the trip, I called my healthcare provider here in the Pennsylvania area - Highmark Blue Cross - about coverage abroad. They sent me a link of primary care physicians. Understand that I pay extra for PPO care, so theoretically, I should be able to pick anyone from their list and just set up an appointment.
    My daughter had an ear infection and I called the doctors on Highmark's list. Out of 10 doctors, 7 doctors have changed practices and are no longer at these medical practices or out of business. The other 3 were surgeons. Obviously Highmark did their homework.
    My mother-in-law suggested we take our daughter to their primary care physician at the local mall. I am expecting having to pay 200-800 USD for office visit and possible prescription(s). We get to the local doctors office, and it was not crowded at all. Prices for care were listed: $20 NZ Dollars for local residents, $30 NZ Dollars for international guests/visitors.
    $30 NZ Dollars which at the time was approximately $20 US Dollars. For uninsured, non-resident treatment.
    We were prescribed an antibiotic and I was expecting to pay $80 USD, but the pharmacy (which is attached to the doctors office) did not charge us stating it is part of the primary bill of $30 NZ Dollars.
    Considering I pay in excess of $12K per year for PPO health maintenance and still have the potential to have treatments rejected, the "choice" option here in the US really is no choice. Although the base tax rate for NZ residents is slightly higher than in the US for individuals earning less than 120K, add the "tax" of healthcare and mandatory auto insurance, plus additionals like dental insurance and eyecare, plus term and whole life insurance, home owners insurance, and state, local and residential property tax in addition to a local wage tax, and my overall "tax" burden exceeds 60% of my income. Whereas, if I were to move to Auckland, NZ, with same medical coverage, life insurance, home owners and local taxes, my tax burden is only 45%.
  • Pat · 5 months ago
    Interesting story. The exact opposite happened to me recently. As a Swiss citizen, I lived in the US for 2 years and need to get operated for an appendicitis while there. The basic emergency room rate was $600. After that I had a simple laparoscopy procedure, spent one night at the hospital and left the next day. I still can't believe that the grand total was $56,000 !! Switzerland is usually famous for being extremely expensive, well obviously not that much health-wise: a similar procedure in Switzerland would typically cost about $2,000. In France and other "cheaper" European countries, that would be even a fraction of that.

    Note on the Swiss system: health insurance is mandatory and does not have anything to do with your employer. Simply, every adult must choose a plan from several different insurance companies. Typically, many people change every year depending on the new cheapest company.
  • Rio · 5 months ago
    I was in Portugal and my friend had a urinary tract infection that reversed itself and headed up the kidney. An emergency room visit in a public hospital resulted in a wait that wasn't more than 15 minutes (it felt like ages) and we ended up paying about 20 euros for everything, including a sonogram, doctor's checkup, IV, etc. I will never forget her words at the checkout counter: "20 euros? Only?"
  • Rob · 5 months ago
    This leads to an interesting idea: if you have a known health issue that is gonna cost you a bundle, why not buy a ticket to Europe and see a doctor there? You'll spend a lot less money and have a nice holiday to boot. No hassles with your insurance company or hospital, no wrecked credit, no stress, and maybe a few days of holiday.
  • Thomas · 5 months ago
    Please don't. We have our health-care systems here so that us tax-paying europeans can get the treatment we deserve. we have already factored in and paid taxes for a lot of europeans who don't work and pay taxes, plus care for illegal immigrants and so on.

    People from the wealthiest nation on earth do not need to come freeload on us. Pretty please?
  • john · 5 months ago
    Who's going to stop us?
  • ivan123 · 5 months ago
    well
    I live in Bulgaria, almost a 3rd world country by US standars, though an EU member.
    A basic visit to any emergency room or your GP doctor costs exactly 1Eur (2BGN). Of course, each month part of your taxes go to the healthcare system. The system here is flawed in many ways, I'll not go into details, but they'll still "fix you" even if you don't work (no taxes) or are even homeless.

    Once when I was in the US I had to visit the emergency room. It was some infection I've developed, and they took blood to check for bacteria etc. The doctor gave me antibiotics, and I had to come back 3 days later. Well, I came, all was fine etc. The total cost of that was around $500 - WTF!
    Same thing here will will cost you 3x1 = 3EUR if you go to the public hospital, and around 50EUR if you go into private one, where you pay it all by yourself (doctor's fee, microbiological test, etc).

    The doctor's and the equipment (subjectively) are at the same level of knowledge/experience...
    Of course, for complex or very modern treatment, you'll probably have to go to a big private hospital , which you will have to pay somehow, but that are rare occasions - touch wood

    as a sidenote, every EU citizen (from Finland down to Greece) can have an EU health-card issued (costs around 20EUR), which is just a plastic ID card that guarantees you that you don't have to pay for ER services in ANY EU member country. The bills go back to your home country and you don't have to worry about it.

    Just my 2 cents
  • 1970cs · 5 months ago
    edit: Didn't intend to do this twice
  • 1970cs · 5 months ago
    This is too logical and effective a health care system for us.

    http://www.businessweek.com/magazine/content/07...
  • NewsCorpse · 5 months ago
    I left a comment in your prior posting on this subject about how Blue Cross tried to force me to see a dental provider who didn't exist - even after they confirmed that his office was closed and his phone disconnected.

    I just wanted to let you know that you are welcome to use this new logo I designed for Blue Cross (with fingers crossed).

    So glad to hear that you got the treatment you needed.
  • MotorCityBadBoy · 5 months ago
    I'm a Yank living here in London and went to the dentist for a cleaning and a filling... Total cost: 16 pounds = about $25. Socialized medicine is great... Wait time from call to appointment = 9 days. About the same as in the States...
  • Asterix · 5 months ago
    It seems to me that Max Bauchus should be visited by a delegation of H1N1 sufferers who inform him that they'd go to get treated, but they can't afford it.

    Or better yet, turn 'em loose in the congressional hearings.

    With all of this hoo-hah about injuring the insurance business, I'm slowly coming in favor of nationalizing all of the hospitals. let the "health care industry" go pound sand.
  • dcinsider · 5 months ago
    Wow. Bonne chance!
  • vickif · 5 months ago
    Is it possible to e-mail every congressperson exactly what you wrote here? This is what every person in the USA should have for medical care.
  • tigergrrldc · 5 months ago
    John, it seems that if you have any other health situations (God forbid), then they should happen when you go on your annual visit to France. That visit would have cost thousands of dollars here.
  • HelenRainier · 5 months ago
    What is amazing is that you got in so quickly, your wait time (comparatively speaking) was minimal, you were treated right away, they made the follow-up appointment for you, and the low overall cost for everything.
  • Mike · 5 months ago
    Hey, have a few French bières and take 'er easy for the week. Sure that eyeball'll turn out just fine.

    Oh, and for comparison's sake, what might such a visit have cost in the States?
  • leliorisen · 5 months ago
    I think in Alabama and Alaska, it's your first born. It varies.
  • John Aravosis · 5 months ago
    Good point, just added that to the post - my own emergency room visit a few years back, and all they did was wrap up a finger I sliced the top off of, was around $800. This time, mind you, was 45 minutes of laser eye surgery with two doctors attending.
  • leliorisen · 5 months ago
    Actually, one of my bowling teammates told me last night that he had a pretty wretched experience.

    He had no insurance and went to an emergency room because he was feeling rather ill. He was mis-diagnosed with pneumonia (they still do not know what he had, but his skin was getting tinged yellow and his blood levels were off).

    He was in the hospital for one night, I believe. They ran lots of tests.

    His bill, which he has to pay for out-of-pocket?

    $15,000.... And he still does not know what he had.

