Non-Americans, what's it like when you're sick and need to go to the doctor?
Non-Americans, what's it like when you're sick and need to go to the doctor?
Which country are you in and what's a typical doctor visit like? How much? Wait time? Etc
Non-Americans, what's it like when you're sick and need to go to the doctor?
Which country are you in and what's a typical doctor visit like? How much? Wait time? Etc
UK.
Until recently, if I wanted an appointment I had to phone the GP surgery the moment it opened at 8:30 in the morning, wait in a phone queue for ten minutes or so before I got to speak to a receptionist who'd give me an appointment with which ever GP had some free time that day. It wasn't usually possible to book an appointment several days in advance.
A couple of months back they switched to an app which gives much more flexibility, allows you to choose which doctor you want to see and allows you to book appointments in advance. I do worry that they're going to push everyone to use that since old gippers are likely to struggle with the app unless they're semi-tech savvy. Also, it's obvious to me that they're setting this up to use AI to triage requests if they're not already doing that.
Appointments always used to be face to face but since covid they're increasingly phone consultations especially for follow-ups. If it's a first, diagnostic appointment it's still likely to be face to face though.
For face to face, the wait time is generally less than half an hour from the point I get to the GP surgery.
Obv. it's free at the point of use. I've paid my taxes.
Edit to add: if you're on low income, or are a child, old, etc you get your prescriptions free. Otherwise you have to pay for them at £9.90 per 2 month prescription. I'm on a shitload of medication and that would normally cost me well over £500 a year, but I get a prepayment certificate which costs me £114.50 a year and covers all medication.
Germany
Had 3 surgeries (wisedom teeth, nose bone correction and a refilling tooth surgery), an X-Ray, MRI, and i think 4 doctor visits plus all 3 months a psychiatrist to get my adhd medication.
The only thing i had to pay was 20€ for a none concret filling on my tooth, and 30€ for 6 days in hospital.
Hospital food was better than i expected and always heared about.
Had to wait a year for that surgery but the other specialist appointments were really quick in only a few months. Especially the wisdomtooth was in 2 weeks after the call for an appointment
Wait time was only a few minutes.
But had an appointment at a dermitologist and there i waited 3 hours!! Almost walked out. And i wanted was more info about my skin type and laser hair removal.
French here. when sick, I use an app to book a appointment to a medical center I have that's like 5 minutes away by foot ( not typical for all french residents but I am quite lucky with where I live). I usually have an appointment in the next 2 to 4 hours tops. Depending on what it is, I walk away with a prescription and certificate for work stating how many sicks days I have. This costs me nothing, appart from the occasional optional medication that is not reimbursed.
This feels like a joke.
Like, just name all the shit that is wrong with the US and flip it joke.
Comparison, my wife wasn't feeling well and insisted on going to the Dr. The closest appointment was over a week away, and the Dr. told her to go to the ER instead. Took a 25 minute drive to the nearest ER in the city, got her vitals in a few minutes and then waited hours to see a Dr who basically gave her 2 cups of coffee and some Tylenol and then had us go home. We won't get the bill for months, but it's usually in the 800 dollar range, and that is with insurance.
I'm in the US if that wasn't obvious.
Same here, but sometimes there is a day or rarely more (when everyone is sick in school in the winter and your kids bring it home to you for example), so you have to wait or get an appointment with another doctor (we usually go to the same one). In these rare cases I usually wait when I know I don't need to go to the doctor but I need the work-paper so I get paid.
Also you can always call a "flying doctor" (they come by car 😁) or go directly to the hospital if you feel it's an emergency. There is a semi-urgent phone number you can use to sort out your options too if you don't really know.
I have used them all BTW.
Swede here, if it's something minor I can get an appointment within a few days, if it's more major there's some open clinics I can turn to, but if I have to see a professional I have to get in a months-long line.
Similar to Canada unless you have to see a mental health professional and then it’s like there are none.
But also the hospital allows patients to fall out of bed and play the ‘I didn’t do it’ game.
It's immensely expensive!
I went to the doctor and he charged me 1 euro.
The imaging in the hospital and the orthopedist only cost 2.8 euro.
So they're really leeching it.
But seriously it's difficult to get an appointment and nowhere do they take new patients.
Smart government decided on a numerus clausus and now there aren't enough doctors.
The ones that are there lately don't want to work fulltime, so even less availability.
You forgot to mention the region this is for
Belgium
Canada
Wait 7 years to get a family doctor. Wait 3 months to get an actual appointment. Lose family doctor. Rinse and repeat.
I think this is why they went the urgent care route now after closing clinics.
