this post was submitted on 11 Dec 2024
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[–] [email protected] 1 points 1 day ago

Enjoying their freedom to be enslaved, as long as its freedom.

[–] [email protected] 68 points 6 days ago (3 children)

I know it's probably a bit exaggerated on purpose but also in European countries it's definitely not zero. We are in a significantly better situation than the US, that's fot sure. Our problems aren't remotely comparable. But also here, it can happen that certain treatments aren't covered, also here there are (few) people without health insurance and also here people can lose their job or never find a job in the first place due to illness related issues or disabilities.

As said, much better but also definitely not 0.

[–] [email protected] 12 points 6 days ago (5 children)

There's also the issue of waiting times - you might need care somewhat urgently, but need to either wait for multiple months or pay (or hope that when the issue becomes more immediately life-threatening they can handle it in time). Public healthcare isn't perfect, and at least in many places still needs a lot of work.

[–] [email protected] 31 points 6 days ago (1 children)

I always dislike this take because it pretends the US doesn't have this exact issue. I've known people with less than ideal insurance who had very few doctors to pick from in-network and would take months to get an appointment.

Long wait times still happens in the US. Just like it can happen in public healthcare.

[–] [email protected] 4 points 6 days ago (1 children)

That's fair, I'm not from the US, and when talking about private healthcare I'm thinking of my own experiences, paying out of my pocket.

[–] [email protected] 2 points 6 days ago

Yeah our wait times are like your free ones, but with higher prices than your paid ones

[–] [email protected] 9 points 6 days ago (3 children)

Pedant rant:

I take issue with 'needs a lot of work', though it is common phrasing. It promotes the false idea that 'business is more efficient' by making it sound like the public administrators are too dumb to know how to do their job.

The real issue, in most jurisdictions, is that it needs more and stable funding, and less political interference.

[–] [email protected] 7 points 6 days ago (1 children)

Well that and not to mention that politicians abroad do the exact same thing they do in the US. I know the British for instance have a Conservative Party that have repeatedly attacked their healthcare system in order to make privatized insurance seem better.

And then the issues caused by a lack of funding get used in the US to say “SEE! This system doesn’t work!”

Which is the logical equivalent of watching your friend baking pies with not enough filling and deciding to instead pay 4x the price for a pie that you won’t even get your promised slice of. Oh and the pie you get occasionally is made with the meat of other people who were also promised a pie and paid for it.

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[–] [email protected] 3 points 6 days ago* (last edited 6 days ago)

In several countries the mainstream party politicians (who are Neoliberals) have been slowly privatising healthcare by forcing the Public Healthcare System to outsource more and more of the work to the Private Sector and using the same technique as Thatcher in the UK used to privatise railroads (of which now, decades later, you can see the horrible results) - defund the Public Service and when the quality falls because of it claim that the Public Sector is always incompetent and the the Private is always competent so that's why that Public Service had problems hence it needs to be privatised to improve.

On top of that there is the actual genuine problem (rather than artificial meddling with the Public Healthcare System to send more money into the hands of politician's mates) that populations are aging and older people require much more Healthcare Services in average.

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[–] [email protected] 3 points 6 days ago* (last edited 6 days ago)

I've lived in a couple of countries in Europe and some have Universal Healthcare systems (such as the UK and Portugal) but others such as The Netherlands and Germany have Mixed Systems with Health Insurance but highly regulated and were some people can get Health Insurance from the state.

You're not going to go bankrupt from the treatment or get treatment denied in countries with UHC.

However if you lose your job or never find a job in the first place due to illness related issues or disabilities you'll almost certainly end up on benefits which again can be better or worse depending in the country.

I would say things have been getting worse all over Europe (personally I think it's exactly because there's been too much copying of shit from the US), especially when it comes to the level of benefits for poor people being sufficient (the house prices bubbles all over the place and the lack of building of social housing have made this a massive problem in most countries), but that's not the same as simply going bankrupt from medical bills because you've had an accident, ended up in an emergency ward and got a life saving surgery.