    I want to add that my friend is out of work and this bill is something that he cannot handle at all.
  • Bronx2216 · 5 months ago
    I'm all for it if we could pull it off, but I want to know how it's paid for (does it pay for itself or drain the economy) and how much does our litigious nature contribute to the cost of medical care - I bet it's not as much as we're lead to believe...but I don't have much faith that our current crop of politicians can even start to set up anything this comprehensive and affordable...
  • ShirleyGoodnessanMercy · 5 months ago
    Vive la France!!!

    The conservatives' current schtick is to say that you can't get good cancer treatment in Europe. Is there any shred of truth to that? If not, someone who knows better needs to call them on that because they are scaring off a lot of people with that line.
  • citizen spot · 5 months ago
    Didn't Farrah Fawcett go to Europe for her cancer treatment? It was on the TeeVee.
  • John Aravosis · 5 months ago
    She went for a special experimental treatment in Germany, but I think the motivation was that it was experimental and new, and didn't exist elsewhere.
  • editht · 5 months ago
    The arrogance of the United States precludes us from looking to other countries for solutions. This is a serious flaw for us. Just look at how long it took for us to implement "EZ Pass" on the highways. Europe had that for years and years!
  • CajunBoyLgb · 5 months ago
    Gosh, what a nightmare that French health care system is.

    The last time I let doctors touch me was almost 20 years ago for an appendectomy. I had health insurance through my employer, but I was still billed over $1000 out of pocket.

    I'm scared to death to think what I'd have to pay out of pocket for routine medical care nowadays. And god forbid something serious be wrong. My brother-in-law is still paying the bills for my late sister's cancer treatment (admittedly top-drawer-- it gave her at least two extra years of good-quality life despite terminal cancer). In a fair world, he wouldn't be going broke. Well, NO ONE would.
  • sanfrannan · 5 months ago
    Great luck over there!! It does happen. It happened to my cousin. However, YOU are one of the very lucky ones as three friends of mine, my uncle, and my wife did NOT fare as good as you did with similar (not eye problems) situations in Canada, Framce, and England. And, for every one person who lucks out there are maybe 50 + who don't!
  • John Aravosis · 5 months ago
    I believe you about your relatives, but I only hear horror stories from my friends in the states, and great stories from my friends in Europe. So, sorry, but I'm not buying the 50 bad stories for every good story line, that bs. I don't know anyone in the states, other than perhaps my parents, who haven't been screwed by their insurance companies. Over and over and over again. Our system is a nightmare.
  • Zorba · 5 months ago
    I totally agree, John. If you're French, you can see whatever doctor you want. If you want even more than the basic (and still very good) care they give, you can buy supplementary insurance (attention, US insurance companies- you can still stay in business! Although you may have to give up multi-million $ paychecks and perks for your executives). My husband and I have pretty good insurance through his job with the federal government (don't yell at me- he's not an elected official, he's a research scientist trying to find better care and drugs for HIV-AIDS patients, truly! And we get "standard care"- the really good one is too expensive). I recently had a new mole pop up on my face, near my hairline. My mother had a history of basal cell skin cancer, and my husband looked at it and said "Probably benign, but have it checked out, just in case." Indeed, it turned out to be a benign keratosis. Federal Blue Cross-Blue Shield did (mostly) pay for the pathology test. But. The doctor spent about 10 minutes, tops, numbing the site, excising the mole, and stitching it up. Cost of the "surgery," $450. BC-BS paid $100, and I paid &350 (and this was my family practitioner- imagine if I had gone to a dermatologist!). Cost to us for the insurance goes up every year, the co-pays go up, the deductibles go up. I cannot imagine what people with sub-standard insurance or, worse, no insurance, do. We need single payer. It's a moral and ethical crime to make health care so dependent on profit-making. Single-payer now!
  • Gridlock · 5 months ago
    I don't believe you at all. Every single person, and their families that I know in Canada (totalling about 200 people) have never, EVER had a problem. That includes my own mother who had a prolapsed uterus or something, was in surgery inside of a week and out by another week. Total cost?

    Zero.

    She's fine now, had no problems, and no horror stories.. and this woman is a freakin hypochondriac. She's been in and out many times for knee surgery, allergy tests, medication complications.. never had a problem.
  • nicho · 5 months ago
    Bullshit. Please provide links to show that 49 out of 50 people have disastrous outcomes.

    Just insurance company or GOP propaganda.
  • sanfrannan · 5 months ago
    I agree. Total bullshit with all of you who claim Canada and France,
    etc have great socialized medicine.

    Think about it. How many people do you know or how many people have
    you ever heard of who go to Canada or Europe to get medical procedures
    done????

    I thought so.

    END OF STORY!!!

    Case closed!
  • ottto · 5 months ago
    Why don't you do a search for "medical tourism" canada.
  • Coemgenus · 5 months ago
    They probably can't afford to travel as they have been ripped off so soundly by their US "insurance" company !
  • ottto · 5 months ago
    I have used healthcare in Germany on two separate occasions and I have used healthcare in Holland once.

    In Holland, I had a perforated ear drum. My friend, who was in college, called his doctor. His doctor said that she would come over to his apartment. She did that. She examined my ear and told me that it was ruptured, and that it would heal on its own. The cost was free.

    In Germany, on one occasion I had a seizure. I had had one seizure in the US prior to this. In the US, I was seen in an emergency room. This was about 19 years ago. I had a CT Scan, and the cost was over 500 dollars- even back then. In Germany, I saw a neurologist on the day of my seizure. He gave me an EEG in his office, and provided me with medication to use until I returned home. The cost was 20 dollars. When I returned to the US, I saw doctors at UC San Fran. I was on a sliding scale, because I wasn't employed at the time. The cost of seeing a neurologist just one time for about 20 minutes ran me around 300 dollars. In all, I was left with a bill of over 2000 dollars. This was about 17 years ago.

    The other time I saw a doctor in Germany, I had GI problems. I saw the doctor almost immediately in his office. It was nearly free. I can't remember if I had to pay anything, because I was insured by the German insurance at the time.
  • ShirleyGoodnessanMercy · 5 months ago
    The moral of this story is...

    If you expect to get sick soon, get thee to France ASAP!!
  • larz69 · 5 months ago
    David Sedaris wrote about how cheap his doctor visits and dental work are in France, and I almost wanted to write to say, don't bother with your insurance, you probably have enough cash in your wallet to cover it - even for a non-citizen.
  • jerryCA · 5 months ago
    Why is socialized care such a dirty name to GOP, Rush, Hannity and rest of gang? I don't get it. It has nothing to do with capitalism and everything to do with well being of your bodies. Wouldn't corporations want healthy slaves to churn out more money for them?
  • BeccaM · 5 months ago
    No, because if people came to expect decent healthcare as needed, they might start to think such heresies as "y'know, everybody should have a decent home" and "We think we all deserve a clean environment and decent, safe jobs." Worse, they might come to think that corporations ought to pay their fair share of taxes.

    The critical thing is the peasants need to be ground down and taught not to expect any help. A sick, tired, and fearful wage slave is one who will do anything, forgo raises and health and more -- to help the company bottom line.
  • Dateline_Molly · 5 months ago
    That's exactly it. Getting single payer is a slippery slope to the ruling class. They know it's a huge threat. Before you know it, the proles are asking for single payer day care, single payer college, single payer senior care, and guaranteed housing and food for everybody.

    Can't be going down that road.
  • Hardy_Haberman · 5 months ago
    Mon Dieu! Such a long wait!

    OK, part of what you forgot to say was that in the US that surgery would have set you back several grand and your insurance may or may not have covered it as a necessary procedure.

