Healthcare in the UK the best in the world?

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Mr. Tickle
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Healthcare in the UK the best in the world?

Post by Mr. Tickle »

Article from british newspaper the Guardian here
Britain's health service makes it the only one of 11 leading industrialised nations where wealth does not determine access to care – providing the most widely accessible treatments at low cost among rich nations, a study has found.

The survey, by US health thinktank the Commonwealth Fund, showed that while a third of American adults "went without recommended care, did not see a doctor when sick, or failed to fill prescriptions because of costs", this figure was only 6% in the UK and 5% in Holland.

In all the countries surveyed except Britain, wealth was a significant factor in access to health, with patients earning less than the national average more likely to report trouble with medical bills and problems getting care because of cost.

The survey, of 19,700 patients in 11 nations, found "substantial differences" among countries on access to care when sick, access after hours, and waiting times for specialised care.

About 70% of British patients reported same- or next-day access to doctors when sick, less than the 93% of Swiss adults reporting rapid access. In contrast, however, only 57% of adults in Sweden and the US, and less than half in Canada and Norway, were seen this quickly.

The NHS was also extremely cost-effective, with spending on health per person almost the lowest in the survey. A person in the UK paid $1,500 less than one in Switzerland and less than half the $7,538 paid by every American for healthcare. Only New Zealand, where one in seven said they skipped hospital visits because of cost, spent less per head.

The report was particularly damning about the US, where it found patients "are far more likely than those in 10 other industrialised nations to go without healthcare because of costs".

Nigel Edwards, acting chief executive of the NHS Confederation, said the report was a "good result for the UK. The issue in many other nations is that you buy insurance to cover for the price of expensive drugs. Or that you need co-payments on hospital treatments…"

Edwards said there were issues with NHS care. "I think if you look at why we are not able to treat patients out of hospital well for, say, diabetes, or why we have high rates of heart disease, or look at cancer survival rates, it would be a different story. But the question is whether the government's plans for the NHS help this."

A government spokesperson said: "The UK lags behind many international healthcare systems on survival rates – for example, for diseases such as cancer or stroke – and the NHS must reform in order to achieve better outcomes."

Meanwhile a government-commissioned report yesterday suggested that national or regional call centres could handle GP appointments under a "radical" change to the system that would save millions. The report, by the Foundation Trust Network, said streamlining "back office" functions in the NHS and "sharing" services would save £600m a year.

However the Department of Health said there were no plans for call centres.
Bolded one section regarding the relative cost differences which I thought was rather damning against the US.

The article does mention the levels of care in certain areas do lag behind other countries, even the US, but speaking as a British citizen I'm amazingly glad we have this system. Overall i think it's the best way to run, what should be, a non profit making organisation.

Anyway, just thought it was worth posting up as healthcare seems to be a popular topic of discussion around here parts.
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Re: Healthcare in the UK the best in the world?

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There´s a strange thing about this study. It claims that 25% of Germans go without healthcare because of costs. It´s illegal to be without healthcare in Germany unless you´re very rich and if you´re poor enough the government pays.
Can somebody explain this?
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Re: Healthcare in the UK the best in the world?

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salm wrote:There´s a strange thing about this study. It claims that 25% of Germans go without healthcare because of costs. It´s illegal to be without healthcare in Germany unless you´re very rich and if you´re poor enough the government pays.
Can somebody explain this?
The article mentions that even with insurance, deductibles and copays can still be daunting. That's one of the problems in the U.S. that went mostly unmentioned last year. There are lots of people with insurance who still can't afford basic care. My grandmother has supplemental insurance that does pay on prescriptions, and yet her drug bill is about $300 a month. If she went to the emergency room in an ambulance and they decided not to admit her, she could end up owing a couple of thousand dollars, depending on what exactly was done.

edit: It should be needless to say, but just in case, she has Medicare A/B and has supplemental insurance through Blue Cross/Blue Shield from her late husband's government employment. Compared to most Americans, she has wonderful insurance.
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Re: Healthcare in the UK the best in the world?

Post by D.Turtle »

salm wrote:There´s a strange thing about this study. It claims that 25% of Germans go without healthcare because of costs. It´s illegal to be without healthcare in Germany unless you´re very rich and if you´re poor enough the government pays.
Can somebody explain this?
Its not that they didn't have healthcare, but that they didn't use it. More exactly, it says that 25% "did not fill or skipped prescription, did not visit doctor with medical problems, and/or did not get recommended care".
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Re: Healthcare in the UK the best in the world?