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[–] [email protected] 26 points 6 days ago* (last edited 6 days ago) (3 children)

I know it would be covenient to accept this meme as true, but it very much isn’t.

Just like insurance companies in the US don’t cover everything you need, sometimes even lifesaving treatment, the same (though less extreme) happens in nearly all public health systems.

I say this as someone who has gone through this and become tubefed and deaf as a result.

[–] [email protected] 14 points 6 days ago* (last edited 6 days ago) (2 children)

Having lived in two countries with universal healthcare, that meme is absolutelly true and you're the one bullshitting.

The most "extreme" it can get in such systems is that they won't pay for very expensive treatments (i.e. the kind of stuff that costs a million dollars per shot) if a person can keep going with cheaper ones even if they're not as good.

Even then, sometimes they will if it's actually worth it (as in: for something that's a cure, not for something that just keeps the patiet going and is only 10% better than the next best option whilst costing 1000x more).

That's "your quality of life won't be as good if you have a chronic disease that makes your life miserable and the best treatment in the market is insanelly expensive because they'll only pay for a not as expensive one", not "death panels".

People in those countries absolutelly aren't going bankrupt due to being denied life-saving treatment and having to pay for it from their own pocket.

As for any complains you might have heard from people in countries with universal healthcare, them complaining about it is like people in Scandinavia complaining about public services: relative to what they have there are bad parts, which is something altogether different than it being bad relative to the World and when it comes the healthcare the US is 3rd World when it comes to results delivered relative to the amount spent in it.

PS: For avoidance of confusion, by Universal Healthcare I mean countries were the State provides the Healthcare and you get it without paying, not the so-called "Mixed Systems" that also exist in Europe (for example in Germany and The Netherlands) and which have Mandatory Healthcare Insurance for all residents, though much more regulated than in the US and with a Public Provider for the less well off. Mixed Systems do have some of the problems of the US System and massivelly depend on the strength of local regulations and the seriousness of the Regulator to not decay into the same kind of situation as the US since the Private Insurance Companies there have the very same natural tendency to shaft their clients as the ones in the US and only the local regulations stop them.

[–] [email protected] 10 points 6 days ago* (last edited 6 days ago) (6 children)

Sorry then.

I guess me living my entire life in a system with universal healthcare, being denied treatments that could have prevented me going deaf and needing a feeding tube is all in my imagination.

The treatments for these werent extreme. It was a fairly simple drug therapy that costs around 5’000 Euro per year and is sold in my country.

It just isn’t on the list of drugs covered by public health insurance. As I’m surviving on 12k per year disability benefits, I could not afford the treatment.

But just because it never impacted you you assume my experience doesn’t exist, because you have the privilege that the system never didn’t work for you, so you assume it works for everyone.

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[–] [email protected] 2 points 6 days ago* (last edited 5 days ago)

People in those countries absolutelly aren't going bankrupt due to being denied life-saving treatment and having to pay for it from their own pocket.

The meme has an "or" in it though. About 20% of Canadian bankruptcy is due to health and illness. Here in Canada the maximum disability is ~1500cad a month, which might pay your rent if you live in a really really cheap area. Part of the reason it's bad like that is because it is so often compared to America, and often greatly exaggerated like in this meme.

[–] [email protected] 14 points 6 days ago (1 children)

I don't think there is a public health system when you are just expected to fork over half a million for an operation. Those insane healthcare prices are uniquely US phenomenon

[–] [email protected] 5 points 6 days ago* (last edited 6 days ago) (3 children)

There are public health systems that just won’t offer that operation. Or you’ll have a 1.5 year waiting list. So in the end, unless you’re rich and pay for private insurance, it comes out as the same.