    Why do we continue to let the insurance companies here run our health care system?
  • Mr Sippi · 5 months ago
    I recently had the removal of leftover bits of cataract materiel following implant surgery. The YAG laser was quicker, painless and scheduled. It cost $740 and my out of pocket was equal to what you paid total.
  • nicho · 5 months ago
    You're lucky you had insurance.
  • TimK · 5 months ago
    I had cataract surgery on an outpatient basis nine months before I moved from Sweden back to the U.S. It cost me $100.

    I had the YAG laser procedure done in the U.S. after I moved back. It was so quick that I thought the doctor was still adjusting the machine.

    They charged me $2,500. I had no insurance.
  • robe · 5 months ago
    Holy Christ John, I'm really sorry to hear about you and your sister's eye problems. I had eye surgery when I was six (no big deal actually, more of a minor corrective procedure) and have always been paranoid about going blind because reading is such a major part of the enjoyment of life for me. I hope you'll never have to go through this again.

    By the way, everybody tends to refer to the Canadian or european health care systems, but Japan's is really good, too. A few years ago, my Japanese girlfriend's dad had a bad episode with his blood pressure and passed out. We took him to the local hospital, where they checked him in, gave him an MRI along with all the other routine diagnostic stuff and had him stay overnight for observation. All they had to do to pay for it, AFAIK, was show their government insurance card. Her family were all self-employed (farmers), so it's not like they had to work for a zaibatsu to have it.

    They also tend to keep people in hospital much longer for the sake of precaution than they do here in the states and still nobody talks about being afraid of going bankrupt because of an acute illness. So why can't we in America have that? Oh yeah, we have to be slaves to Big Insurance and Big Pharma. Silly me. God, too many Americans are just suckers.
  • troy3 · 5 months ago
    Japanese doctors seem to like multiple visits, so treatment can proceed slow, but is still cheap.
    A friend of mine was on his bike and hit a van, stopping himself with his face - lost half a front tooth, cracked one cheekbone and shattered the other.
    Ambulance, emergency braces, MRIs and x-rays galore, 10 day and then one week stays, titanium implants to hold his bones together, jaw wired shut - a total nightmare. Estimates from the States put his bill for the surgery alone at around USD80,000.
    Because he is a student, he was able to claim his out of pocket costs (our bills only what we have to pay) and got reimbursed for *all* of it.
    Insurance would only cover a silver crown for his tooth, but he reckoned USD900 for a custom ceramic one was worth what he DIDN'T have to pay.

    I did an extra consult for a broken clavicle with a specialist I went out and found a couple years ago. Different hospital, fresh x-rays - eight United States dollars.
  • nicho · 5 months ago
    You must be crazy. With that sort of arrangement, how in the world would insurance company executives make $50 million or $100 million a year? To deprive them of their homes in the Hamptons and private jets would be just unAmerican.
  • Gitai Ben-Ammi · 5 months ago
    Sounds about right. I got an infected wisdom tooth when I was in Munich. I went to a dentist. He examined me, tut tutted about the use of mercury amalgam by American dentists to his students, injected antibiotics and told me I had to get it pulled. I was alone in a hostel and flew home. I paid around $20 as I recall, and of that $6 was for the injection, $6 was for a prescription for antibiotics, and the remainder was the cost of the visit. Honestly, the most difficult part was filling out the medical history as despite speaking some German, I've never studied the vocabulary for various ailments.
  • jsgilbert · 5 months ago
    It wasn't until it became "uncool" for the politicians to take money from Tobacco lobbyists that we started to see any type of real anti-tobacco legislation go into effect. As long as the medical profession represents the second largest source of contributions to both parties, there will be little if any change come about with regards to our nation's healthcare system.

    But since a large part of the cost of healthcare is tied to skyrocketing malpractice costs, and the trial lawyers are the biggest source of money to both parties, it seems like we would still have a battle on our hands.

    There are staggering numbers of potential solutions, but it seems that implementing them would seriously mean that someone's gain becomes another's loss. It seems to matter little if the one gaining is a single mother of 2 and the one losing is an investor in a hospital with a personal net worth of 40 million.

    I am afraid that Obama may go down in history as another Jimmy Carter.
  • robe · 5 months ago
    Actually, if all the malpractice reforms the GOP wanted enacted were put in place, it would reduce doctor's premiums by a big ol' 1%. That's right, a singleton. Boy, that'll make a difference. Or not.

    The problem is that the insurance industry has taken it in the pants with too many bad investments in the stock market as well as shareholders demanding high profits every quarter, so the insurance industry, in effect, taxes doctors for the industry's malfeasance. Doctors have to realize that they are being fleeced by a predatory and incompetent insurance industry just like regular folks.

    So the attack on trail lawyers is just a strawman argument.
  • TimK · 5 months ago
    It's not just doctors that the insurance companies are taxing.

    The fundamental problem is that the insurance companies are not in the insurance business any more -- they're in the business of collecting premiums and investing them. They're investment companies. The concept of actually ever paying a claim is foreign to them.

    Like the rest of the financial "services" industry, they need to be severely regulated to get the fuck back to their core business PDQ.
  • 1942bf1942 · 5 months ago
    Too many different, vested interests "at the trough." They have to be taken from the trough one at a time, or, better yet, several at a time. Read Shannon Brownlee's book, OVERTREATED and understand where about one third (800 billion dollars) goes down the drain. Or perhaps into undeserving pockets.
  • Constant Comment · 5 months ago
    Sorry you had to go through all that, but better you were there than home, huh? I just assumed paying out of pocket would be ridiculously cheap, but not that cheap (for eye surgery).

    Seriously -- where does this ridiculous demonization of "socialism" come from--insurance lobbyists? I just don't get that...

    Sending you healing energy for your eye....
  • NWProf · 5 months ago
    "Seriously -- where does this ridiculous demonization of "socialism" come from--insurance lobbyists? I just don't get that..."

    Well, Constant, the Repugs have no ideas - new or otherwise. Karl Rove in his Bush "Master of the Universe" guise went back to the tried and true Nazi Propaganda machine to look for ideas. After all, the Nazis convinced a whole country that they were SuperMen! A key tenet of all propaganda is that if you say a lie often enough, no matter how incredible it may be, it becomes the truth.

    Add to this the fact that nearly all people in the U.S. heartland and in the South only hear WKKK (all hate, all the time) radio and it is not hard to understand why they are so ignorant.
    (I recently returned from a cross U.S. road trip. Man, did I wish I had brought my CD collection along!)
  • nousername999 · 5 months ago
    Ah ha! They made you speak French.

    Oh, you simply must submit for reimbursement from Care'First'.

    I'm sure you have a lot of free time to fight that through their system. If not, ask Max Bauchus for help.
  • lonestarliberal · 5 months ago
    Thank you for sharing your story. I have to say that I lived in that hell hole of socialized medicine for ten years--Paris. For most of that time, I worked for an American company and had full insurance. The costs of regular visits to the doctor, and regular prescriptions, were so reasonable that I never even bothered to submit anything to insurance. Can you imagine?

    Now that I am back in America, and working on my own, I have become one of the 55 million without health insurance. I can only hope that I won't have a major medical condition. What is really most shocking to me in the American system is the complete lack of humanity. All that matters is profit; people can, and are, sacrificed!
  • moistenedbink · 5 months ago
    Oh, now wait a minute. RNC Chairman Michael Steele was on the TV saying it was "only" 47 million uninsured out of over 300 million Americans and 11 million of those were illegal aliens and another 10 million or so could qualify for Medicare or Medicaid but didn't know it and then the young people, etc. so the bottom line is when you remove all those from 47 million you get a small amount of people who are actually uninsured.