Post by Jawawithagun »

Johonebesus wrote:If she went to the emergency room in an ambulance and they decided not to admit her, she could end up owing a couple of thousand dollars, depending on what exactly was done.
Two weeks ago I had a bike accident - flew over the handlebar and ended up using my face as a brake.
Got taken to A&E by ambulance, then to a different hospital by ambulance too, because that hospital had the facial injury specialists that could stitch me up better.

And I will never see a bill for it.

Heck, I even got a bit of money from a charitable fund for train fare because I had no means for getting home otherwise

Right now I'm bloody glad I'm not in the US..
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Re: Healthcare in the UK the best in the world?

Post by Thanas »

D.Turtle wrote:
salm wrote:There´s a strange thing about this study. It claims that 25% of Germans go without healthcare because of costs. It´s illegal to be without healthcare in Germany unless you´re very rich and if you´re poor enough the government pays.
Can somebody explain this?
Its not that they didn't have healthcare, but that they didn't use it. More exactly, it says that 25% "did not fill or skipped prescription, did not visit doctor with medical problems, and/or did not get recommended care".
Yeah, but I bet those are the low-intensity occurrences like going into work despite having a fever or so.
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Re: Healthcare in the UK the best in the world?

Post by Rabid »

Britain's health service makes it the only one of 11 leading industrialised nations where wealth does not determine access to care – providing the most widely accessible treatments at low cost among rich nations, a study has found.
Is there a way to know which are these 11 countries ? 'Cause I find it funny for a think-thank to claim that UK's healthcare system is so good ; what I heard from my side of the Channel is that their system is highly inefficient, that the infrastructure is mostly obsolete, and that there is an awful lack of personnel (Having to wait for more than 3 months to be able to see a dentist, things like that.)... Yeah, I know, that's not the point, and we have roughly the same problem here, even if we like to claim that we have the best healthcare system in the world.

Anyway, I'd like to read their study. That could be interesting, just to see if they aren't just talking BS.



Personal Anecdote :

This summer, I went to the ophthalmologist, to make a check-up of my eyes. I presented my national medical ID (FR: 'Carte Vitale' ; EN: 'Vital Card'), my health insurance card, and I had absolutely nothing to pay.
Then I bought my glasses two weeks ago (There was no need before). Checkout : nothing to pay.
In those two case, my private health insurance (imposed by my corporation) paid what the Social Security didn't pay, without any question. Without a private health insurance, I'd have to pay something like a 10 to 30% of the ophthalmologist bill, and something like half of the glasses bill.
When going to a family doctor (a 'generalist'), the price of the consultation is fixed nationally to €22 : 20 euros for the Social Security to pay, and 2 euros from your pockets. Previously we were fully refunded by the SS, but they decided to 'make us responsible' : we were apparently too eager to go see our doctor for all and nothing...


EDIT :

Here are the numbers. And the report.
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Re: Healthcare in the UK the best in the world?

Post by Skgoa »

Thanas wrote:
D.Turtle wrote:
salm wrote:There´s a strange thing about this study. It claims that 25% of Germans go without healthcare because of costs. It´s illegal to be without healthcare in Germany unless you´re very rich and if you´re poor enough the government pays.
Can somebody explain this?
Its not that they didn't have healthcare, but that they didn't use it. More exactly, it says that 25% "did not fill or skipped prescription, did not visit doctor with medical problems, and/or did not get recommended care".
Yeah, but I bet those are the low-intensity occurrences like going into work despite having a fever or so.
And I would very much doubts that cost was the (only) driving factor in this. Anecdote warning: I know a couple of people (including myself) who make less use of the health care system then they(/we) should... due to being young and/or foolish. :D
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Re: Healthcare in the UK the best in the world?

Post by Thanas »

Yeah, I know of a study of 70% of people not taking advantage of their options due to wanting to work/thinking it is not serious enough. I mean, I can understand that - I've written exams while being sick because I do not want to retake them in half a year or so.
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Re: Healthcare in the UK the best in the world?

Post by Jawawithagun »

Skgoa wrote:And I would very much doubts that cost was the (only) driving factor in this. Anecdote warning: I know a couple of people (including myself) who make less use of the health care system then they(/we) should... due to being young and/or foolish. :D
It's not only the young. If my mum were to seriously deal with her problems she'd be on permanent sick leave until she's going to collect her pension.
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Re: Healthcare in the UK the best in the world?