(Edit: since someone thought my take is because I’m american and don’t understand. I’m european, have lived most my life in europe, this is from lived experience)

[–] [email protected] 9 points 6 days ago (7 children)

People in Australia do experience medical bankruptcy. It's incredibly rare now. But it's true. But it used to be so much worse before we had a public health system. And health outcomes were worse as well. And it cost more.

https://www.abc.net.au/news/2019-05-18/bob-hawke-what-did-australia-have-before-medicare/11124180

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[–] [email protected] 7 points 6 days ago* (last edited 6 days ago) (1 children)

Yeah, that happens sometimes. But in this case the price of an operation will be drastically cheaper.
I had this situation in Germany, there was a minor operation I needed to have which was not life threatening so the one that insurance covered had a waiting period, so I decided to go pay out of pocket and it was around 800 euro. The cheapest price I could find in US for it started at 11000 dollars.

[–] [email protected] 3 points 6 days ago (2 children)

For sure. But now imagine your disabled and on disability income, where you get payed 1k a month and are living in poverty.

[–] [email protected] 6 points 6 days ago (3 children)

If you're disabled and on disability income, it will absolutely not cost you 800 euro. You will be put in front of the queue for the free one. That's why I, able bodied working person with slightly above median income, had to wait. And I think it's as fair of a system that is possible under the circumstances.

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[–] [email protected] 3 points 6 days ago* (last edited 6 days ago) (5 children)

For every case of a disabled persion on benefits having to wait 1.5 years for a non-urgent operation because they can't afford private healthcare, there are a million of cases of people who get a common problem like Diabetes or Cardio-Vascular problems and get treated for free (down to getting the medicine for free, which for a person below the poverty line will be true even for the worst countries) rather than suddenly being faced with an extra monthly bill for medicine (which would be a massive hit for those poor people you cosplay as caring about for the sake of argument) or a massive bill for urgent surgery.

(Which reminds me: one thing that will NEVER happen in one of those countries, unlike in the US, is when one ends up in the emergency ward and requires an expensive treatment to save their life, they won't get a massive bill at the end)

Oh, and even if you pay out of pocket for medicine, it's way cheaper in those countries than the US, as governments have used their leverage to limit what Pharmaceutial companies can charge, unlike in the US.

The healthcare risks for the average individual in countries with Universal Healthcare aren't even in the same universe as in the US.

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[–] [email protected] 5 points 6 days ago

there's still waiting lists in the US.

[–] [email protected] 4 points 6 days ago

Neither this meme nor your own lived experiences are good representations of what the average American struggles with in the healthcare system. Speaking as someone who lost a house and almost everything I owned due to medical issues in my family.

[–] [email protected] 21 points 6 days ago* (last edited 6 days ago) (5 children)

I mean there's definitely people who go bankrupt due to not being able to work due to illness. If you're a private entrepreneur (or what's the correct term E; self-employed was what I meant) for example then that stuff can take you down easily.

[–] [email protected] 3 points 6 days ago (1 children)

Yes, that's true. Many countries have subsidies, but especially if it's a significant one who needs constant care, they can't cover everything.

Still, likely a rounding error compared with the US if we consider those who become unable to work due to treatable conditions they can't afford (and their insurance delays, denies and defends)

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[–] [email protected] 12 points 6 days ago

Even with the issues it has (and there are a LOT of issues— too much to name here), i would still take the canadian healthcare system over the US’. My mom’s medication costs thousands of dollars, and it’s all covered. We wouldn’t be able to afford it otherwise and she’d likely be dead if it weren’t for the coverage.

[–] [email protected] 20 points 6 days ago (2 children)

It's almost like .. universal healthcare would make our economy stronger and the insurance companies are the leaches..

[–] [email protected] 14 points 6 days ago* (last edited 6 days ago) (2 children)

Some people don't want universal health care because they don't want their taxes going towards other people's health care. What they seem to fail to understand is that the exact same thing happens with private health insurance, and some of the money goes towards the insurance company's profits. Universal health care would make things cheaper.

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[–] [email protected] 4 points 6 days ago

Apparently no one is 100% sure whether bloodsucking worms were named after doctors that used them, or doctors were named after the blood sucking worms that they commonly prescribed.

"Leech" being an old timey name for a medical doctor, possibly predating the term "doctor" which just came from "teacher" like "doctrine" or something.