    Of course, once the anchors asked him about his own health care (through his employer the RNC, but he didn't know who the provider was) he told them about when he was self employed and it cost him $20,000 to buy health care for his family so he understood the economics of the situation. Really? Really? If the average household (all persons working and contributing to income in a household) income is under $50,000 per year, how does the RNC Chairman expect them to pay $20,000 out of pocket for health insurance and still pay their taxes, housing, food and energy costs?
    This is the millionaire Senator's Club problem. $20,000 is a cheap car, not a lot of money. I make $28,000 a year and support a household of 3.
  • homogenius · 5 months ago
    It's also questionable that he ever paid out $20k per year for insurance. His employment history and the fact that he lost money trying to be a consultant make that claim seem unlikely.

    Ahhh, affirmative action, Republican style.
  • Anon · 5 months ago
    Step back from the particulars for awhile and think about the generalities such as a) a sense of personal security that comes from knowing that you will be treated no matter what, b) the total absence of necessity for a special set of savings, or big line of credit, for paying large and unanticipated medical bills, c) easy mobility between jobs and jurisdictions not impaired by medical insurance constraints, and perhaps more aspects which would never occur to me because I live in them as normality. All in all, it makes for healthier and perhaps even happier and better adjusted human beings less fearful of the risks inherent in life. Now ask yourself who in their right mind could be opposed to that and why. To me, only a vicious political ideology driven deep into childish minds to remain for life could do that sort of thing. A religion of hyper-individualism with teeth and claws and no pity at all. Very old testamential stuff best left in the past where it belongs. For the sake of all Americans I would hope that the reign of fear the current "system" engenders will soon end. It is simply abominable. C'est ca.
  • Paula · 5 months ago
    I read John's earlier post and it scared the hell out of me because I've had floating spots for the last 2 years and occasional flashes of light. I hadn't taken it seriously but this really freaked me out. I'm uninsured and in debt so eye care and MD's are bottom of my list. But I went to the eye doctor this afternoon. The good news is that I do NOT have a detached retina. The doctor showed me the retinal photos, complete with harmless floating spots but otherwise my eyes were very nearsighted but healthy. The bad news is that I have the right problems (very nearsighted, egg shaped retina, 49 years old, etc.) that place me at risk. The doctor told me what to look for and that if I experienced those symptoms to get to the eye doctor immediately and, meantime, make sure to get checked every year (I hadn't visited the eye doctor for 5 years). My visit and tests were $104. I was sobered, but relieved. I'll pay attention. And I need new glasses - $298 even if I keep the same frames. Sigh. BUT! Thanks John! Now I know where I stand and what to look out for. Hope you recover swiftly and thank heaven it was cheap!!
  • TimK · 5 months ago
    Paula, so glad you found out you were OK, and that you got educated on the subject. :) As I posted above, I've had two rounds (three surgeries) of retinal problems and it can be pretty scary. Take good care of yourself.
  • John Aravosis · 5 months ago
    That's good to hear, Paula. Yeah, unfortunately this is the kind of thing that quite literally will make you go blind if you don't get it addressed. Fortunately, you didn't have the problem, but flashes of light are, from what I've gleaned from my reading, the most severe symptom of all (well, no, an actual black spot in your vision that doesn't move is probably worse as it may indicate your retina has actually detached).
  • NotTimothyGeithner · 5 months ago
    One thing that is almost never broached is the inefficiencies of doctors and medical professionals themselves. I have a perfect health record with some minor allergies. During the fall I take Allegra, and I have to go through a giant routine just to get a friggin prescription. I'm fairly certain my doctor and I talked people we knew in common instead of any actual health issue.
  • ottto · 5 months ago
    Part of being a doctor is relating to your patients. It's better if the patient is relaxed not only on the one visit, but also on following visits.
  • jharp · 5 months ago
    Great story.

    Sorry about your eye but thanks so much for sharing.
  • Gene · 5 months ago
    C'est normal, non? Having lived in France myself, I can vouch that this is exactly how the system works.

    On the subject of malpractice, we should start by mandating that all punitive damage money go 100% to the state, not the plaintiff and not the lawyer.
  • prochoicelib · 5 months ago
    Wow. Good thing you're in France. They'll take good care of you.

    I guess the smart thing as an American is to save your money and get a passport and hope you can wait long enough to visit a health system that is NOT insane.
  • prochoicelib · 5 months ago
    According to Robert Reich, the new health reform will have a requirement that any public option cannot negotiate for lower drug costs, just like Medicare part D. The only reason health reform will pass is if it's No Pharma Left Behind.
    http://robertreich.blogspot.com/
  • rickanderson · 5 months ago
    Hey John, glad you're better. I related because I had the same condition a couple of years ago, only mine surfaced here in the third world where governments also serve their citizens better than the USA. I'm being treated for several conditions with a lot of waiting (but not in emergencies) here in Brazil, and have been completely satisfied. MY retina condition appeared in Argentina where I lived for 3 years before moving here. I thought I was swatting at mosquitoes but it turned out to be the ''floaters'' caused by a hole in the retina you describe. Treated with a couple of laser surgeries/all free there in Argentina, too.
  • Keith & Dustin · 5 months ago
    Why can't we have both? Why can't the government provide health care as well as private care?
  • missdk · 5 months ago
    Like they do in France? I believe that's the plan. Or have you not been listening?
  • Keith & Dustin · 5 months ago
    lol, yes I've been listening missdk, i was making a point. We should be able to have both and it shouldn't be a big deal. Why this is such a big issue is what I was trying to understand. If democracy is a government of the people, by the people, and the people demand low cost quality health care how can our elected politicians go against that? If more people were involved with how their state reps were voting on important issues, they would vote for candidates who shared their views instead of voting for the name they recognize.
    But since elections are designed to favor the incumbent, maybe this is as good as it gets. I do not believe this is a true democracy but more of a government that can be easliy manipulated if you have the money and time, and corporations have both. We have a corporate government instead of a democratic one. Our government treats its citizens just like a business treats its employees and I don't believe our government was intended to be ran this way, it's just evolved into it.I believe our first step should be for the citizens to rise up and demand that lobbying be outlawed because it is nothing more than bribery. Our government should be looking out for the interest of its citizens, not looking out for Wal Mart's business interests.
  • EllaDisenchanted · 5 months ago
    I wish this story could be broadcast from the highest mountaintops...or at least the Capitol Building! John, speedy and full recovery to you. We need your eyes as much as you do!!
  • TimK · 5 months ago
    John, wishing you the best from your recovery. I've been through this kind of surgery three times (twice on my right eye this past fall and winter, and once on my left eye right before I left Sweden to move back to the U.S.).

    When I had the surgery in Sweden, I paid nothing for the actual surgery (I had already met my "deductible" of a few hundred dollars for that year for medical care), and about $30 for a three-night hospital stay, at Sankt Eriks Ögonsjukhus (Saint Erik's Eye Hospital) in Stockholm.

