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DFW

(56,897 posts)
Sun Dec 8, 2024, 12:24 PM Dec 8

After a request to make this an OP: When the system is run largely by insurers who largely deny claims from the insured

Did they expect to receive a triple A rating from those who they have bankrupted, threatened to bankrupt, or will bankrupt? When families either lose members altogether, or else are forced to watch members die slowly due to being denied care, does anyone really expect them to be viewed favorably by an adoring public?

I travel a lot here in Europe, and despite the wishful thinkers, the reality is that each country here has its own system of health care. Ironically, in my experience, the country that offers the fewest complaints about its system of health care is the otherwise-bureaucratically paralyzed France. The Germans say that they have ten bureaucrats for every one they need, and the French say they have ten bureaucrats for every one in Germany. In Sweden, I was told "man måste vara nästan död för att komma i sjukhuset," or "you gotta be almost dead to get into the hospital." I have often told my own story about how I managed to talk my way into a German cardiology practice, and thus saved my own life. Fortunately, once you ARE insured here, then the coverage is usually honored. Because my wife had no mandated health insurance from ages 60-65, I paid for her health insurance out of my own pocket, between €550 and €600 a month. When she got an "always fatal" rare form of cancer at age 64, that insurance DID pick up the bill, which could have ruined me if we hadn't gotten the insurance. It was optional, not mandated. Without it, I would have lost either her or our house eight years ago.

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After a request to make this an OP: When the system is run largely by insurers who largely deny claims from the insured (Original Post) DFW Dec 8 OP
Thank you. Passages Dec 8 #1
I took a cursory look at some of the "Advantage Plans" when I became eligible for Medicare DFW Dec 8 #3
You're smart and a wise choice. Passages Dec 8 #4
When reviewing my options I... S/V Loner Dec 8 #5
DURec leftstreet Dec 8 #2
kick Passages Dec 8 #6
While in London, snot Dec 8 #7
What's wrong with the UK's NHS is simple. SidneyR Dec 8 #8
That was my experience as well quakerboy Dec 8 #9
Canadian here. Last year I had a heart attack in April. Swede Dec 8 #10
Where I live, they won't even tell you what your surgery bill's going to be snot Dec 15 #11
K & R malaise Dec 15 #12

Passages

(1,430 posts)
1. Thank you.
Sun Dec 8, 2024, 12:28 PM
Dec 8

No one should lose their life, or their home because they got sick.

Also, the advantage plans are only making the insurance companies richer, they should be outlawed.

DFW

(56,897 posts)
3. I took a cursory look at some of the "Advantage Plans" when I became eligible for Medicare
Sun Dec 8, 2024, 12:34 PM
Dec 8

I did not see any great advantage in enrolling in any of them.

S/V Loner

(9,138 posts)
5. When reviewing my options I...
Sun Dec 8, 2024, 12:39 PM
Dec 8

had help from a woman at out senior center. After looking at different policies I said to her that straight medicare gave me reliable coverage and I could keep my Doctors. The medicare advantage programs seemed cheaper but I told her that I am not a gambler and the advantage programs worked best if I was lucky not to get a serious illness. She agreed that I would be gambling. I stuck with medicare.

snot

(10,812 posts)
7. While in London,
Sun Dec 8, 2024, 02:55 PM
Dec 8

my friend developed a very serious condition. It had begun back in the US, and the docs there had just brushed him off, without explaining the more serious interpretations that might have been signalled by his symptoms, or anything he might have done to prevent it from becoming worse. Note, this was in a major metropolitan area, not some backwater where good doctors might be harder to find.

When his condition did become worse in London, we were able to walk into a hospital without an appointment and get immediate consultation, testing, and excellent advice. Unfortunately it was too late to do much to ameliorate the condition, but at least they recognized and explained it, and in such a way that it was clear what might have helped had he gotten better advice sooner. We were in and out before the day was done.

Whatever may be wrong with the UK's national health service, I think I'd still prefer it to ours.

SidneyR

(126 posts)
8. What's wrong with the UK's NHS is simple.
Sun Dec 8, 2024, 03:23 PM
Dec 8

It was systematically starved for funding by the conservative governments.

quakerboy

(14,206 posts)
9. That was my experience as well
Sun Dec 8, 2024, 03:37 PM
Dec 8

As a visitor who picked up a nasty bug on the way over.. they not only saw me ASAP, the dr i saw had the best bedside manner of any medical professional ive ever met, and they paid for my cab back to the hotel.

Swede

(34,876 posts)
10. Canadian here. Last year I had a heart attack in April.
Sun Dec 8, 2024, 03:48 PM
Dec 8

Had a stint put in. 5 days in intensive care. 1 ambulance ride from one hospital to the other (one had better cardio unit). Blood tests every day, blood pressure, O2, etc etc. All in hospital drugs where no charge.

Grand total of the bill was $0.00

snot

(10,812 posts)
11. Where I live, they won't even tell you what your surgery bill's going to be
Sun Dec 15, 2024, 04:41 PM
Dec 15

until a few days before the procedure.

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