Post by Zac Naloen »

Rabid wrote:
Britain's health service makes it the only one of 11 leading industrialised nations where wealth does not determine access to care – providing the most widely accessible treatments at low cost among rich nations, a study has found.
Is there a way to know which are these 11 countries ? 'Cause I find it funny for a think-thank to claim that UK's healthcare system is so good ; what I heard from my side of the Channel is that their system is highly inefficient, that the infrastructure is mostly obsolete, and that there is an awful lack of personnel (Having to wait for more than 3 months to be able to see a dentist, things like that.)... Yeah, I know, that's not the point, and we have roughly the same problem here, even if we like to claim that we have the best healthcare system in the world.

Anyway, I'd like to read their study. That could be interesting, just to see if they aren't just talking BS.

This is BS, if it was ever true you had to wait that long to see a Dentist it was during the 90's when the NHS was drained of investment by the Tories.

You can book into a dentist same day for emergency appointments, and checkups you just book in for when you are due. You can see a GP same day or next day, there is a waiting list of a few weeks for seeing something like a physiotherapist, but referrals to specialists for surgeries and serious illness aren't slow.

With regards to personnel, the system was woefully underfunded under the (previous) Tory government, Labour pumped a lot of money into the system and services have improved drastically in the last decade, (there are inefficiencies too many administrators and red tape for one but even in my recent memory I can say that the NHS is so much better than it was when I was a teenager just by being given this extra money) and that level of investment is being maintained by the current government inspite of the financial situation.
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Re: Healthcare in the UK the best in the world?

Post by Keevan_Colton »

Rabid wrote:
Britain's health service makes it the only one of 11 leading industrialised nations where wealth does not determine access to care – providing the most widely accessible treatments at low cost among rich nations, a study has found.
Is there a way to know which are these 11 countries ? 'Cause I find it funny for a think-thank to claim that UK's healthcare system is so good ; what I heard from my side of the Channel is that their system is highly inefficient, that the infrastructure is mostly obsolete, and that there is an awful lack of personnel (Having to wait for more than 3 months to be able to see a dentist, things like that.)... Yeah, I know, that's not the point, and we have roughly the same problem here, even if we like to claim that we have the best healthcare system in the world.

Anyway, I'd like to read their study. That could be interesting, just to see if they aren't just talking BS.



Personal Anecdote :

This summer, I went to the ophthalmologist, to make a check-up of my eyes. I presented my national medical ID (FR: 'Carte Vitale' ; EN: 'Vital Card'), my health insurance card, and I had absolutely nothing to pay.
Then I bought my glasses two weeks ago (There was no need before). Checkout : nothing to pay.
In those two case, my private health insurance (imposed by my corporation) paid what the Social Security didn't pay, without any question. Without a private health insurance, I'd have to pay something like a 10 to 30% of the ophthalmologist bill, and something like half of the glasses bill.
When going to a family doctor (a 'generalist'), the price of the consultation is fixed nationally to €22 : 20 euros for the Social Security to pay, and 2 euros from your pockets. Previously we were fully refunded by the SS, but they decided to 'make us responsible' : we were apparently too eager to go see our doctor for all and nothing...


EDIT :

Here are the numbers. And the report.
Cost to see a GP (General Practitioner - family doctor) in Scotland = £0
Cost of an eye test in Scotland = £0
Cost of prescriptions in Scotland = £3, dropping to £0 in April, and currently £0 if you have a long term chronic condition or are in receipt of any benefits or are in full time education.

There were shortages for a long while of NHS dentists, but that's been reversed in recent years and there is still NHS dental coverage available swiftly in an urgent case even if you aren't registered with a dentist. The areas where there are generally waits are for non-life threatening stuff, for example I had to wait several months to see the ENT specialist after a referral from my GP, but that was because my condition was not serious enough (unlike those with severe respiratory issues that were seen immediately) to warrant me going in any sooner. You've got to factor in to any complaints you hear that most British people haven't had to deal with any other system and we've made a national pastime out of complaining. Having seen aspects of even our cousins in Canada's system first hand I wouldnt want it, nevermind the terrifying nightmare that is the US system.
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Re: Healthcare in the UK the best in the world?

Post by Rabid »

@ Zac Naloen & Keevan_Colton :

Thank you for your explanations. I'm happy to ear read them. Seem like teh Perfidious Albion can sometimes does social things better than us. :)

Just to know :

What are the things that would need to be reformed, or where there is a lack, or something wrong ; in the UK's healthcare system nowadays ?
Is there debate on the subject ? Or is it just "I want to cut spendings" and "Don't tread on my GP !" ?
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Re: Healthcare in the UK the best in the world?

Post by Rye »

It's also worth noting that the bulk of dentists are private, not NHS. As a result, NHS dentists are oversubscribed, though value for money is amazing in comparison.
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