    This country is just absurd.
  • Che_G · 5 months ago
    A government that adopts Universal Health Care is offering protection to its citizens instead of militarizing health care for those who deserve it.
  • william1010 · 5 months ago
    I don't know what to say, why did we as Americans lose our decency in the pursuit greed. A better thing to ask is how can we as American organize to seize this opportunity for Public Health Care reform. Where can any of us go to get the hard work needed to stand up against the current injustice of Private Health Insurance
  • magnolia49 · 5 months ago
    Hey John!
    Enjoy yourself as you are in one of the most wonderful cities in the world!!
    And you received the help you needed. What a world.
    I know your stay will be memorable.
    Again, enjoy!!
  • JerseyMic · 5 months ago
    That sounds excellent! It reflects what I saw in Sicko and what I hoped was the case in real life!
  • BusyTimmy · 5 months ago
    Just out of curiosity... What if you didn't have the $32 when you checked in? Can I assume they would have treated you anyway?
  • John Aravosis · 5 months ago
    Chris tells me that when he went to the emergency in an ambulance and then they admitted him, he asked the next day if he should pay, and they said, if you want, or we can just mail it to you. I suspect that if I didn't have the cash, they'd say they'd mail me a bill. Now if I was indigent, I have no idea.
  • birdybird · 5 months ago
    do you really think that this procedure cost this little simply because its run by a government. you are crazy! the people of France paid for your healthcare, a system u have put nothing into.
    i do not want to pay for government run healtcare. i do not want to pay for someone on holiday who broke thier leg binge drinking and fell off a boardwalk. nor do i want to pay for some frenchmans eye.
  • ageekymom · 5 months ago
    If you added the amount in local, state, and federal taxes, payroll taxes, higher education expenses (for you or your children, if you have them,) Social Security payments, and health insurance costs, you would probably be paying about the same in taxes as the French.
  • John Aravosis · 5 months ago
    And the point the person seems to miss is that he's paying for his own eye. I'll bet you he has no idea if his insurance plan has a lifetime cap, if his prescription benefits have an annual cap, how much of an emergency room visit his insurance pays, how much of a $100,000 bill for a heart ailment he would have to pay himself versus his insurance, etc. Yet he's so proud of the insurance he already has.
  • ageekymom · 5 months ago
    We have insurance (with a 30% co-pay.) Our 19 year old son had open-heart valve replacement surgery last July. He passed away the day after the surgery. The bill was over $116,000 for 2 days in the hospital. The $30,000+ co-pay was (thank God!) picked up by a Michigan state fund for children/young adults with his type of birth defect. I can't imagine what people do if they are not eligible.
    Neither my husband or I is currently working. We pay almost $900/month for our crappy health insurance. It's obscene!
  • Lafayette · 5 months ago
    What an incredible level of ignorance.
  • usbornbrit · 5 months ago
    birdybird:

    In the US people pay anyway because all those without money or insurance go to the emergency room and as a result we all pay. Its just much cheaper dealing with these things before they get to the emergency room. So it should be as efficient as possible. American health care costs at least 6% points more on GDP than any other industrialized country but Americans live shorter lives and are sicker. How is this a better system????????

    When i was employed (until recently) I paid 10% FEWER (that's right, FEWER) taxes in the UK then i did when i lived in new york city (federal, state, city), yet I got paid much more in the UK. And what did I get in return for all those taxes I paid in the States? Nothing.

    I just lost my job and I had medical problems at the same time. The NHS has given me the most amazing care. I never ever pay for any appointment or procedure. I never saw a doctor at all for years when I working and paying my taxes. Now that I am unemployed, It is such a relief that I don't have to worry about insurance costs and deductibles.

    WAKE UP America! You are being fleeced and conned!
  • Ellid · 4 months ago
    I've been many things in my life, but God strike me dead on the spot if I am ever as greedy, selfish, and plain *mean* enough to say, effect, "I've got yours, fuck you, Jack." How can you possibly look yourself in the mirror in the morning?
  • Robert · 5 months ago
    That visit cost a lot more than $32. The government (you and others) paid the balance.
  • Lafayette · 5 months ago
    Yes but in France they have a obviously far superior system at a 9-10% of GNP cost while in the US because of greed, overlap , waste and lack of organisation, you have a far inferior service for over 15% of GNP. More cost, less quality. Go figure. In France you are treated, on the spot, by competent doctors, regardless of income, even as a visitor from abroad. While in the US you are left to die if you can't pay . And if you get treatment you only get what the Insurance company allows, IF they find a doctor and IF there's a spot....
  • tgv · 5 months ago
    Seing the GP doctor at his office in France, costs 23€ point blank, it is not subsidized in any part.

    Being myself a french ER doctor (salaried, my wages don't change with the number of patients I see), here is what I can tell :
    Going to a "standard" ER costs you 23€ as the doctor Fee, medications are included but not blood-tests, other procedures (x rays, CT scans, surgery etc) or prescriptions to be delivered by a main street drugstore.

    The "government" (by way of a regional agency) gives 16€ to the ER for each insured patient that comes for a visit (for the maintenance of the structure) but not for foreigners.

    This is for my hospital, which is known here as being "private-non lucrative"(PSPH) (by law, it can't do profit but on the other hand, it must gain money since the gov won't compensate any debt)

    Usually, a psph hospital in France doesn't earn much money on its ER dept but on the surgical procedures and stays generated from the ER.

    15% of all patients coming to my ER have to stay for at least a night and thus generate more revenue to the hospital (but not directly to the ER dept)

    23€ is the least to be asked. If I have to do a small procedure (casting plaster, stitches, etc) to an out-patient, it can be a bit more. Most expensive in a generalist ER must be around 100€ (taking out a foreign body located in the upper airways with laryngoscopy I would say). Above that, you would have to stay.
  • 7Craig · 5 months ago
    Great story. As a Canadian, I can say we seem to have a lot of complaints about our system as well. Nothing's perfect for sure, but at least we needn't worry about having to decide between obtaining the healthcare we need and sending our kids to college.

    We still have too many people travelling to the emergency room for primary care, wait times that are longer than people would like, and procedures that aren't covered, but everyone is covered, gets care, and won't go backrupt because of it.

    Incidentally, dental isn't covered (I've always found this strange), nor are prescriptions. There are probably some programs, but not for me (I do get this through my employer/private insurance).
  • Dave · 5 months ago
    I have a severe genetic disorder that causes my insides to painfully swell. In the states, I have to import medication to treat the disorder at a cost of around $1,000 a treatment. While in France studying abroad, I became sick on the train from Lyons to Paris. After standing in the bathroom of the train throwing up for over two hours, I somehow stumbled to a cab and asked to be taken to the nearest hospital.

    Upon arriving, I continued throwing up in the waiting area. The nurse kindly took down my information and led me to the back. After about 10 minutes of trying to explain my disorder, the doctor suddenly realized what I was asking for, left the office, and came back with three vials of my treatment medication. He treated me, gave me plenty o painkillers, and sent me on my way.

    As for payment? The nurse asked for my address and I wrote it on her hand. About a month later, a bill for 40 euros arrived at my home in Nebraska.
  • KaySi · 5 months ago
    John, Your effective tax rate is beyond 50 percent of what you make. Do the calculations and then tell us what your total costs for health care have been. You can't do it, can you? As you don't know what percentage of that 50 percent goes to health care. I'm betting you don't have a clue as to what your total health care costs, nor what will happen to your end of life when the government won't allow you procedures to extend your life when they make the decision as to whether or not your life is worth saving.
  • John Aravosis · 5 months ago
    Kay, until you can show me examples of the government of France murdering thousands of old people who aren't worth living, with all due respect, troll elsewhere. Our health care system sucks, we all have horror stories. All you guys have are made up hypothetical about how horrible the rest of the world is, when in fact we don't even rank in the top ten of countries worldwide when it comes to our health care.

    All I know is that I have the best, most expensive self employed plan that BCBS offers in Dc, and they basically have given me zero prescription coverage. If I get MS, or something equivalent, I'm screwed. Tell me what's so great about that?
  • Dave · 5 months ago
    Yup, the tax rate is higher. But so is your income, because your employer isn't compensating you with health insurance. And because everybody is insured for preventive care, fewer people develop preventable illness, driving down health costs. Is it perfect? No. But then he actually knew what his expenses were going to be, unlike in the US, where rates vary by facility, physician, and insurer (or lack thereof), and you may not find out for months after the procedure, so consumers can't possibly make educated decisions about price.
  • tommyM · 5 months ago
    KaySi, last I checked, not a lot of retired folks can afford their own insurance anymore and are on the government aid packages already (MediCare - and VA benefits - or some state-level variant). If your fears that end-of-life treatment would cease under socialized medicine, you need look no further for a rebuttal to your argument than the socialized medicine plan your parents - and mine - are on RIGHT NOW.
  • Johan · 5 months ago
    Kay, I live in Los Angeles. Not so far from a couple of hospitals that sort of prove that you don't have to look far from home to find horrid examples of abuse of human life.