Australian here from Victoria. Going to the GP will cost me around $80 up front and I get around $50 back from Medicare later. This is for about a 30 minute consultation with a doctor. The wait time is rarely longer than 15 minutes but it really depends on the practice. I've waited 2+hours for a GP that was fully covered by Medicare.
German here.
If I'm sick I just go to their practice during consultation hours. Without an appointment I have to wait a little, but rarely more than an hour. Then I get called in, the doctor takes a couple minutes to listen to me describing my symptoms, possibly does some minor checking, then writes me a prescription for whatever treatment I will need or a transfer slip to a specialized doctor.
For emergencies I can just go to the hospital. Oh, all of this costs me nothing at all, maybe a couple euros co pay for medications.
Well not entirely true. We pay 9~10% out of our gross salary for this service
Ah yes of course, the system must be financed somehow in the end. Still infinitely better than the american system which works worse for the average citizen and costs a lot more.
French here. Basically all the same.
Germany. It has gotten worse over the last decade regarding waiting times but for regular appointments it might mean waiting 1 week to almost a year. Less, depending on your urgency or precondition. Usually it's still OK.
Regarding the finances it's still great in international comparison. I was resuscitated and taking quite a lot of medicine and am not broke but you still (might) pay a (very) small part on hospital stay and regular medication. Compared to.the full price on both that is neglegible though.
AMA!
In short: you go to the doctor based on medical requirement and not Financials. You call the ambulance whenever urgency is needed.
Australia, Canberra
Zero cost, 10 to 20 minute wait, no wait if my appointment is early in the day, 20 minutes if it's in the afternoon
Switzerland
Depends a bit on the plan you have. Generally I would call the clinic registered with my health insurance or fill in their online form to make an appointment. Depending on what it is you get an appointment within the week, but for more pressing issues it's usually on the same day.
If it's an emergency I can go to any hospital or clinic, but depending on my insurance I would be transfered after the acute symptoms are taken care of.
If for some reason I'm not anywhere close to my registered clinic, I have to call a 24/7 number to get a referral to a doctor nearby.
Prices are reasonable for the high level in Switzerland. Deductibles limits handle how much you have to pay out of pocket, so it rarely fucks you up.
The real issue is the ever increasing insurance premiums. They are not tied to your income level, but to where you live, your gender and age. Poorer people get support by the government, but that's just tax money flowing directly into private insurance companies.
Thailand. Private pay.
Take a ride share car to the private hospital.
Greeted by concierge when I walk in. She asks why I'm here and then directs me to another desk on another floor.
Entering the next room feels a bit like a hotel lobby. There are big sofas and comfortable lighting. It feels cozy even though it's a large space. There's a Starbucks. Another concierge approaches me. I explain why I'm here and I'm sat down and handed an iPad where I can fill in some medical background. They have my record from a previous visit so it's quick. I confirm that I will pay with a credit card instead of using any insurance.
In about 10 minutes I'm brought to a room where a nurse catches my weight and blood pressure. Then I'm brought to the patient exam room.
A few minutes later the doctor comes in and performs his examination. He makes his diagnosis types some notes into his computer. He asks me to come back for a follow-up in one week and pick up my prescription on the way out.
Leaving the exam room, another nurse catches me to hand me the diagnosis paperwork and points me to the pharmacy.
I walk to the pharmacy and hand them my paperwork. They collect my payment for the whole visit and ask me to wait until my name is called to pick up the prescription.
About 10 minutes later the prescription is ready and I'm out the door with a small bag of drugs and about $125 out of my wallet.
The service is comprehensive and everything is available in one building. For this country it's a bit expensive but you feel like you're very well taken care of and it's instant.
France
Most GPs afaik are liberal -they have their own private office instead of working in the confines of a hospital-, and there's three different possible cost levels, whether or not the GP adheres to what's called the "convention" with social security (which fixes prices for typical medical acts), adheres partly, or does not adhere at all (pretty rare). Full adherence to the convention means the base consultation costs 30e, and makes sure the patient is reimbursed to 70% of that cost with basic universal healthcare (=you have to pay 10e from your own pocket), the rest being covered by their (highly regulated) private insurance if they have one. I have a pretty standard one at 37e/month which ensures I get reimbursed for pretty much all acts. I am getting treated for a cavity and a fill replacement next week at no cost for me.
So the teeth are covered by your standard insurance, or is a separate you factored into the price? I'm used to health, dental, vision, and life all being sesperate here in the U.S.