[–] [email protected] 11 points 6 days ago* (last edited 5 days ago)

Well yes,.. but no, you can face significant financial burdens if someone in your family needs living assistance, such as a parent, and the state steps in to cover the costs. The law allows the state to require adult children to contribute to these expenses to a certain degree, but only after all assets of the elder or disabled person have been exhausted ("bankrupting" said person so to speak).

While this is not the same as bankrupting an entire family for life, it can indeed become a heavy financial strain if the parents were not adequately insured or financially prepared for such situations. The obligatio, however, is subject to strict thresholds and limits, such as exemptions for children earning below €100,000 annually, ensuring hardship is avoided.

Edit: "100.000k" sounds like much, but a German Dad providing for 2 kids and a stay at home wife would need this as a bare minimum to pay off the debt for the house 25km from the next medium city, in the next 20 years. No vacation outside Europe. Nothing fancy. If a parent then requires 1200€ per month, it's a massive strain.... so yeah, not bankrupting but painful.

[–] [email protected] 9 points 6 days ago* (last edited 6 days ago) (5 children)

I don't know about the other countries, but In France there definitely still are problems, check this recent story https://www.lanouvellerepublique.fr/a-la-une/on-lui-refuse-l-acces-aux-urgences-elle-accouche-sur-le-parking-de-l-hopital

A pregnant women was refused entrance to a private hospital she was forced to give birth on the parking lot in front of the entrance.

Sure the USA have an awful system but it doesn't mean it's perfect everywhere else. There are people that are bankrupt because of medical treatment here too. And we also have corrupt CEOs making it worse

Every country needs a Luigi.

[–] [email protected] 9 points 6 days ago (1 children)

USA have an awful system but it doesn't mean it's perfect everywhere else

I don't think that's the message in this post either, so... The message is, it's just far, far worse with the system they have, due to all healthcare being privatized.

At least that is my understanding. 🤷‍♂️

[–] [email protected] 5 points 6 days ago (1 children)

Yes of course,

I replied to this post because it is one of many making bold claims about healthcare in other countries than the US, most of the times claims about European countries healthcare made by US users are false and/or misleading.

Sure the US has a very bad system, I see it and recognize how bad it is, but it's a tad annoying to see stuff like that, that falsely say we have "0" bankruptcy or that "everything" is covered by public healthcare, that our life expectancy is that much higher, etc... Most claims are unsourced and blatantly false or largely inflated for shock value.

In France for example we have many issues with our public healthcare, not everything is covered (dental isn't for example), we aren't covered for the full amount unless we pay for private coverage on top (called "mutuelle") which often are linked to your employer, we have to pay up front and then get reimbursed later, geographically there are areas with very few hospitals, the poorer often can't afford to be sick because we aren't always automatically paid for sick days at work, there's a shortage of medical fields' workers, and our current political leaders have been making it worse for decades..

All that to say that from the perspective of a "European" citizen, these posts about the US system compared with ours feels like propaganda that "we should be happy with what we have" even though we really shouldn't, using false information.

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[–] [email protected] 4 points 6 days ago (1 children)

I don't speak French. Why didn't she go to the public one? Why was she forced to give birth on the parking? Why not call an ambulance?

Unpopular opinion incoming: I can understand if they didn't allow her in in a PRIVATE one if she was not covered.

[–] [email protected] 3 points 6 days ago (2 children)

She was too far gone to be able to go to the nearest public one.

It's actually a huge scandal in France, we have laws preventing this, and the hospital is pretending that it was a mistake from an individual employee to refuse her.

[–] [email protected] 4 points 6 days ago

So it's literally something that's not legally supposed to happen, unlike in the US.

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[–] [email protected] 3 points 5 days ago

Haha that's not true. Canada is two tiered. You fucking full well know that not everything here is covered.

[–] [email protected] 4 points 6 days ago

That's an easy 6 billion profit! Just pick them up in an ambulance and have them overnight for an upset stomach ulcer.

[–] [email protected] 3 points 6 days ago

the US healthcare racket

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