    One of the hospitals I live near has been caught numerous times by local media and other groups. They've dumped patients (usually elderly patients without insurance who cannot afford to pay) in our city's Skid Row.

    Another hospital in LA ignored a severely ill patient for hours, leaving her to die in their waiting room without even having been seen to by a nurse, let alone a doctor. This was documented on security cam footage obtained by the media and law enforcement.

    So I ask you KaySi, why is this ok, but the mere specter of socialized medicine causes you to raise up the unfounded specter of a genocide of the elderly?
  • Name · 5 months ago
    I'm so glad you shared your personal story. I just got my first floater a few days ago, and so I learned quite a bit from you and what to expect and how to handle my medical situation. I had never heard of this condition until it happened to me. So far I don't have a tear, but I did get an additional floater, I think, or the one I had moved over.
  • John Aravosis · 5 months ago
    I certainly don't want to give medical advice, as I'm not a doctor, but I hope that you determined you don't have a tear by going to an opthamologist. One may not know if you have a tear, there's no pain involved at all. I only guessed I had a problem by the increased floaters.
  • Name · 5 months ago
    nice story.

    how much do french people pay in income taxes?
    how much do u.s. people pay in income taxes?

    i'm glad that as a u.s. citizen i don't have to subsidize the cost of treatment for your floaters.
  • Paula · 5 months ago
    I never really understand why people post things like your comment. I guess you just want to anger people, and you do. But you also show yourself to be such a complete jerk, such a nasty human being that I can't see what you gain vs. what you lose. You certainly don't convince anyone who has a clue anything other than that people like you are both uninformed and spiritually shriveled.
  • cybertoaster · 5 months ago
    I believe you are the uninformed one. this person is by far the most informed one here. take any economics class then come back and tell me with a straight face that socializing healthcare is a good idea. it is the most inefficient use of resources ever. its not even about the taxes that it would cost. compare other aspects of france to the US. standard of living, poverty line, GDP, growth potential, technological advances over the past 100 years. the US surpasses ever nation in all of these categories, why? because of a little thing called privatization. and now the US is drifting away from that and its a very bad thing. so this man is not a "complete jerk" or "nasty" he is a very educated pragmatist.
  • Paula · 5 months ago
    Rather than taking an economics class, lets look at existing real world statistics right now, all of which clearly show that the US pays the most and gets the least value out of it's healthcare mess-of-a-non-program than any industrialized, and indeed, some less industrialized nations on earth.

    Furthermore, when you actually total the amount people pay in taxes not just at the federal level, but with state, city, sales tax and many other fees, you find the US citizens pay a large % of their incomes to taxes. Only all we do is pay out.

    The US has surpassed the world on many metrics over the last 100 years, and now they are surpassing the industrialized world in terms of the most uninsured, the most money wasted, the most preventible deaths, the highest levels of stress, the highest income disparity, the most rapidly shrinking middle class: why?

    Finally, when people wave the word "socialism" around you immediately know they're idiots. They, and you, used it in lieu of an actual, meaningful argument. You think the big boogeyman "socialism" is all that needs to be said. It's actually shorthand for "I haven't done the homework, I don't know what I'm talking about, I probably work for a health insurance or related company, or I watch Fox News, or all of the above."

    We preside over "the most inefficient use of resources" right now. I suppose you believe that "the markets will police themselves" too, just like you learned in economics class. How'd that turn out?
  • John Aravosis · 5 months ago
    Bingo. It's nice to talk about France's industrial productivity or whatever, but what we're talking about is France's health care system, and learning from its successes. If I want to learn about painting, I don't study Mozart, I study Monet. Suggesting that Mozart was a bad painter hardly means that his music isn't something of value.

    I think the paid trolls have arrived.
  • cybertoaster · 5 months ago
    fist off your argument about "socialism" wasnt even an argument. the was a meaningless paragraph. and in the meaningless paragraph you actually called our president and idiot because i believe he throws the term socialized healthcare around on a regular basis.
    And my economics classes turned out perfect. It is proven that a market or country with limited intervention will succeed. Thats why America has done so well: because we have, in comparison to other top countries, the least controlling government.
    Please watch this video then if you still cant see how wrong you are, argue with me. http://www.youtube.com/watch?v=PZpDjxIPpFc
  • Paula · 5 months ago
    I beg to differ. YOU use the word "socialism" like it's a swear word. The very word is supposed to terrify and disgust us and therefore anything that you can associate with it should terrify and disgust us. In point of fact, I'd be very happy to enjoy some medical socialism here. For indeed, our government has practiced "socialism" in numerous ways, some good and some bad. For instance, Medicare - my Mom is on it and she loves it. Seniors all over the country depend on it, and a lot of us sleep better at night because we know that, even if we're going to go bankrupt or suffer unnecessarily because we're un or underinsured, at least our parents and grandparents are pretty well taken care of.

    On the other hand, we just went through a gigantic process of bailing out a bunch of irresponsible banks - privatizing (which you think is so automatically great) the profits but socializing the losses. I'm not so crazy about that.

    So Socialism, like pretty much anything, can be good or bad, helpful or harmful.

    Finally, even saying "America has done so well" can be disputed. Indeed, throughout the Bush years we were constantly told that the economy was going gangbusters, when the reality was that it was fabulous for a very small percentage of Amercans, and it was stagnating or going backwards for the vast majority of Americans. And, as it turned out, all that "wealth" was just air. It wasn't real. If you think having a society built on credit card debt, with house values falling, unemployment rising, the numbers of uninsured skyrocketing, the cost of a college education becoming out of reach for more and more people, well, I guess you can have that opinion. But you won't convince me.
  • cybertoaster · 5 months ago
    first off there has been a lot of arguing here about taxes. and people are arguing whos taxes are higher between the US and France. Some people have come to conclusion that even with medical included in france their taxes are similar to ours. Yes, but thats our taxes before adding medical. our taxes will increase if we socialize medicine. they are not just gonna stay the same and magically everyone has free healthcare. there is no such thing as a free lunch, as the saying goes.
    Also, America has definitely done so well! tell me this, if America wasnt doing so damn well, then why are immigrants pouring into this country? Immigrants have be welcome and have continued since the 19th century coming to this country.
    Our mistakes made by presidents congress and some businesses to send us into this economic recession are still not enough to keep people from attempting to come to this country to earn a living. I implore you watch the video i have linked in my previous post.
  • pereubu · 5 months ago
    Ah, yes - John "gLibertarian" Stossel, who has consistently proved himself willing to ignore facts if they don't fit his "free-market uber alles" viewpoint.

    Wow. You certainly clinched your arguement with that.
  • cybertoaster · 5 months ago
    ok, so if he, as you say ignores facts, he cannot possibly ignore nearly as many as all of you are ignoring talking about how great socialized healthcare is.
    You people have to look at it from a bigger picture. You all are so focused on the immorality of letting one person be denied. How about all the suffering of what will result? You have all blatantly ignored all of those.
    Also I dont know how you all believe that the lines will actually be shorter with socialized healthcare. With every person getting "free" healthcare there will be many more people waiting in lines aking them longer. There will be tons of people going to hospitals to get a little cut looked at cause its free. People with real problems will have trouble getting treated.
    This is among so many other awful things that you all look over when arguing for socialized healthcare.
  • Ellid · 4 months ago
    *smiles sweetly*

    I work for an economics firm. Our clinics include the Heritage Foundation, the Brookings Institute, and government agencies across the country and in Europe.

    Guess what, Cybertoaster? EVERY SINGLE ECONOMIST IN THE FIRM, without exception, thinks the American health care system is an evil, inefficient joke. The layers of bureaucracy in the insurance companies create vast inefficiencies, while the loss of productivity among people who can't work because they can't get health care is enormous. A major reason why American car manufacturers can't compete with Japanese firms is because GM and Chrysler and Ford have to pay for their employees' insurance instead of the employees receiving it from a single payer.

    You're not only selfish. You know zero about economics, and you seem like a very unpleasant person. Why are you so angry and cruel?
  • dv · 5 months ago
    cybertoaster-

    you really are an idiot.
  • Dave · 5 months ago
    Wasn't the New York Times recently reporting that Americans spend $15K a year on healthcare in our "efficient" system?
  • Michael Magee · 5 months ago
    Um...when you take in Federal and State as well as your Social Security...you probably pay nearly as much if not as much as they do in France. Only difference, you do not get any health care here. That is great misnomer of the tax debate. Americans pay taxes to such a large number of Federal, State and local entities the actual rate of tax is not much less than Europe.
  • John Aravosis · 5 months ago
    Well, I'd actually be subsidizing your mother's emergency surgery as well. That's kind of the point of living in a civilized country, and in a society, rather than in a cabin in Idaho sleeping with your guns and your pet rock.
  • Ellid · 4 months ago
    What a selfish, nasty thing to say. "What profiteth it a man to own the whole world, and lose his soul?"
  • mzito · 5 months ago
    How much do you spend on health care here vs. the additional amount the French spend on taxes to get health care? I'll bet after all is said and done, most people end up paying an amount on health care here commensurate with higher taxes in countries that have single payer medicine.

    If my taxes went up for me to get unconditional health care for the rest of my life no matter whether I'm working or not, I'd gladly pay it.
  • Johan · 5 months ago
    Given the supposed superiority of the free-market system we think we have for healthcare, shouldn't our costs be dramatically less than those socialists across the pond?

    France spends only around 10% of its GDP on healthcare. With no one denied care or coverage.

    The US spends 17% of GDP on healthcare. Millions are uninsured.

    So in reality, the President is right; we should be able to ensure access to healthcare without spending a single dime more.
  • John Jobeless · 5 months ago
    I had triple bypass open heart surgery in 1995 at a local private hospital in my PPO, which was part of the health coverage provided by my employer. I'd gone to the ER late one night and went directly from there to the OR at noon the next day (thanks to a cancellation in the top cardiac surgeon's schedule). The surgery was a such a success that I didn't need any patchwork done until just a few weeks ago. I was in the hospital for 6 days only because I had a relatively minor setback on the morning of day 4, when the insurance company wanted me to be sent home. The total hospital bill was over $100,000, not including the doctors' fees.

    The insurer paid their share of everything but the room, claiming that it alone hadn't been preauthorized. Remember, I was not involved in any of the arrangements; it all took place between the hospital and the insurer. The room charge for 6 days in the CCU was approximately $20,000 (nearly 15 years ago!). When I began getting monthly bills from the hospital, I started contacting both the insurer and the hospital, all to no avail. They all recognized the absurdity of paying for the surgery and the meds and the staff time, etc., but not the room. Yet no-one chose to resolve it. I couldn't and didn't pay.

    Eventually, the matter was turned over to a collection agency. Finally, I overheard in the pharmacy line that the hospital had a dispute-resolution office. Why I hadn't been told of its existence, I can't imagine. Fortunately, though it took the better part of 6 months, the hospital was able to persuade the insurer to reverse its decision not to pay for the room. Except for the deductible, I was off the hook.

    Besides the stress to me, think of all the time, effort and expense devoted to this idiotic dispute. Nor was this a rare experience; many of my coworkers and friends and family had similar experiences. For example, when my father was dying of a brain tumor in the mid-'80s, my mother was confused and distressed by Medicare's apparently random rejection of about 10% of her legitimate claims.

    During one of Dad's several hospitalizations, Mom overheard in the lounge a conversation among other spouses about the same problem. The solution, as described by 2 of those involved, was simply to resubmit the claims exactly as before. From then on, every time Mom resubmitted a rejected claim, the claims were paid.

    After my father passed away, we read in the papers of a major investigation of this practice. Medicare contracted out its claims determinations to big insurance companies on a regional basis, which I imagine is still the practice. When the government decreed that Medicare had to reduce its expenditures by a certain percentage (maybe 5 to 10%, but I don't recall the details), the feds ordered the claims-administering insurers to tighten up the screening of claims.

    In some cases, they took a closer look at pending claims to find more that could legitimately be declined; in other cases, they randomly rejected one of every 10 or 15 or 20, whatever was necessary. Prudential was the "guilty party" for the region that included Northern New Jersey; apparently, they were among the random rejectors, which explains how identical claims could be accepted on the second or third attempts after one or more rejections.

    In contrast, when I was on vacation in London in the early-'70s, my friends and I were having lunch in our hotel dining room. Just as the meal was being served, I had a moderately severe asthma attack, my first in many years. After being whisked to a nearby hospital by ambulance, I was treated in the emergency clinic and kept overnight for observation. The total cost was zero/nil/nada, including meds. The only negative was that the hotel insisted I pay for the meal I'd been unable to eat!
  • duane · 5 months ago
    Wow! I'm glad you had a great experience! Good luck with your future eye health.
  • laura · 5 months ago
    I have a very good example of why our healthcare costs are so inflated. I live in NYC, and in my experience, the insurance my employer provides is quite good. I know it costs nearly $15,000 per employee per year, which luckily, my employer pays in full.

    I recently wanted to get a new pair of glasses, and needed to see the eye doctor to make sure my prescription hadn't changed since my last exam some years earlier. The way my insurance works, I have to go through my primary care doctor for a referral to any "specialists", or my insurance will not cover it. When I called my doctor's office to ask them to put in the referral with my insurance, they refused. They would only give me a referral to see an eye doctor if I came in for an exam with my primary care doctor first. So I had to wait 2 weeks to see my primary doc, who charges almost $400 per visit (paid by my insurance) just to be told I was in fine health. And only then did they clear me to see my eye doc.

    My primary care doc essentially held me hostage with insurance.
  • Name · 5 months ago
    Not to detract from the (lovely!) story, but are you certain the doctor was suggesting the man was gay? There is only one possessive pronoun in french for "his" and "her", so "êtes-vous son mari ?" means "are you her husband" just as much as it does "are you his husband".
  • John Aravosis · 5 months ago
    You are correct. But when the man responds "he is my son," there's only one gender in French for son :-) That means the doc was talking about another man.
  • zaws · 5 months ago
    furthermore, there is no same-sex marriage in France. The closest thing they have are PACS (civil unions), but he still wouldn't be his husband
  • smokeymartini · 5 months ago
    You're such a dumb ass, Rok.

    So what if some poor French farmer or Factory worker is paying for someone else's medical bills? Have you not considered that maybe - JUST MAYBE - they, too, will one day require medical attention? At which point those who have already been to the hospital / clinic will be paying for THEM, so its a fair system. Everyone gives some and everyone takes some.

    Sure, some take more than others given biology and a few unwise lifestyle choices, but who has really lived a problem-free life?! The medical attention is there when YOU need it -- not when your needs have been cleared through your insurance company and are able to pay for it.
  • Aikoss · 5 months ago
    Hi there!!

    I'm from Mexico, and maybe we dont have that kind of ER ( the socialized medicine is overload here), but definitely the cost are lower, lower, lower.

    The cost of an appointment are nearly zero, well, they are zero, the 90% of the medicine are buy by the government, and they are "free". You just have to pay a quota, that is discounted from your salary or your payment, or you can have other kind of service in case that you do not have work.

    Maybe here in mexico, somethings are bad handled, but if you have cancer, or broken your leg, they try to fix it the best way possible on their own overloaded capable hands.
  • cybertoaster · 5 months ago
    If I came up to you said "I'm not feeling well" and took money out of your wallet you would all be very angry and wouldnt let it happen. So, why do you all find it totally ok to let the government take your money like they do?
  • John Aravosis · 5 months ago
    Because in the end the government will be taking far less money than it will be giving me in return in the form of medical treatment.
  • Johan · 5 months ago
    LOL. If someone came up to me bleeding and burned, I wouldn't stop to think if I could afford to help them. I would, in any way I can, even if it meant a 50-mile drive to the nearest ER or giving away my last supply of bandages, knowing it will cost me $20 to restock my first aid kit.

    So what's wrong with you, cybertoaster, that you haven't the capacity to think beyond the dollar signs and see actual human suffering?
  • Ellid · 4 months ago
    If it were someone genuinely sick and in need? Of course I would help them and give them money and take them to the ER or a clinic! Isn't that what Jesus commands that we do?
  • Jerry · 5 months ago
    That's great!

    But my question is, they didn't give you numbing drops before the laser procedure? I just had laser work on macular edema (at $1200 a whack before insurance), and between the dilation drops and the anaesthetic, the only real annoyance I had from the procedure was the minor discomfort of the lens thingy the surgeon used to keep the eye open and focus the beam. I had the distraction of trying to look straight ahead when he was working on my dominant eye, but I can't recall any serious pain. Still, for less than 200 bucks American...
  • John Aravosis · 5 months ago
    Wow, you're lucky. I had the same surgery in the states a few years ago, and it was almost just as painful (this time, the tear was larger, so it took longer to fix). The laser hurt like hell. Also, this time it hurt more, the thing they used to hold my eye open, but again possibly because it took so long to do, like a good 45 minutes. I think the numbing agents I received were just for eye front of the eyeball itself, not for the eye overall - not sure, but think perhaps they want to know if it's getting too strong, so they don't burn you too much.
  • Andy · 5 months ago
    Ok, now give me all the examples of people who have been completely f*cked by the French socialized healthcare system. I'm pretty sure you would choose not to do that for fear of obliterating your argument.
    I work hard to pay for my BC/BS - and have damned good insurance to show for it.
  • BD · 5 months ago
    At least people are covered. I walked into the emergency room and waited for over 4 hours here in Richmond without being seen by a doctor. I overheard folks discussing that some people had been waiting for 8 hours. I walked up to the attendant and asked her how long was the wait. She told me very long, since one person had been waiting for 9.5 hours! I left, possibly allowing a malady to fester and become worse. I had no choice. I've lived in Britain for some time as an American citizen finishing up a graduate degree, and I had major gastrointestinal problems upon returning from living and working in Africa. I wasn't even a British citizen, and my healthcare was completely free! I had to merely pay a small fee for my medicines. I was even one step away from a "procedure," which would have been conducted at no cost. However, therapy worked, and I avoided the procedure. The point is people are covered in countries like France. Furthermore, current premiums in the U.S.A are skyrocketing and will continue to climb since our current system is inefficient. Also, folks are going bankrupt under the current system. Anyone, democrat or republican that has had to deal with the American system uninsured (or even insured) knows change is needed, since the current system is essentially unfair. If Canada, France, and the UK have done it, the U.S. can too. Healthcare shouldn’t be profited from—it’s immoral. You would think conservative Christians realized these issues.
  • John Aravosis · 5 months ago
    Okay, I'm game. Give me the examples.

    {tap tap tap]

    We're still waiting, Andy. Where are the examples?

    As for your BC/BS, and how great it is, what's your lifetime limit? What's your annual cap for prescription coverage? Does it go up every year? How much of a $10,000 emergency room visit would you pay and how much does BC/BS pay? How much does your insurance premium go up every year?

    Just wondering how great your insurance is. I'm guessing you actually have no idea what your coverage is, and now will have to call someone and check before you can answer.
  • DRK1961 · 5 months ago
    I'm a Canadian. two years ago my sister walked into our local hospital, dropped dead with a heart attack, they worked on her for 15 minutes and got her heart started again. She was moved to ICU and put on life support with a nurse by her bed 24 hours a day. A few days later she was air lifted to a bigger hospital an hour away. She remained in ICU for another two weeks on life support and again with a nurse 24/7. They even at one point were talking about a heart transplant. She finally recovered without the transplant and was realeased from hospital. The total bill for the entire 3 weeks.....$O.00. So what if i have to wait a few months for knee surgery, BTW that wouldn't cost anything either.
  • cowboyneok · 5 months ago
    My experience with Canadian socialized medicine was very similar. It made me realize just how lucky they are to have it, and how idiots who believe our medical system is "the best" are sadly misinformed fools.
  • Michael · 5 months ago
    And my retinal surgery in the US this past April was...$8,000.00.
  • Mike Friedman · 5 months ago
    My hospital here in San Francisco managed (despite my telling them) to not update my address from an old one they had. When I called them 6 months later to tell them about the mistake (which resulted in two other specialists sending the bills to collection because they had been "returned to sender"), they told me that the bill for my routine appendectomy's three days in the hospital was $38,000. When I jokingly told my doc about this she said "oh that's a bargain! I would've guessed $125,000!!

    What the insurance ends up paying is another matter, but three days in a hospital at nearly $40K. But "the market" will solve all our problems, right!
  • Hulya · 5 months ago
    The point you are all missing--emergencies move fairly quickly through those systems, but need a surgery that isn't going to save your life but improve the quality of it and you may end up waiting years because it's "elective"
  • jennsfca · 5 months ago
    in a free market system, the health insurance companies are private, and therefore profit-driven, NOT service-driven. the point of their existence is not to simply provide health care, but to provide the least amount of service for the most amount of money they can, which translates into, wait for it... profit. are we seriously surprised that the system sucks? profit-driven health? they are BY DEFINITION going to charge you an arm and a leg for your arm and your leg, so that they can make money off you. socialized medicine will actually operate under the goal of PROVIDING HEALTH CARE rather than the goal of MAKING MONEY. i honestly don't care what the costs are for that, because i am FOR a system that provides health care versus a system that just seeks to make a profit on the backs of an ill america.
  • star1234 · 5 months ago
    Hell because someone has their hand on your eyeball for 45 minutes, while zapping your eye with a really hot laser that hurts like hell. Definitely not for the feint of heart. But it had to be done.

    Here in the US, they do numb you, which I would see as a plus.
  • apocalypsekirk · 5 months ago
    Jesus went throughout Galilee, teaching in their synagogues, preaching the good news of the kingdom, and healing every disease and sickness among the people.* News about him spread all over Syria, and people brought to him all who were ill with various diseases, those suffering severe pain, the demon-possessed, the epileptics and the paralytics, and he healed them.* Large crowds from Galilee, the Decapolis, Jerusalem, Judea and the region across the Jordan followed him. -- Matthew 4:23-25

    *People with pre-existing conditions, or those who filled out their application form incorrectly, were denied the healing powers of Jesus Christ.
  • Anthony Hamelle · 4 months ago
    Why public healthcare systems rock! (via @Semar_fromparis)
  • thedevil · 4 months ago
    Johnny, this brings tears to this old devil's eyes.
    Missing you.