It's all under the same umbrella. I did not know insurance was separated in the US. Back when social security was created after the war (see complete history of its creation helmed by Ambroise Croizat), it was conceived as a single fund for 1.health 2.unemployment and 3.retirement, the idea being that discrimination would be impossible and everyone would chip in for everything. Basically socialism. It was quickly (within a few years, would have to check exactly) split into separate funds, but social security has been pretty sturdy ever since, in the sense that private sharks were kept at bay (compared to the US). This is not the case for retirement funds, unfortunately, which have been shifted to a capitalisation method recently caused by lobbying from fucking blackrock. Anyway, I digress.
To give you an idea, my private plan is 37e a month and covers 100% of medical acts with up to 540e dental expenses a year, one pair of glasses every two years with a ceiling of roughly 200e (depends on the lens type), hearing aids with a ceiling of 1700e, and 150% on GP appointments if they go over standard rate (home or night visits will do that). Dental covers 150% on prostheses as well, I assume those aren't fully covered by universal healthcare but I haven't checked for sure. Anything related to hospital stays is also covered 100%, as well as transport (SMUR, ambulance, etc). Maternity stay is also covered for 12 days a year, but I'm a dude.
We're also in the process of in vitro fertilisation and our entire stay overseas is paid for : lodging, transport, and of course the process itself : daily shots and echographies for her, spermograms for me, as well as a few appointments... This one required special request to social security (to attest that there's an actual possibility of conceiving), and does not involve private insurers at all.
Thanks for making me peruse all this, I probably wouldn't have if not to share the info over here.
United Kingdom (Bristol.)
Used to be pretty decent, but now the NHS is chronically overbooked and underfunded. Ambulances can take hours to come.
Only way to get a GP appointment is to literally call my practice at 8AM on the dot, wait in the queue and hope you're lucky to have your call answered before all the appointments are gone. There is no online booking system, and if you call at any other time, they won't be able to book you in advance unless you're willing to wait months.
My dad (80 years old) has had to go to hospital a few times in the past few years for various reasons, and the longest he's had to wait to be admitted into a ward was 13 hours. He had a hip replacement operation two years ago where he was on an 18 month waiting list.
My GP surgery was the same (except 8:30 not 8:00), but moved to an app a couple of months ago. Given that I suspect the point of it is to allow an AI to triage appointment requests I wouldn't be surprised if yours 'upgrades' as well.
Australia
pretty much anything where i’ve talked about costs or free you give them your medicare (federal health system for everyone - not just low income etc) details and they bill the govt a set amount for time and materials used. GP clinics etc store it on file so sometimes you can just walk out without talking to anyone
in my city (southeastern Brazil) we have two facilities for public healthcare: the emergency center (UPA - unidade de pronto atendimento, emergency medical unit) and the family health center (UBS - unidade básica de saúde, basic health unit)
at the UBS I can see a doctor or a nurse, get prescriptions, get referred to specialists and exams/tests, IST tests, and so forth, if I'm not in meed of urgent care
at the UPA I can be treated (rather) quickly if I'm in an emergency
a few weeks ago my uncle had a heart attack. it was nothing serious, thankfully. we called the ambulance and in 5 minutes they were here, he was treated quickly, sent to another city nearby for emergency catheterism and angioplasty, and he paid a total amount of zero reais for everything
I love SUS (sistema universal de saúde - universal healthcare system)
And if you really want to pay for that appointment, you can schedule one for R$ 50200 (more or less 840 dollars) depending on the place you go.
Like going to a post office.
You walk in, show your health ID, get treated, then leave.
Edit: Assuming you're going to a hospital. Family doctor care is similar, although in my province they're contractors, and it can be hard to find one with an opening for new patients right now.
I know for a fact you haven't been using the health care system in any province if you're spreading this bullshit.
Brazil:
Call an Uber, go to the hospital, grab a ticket, pass thru triage, called by name, show my id, triage decide which specialist to see, go to specialist waiting room and wait to be called by name.
Doctor examines me, ask for exams, maybe prescribe medication, do the exams, wait for result.
Back to doctor, prescribe medication, hospital provides medication (unless is something very uncommon, if so go to the pharmacy and buy it).
Call Uber, go home.
Total cost: Uber fare, usually about 6 dollars total.
Insurance is about 180 reais for two people, or about 30 dollars per month.
No need to call in advance and book.
The Netherlands
I call my doctor, make an appointment the same day, go there, tell my story, get referred to a specialist or get meds or whatever, all covered by insurance.
Specialist: sometimes appointment within a week or 2, sometimes it takes a month. It's covered by insurance, but there's an own risk budget each year of 380 euros. So all costs up to that budget are paid by yourself, the rest is covered. But since I'm getting mental health care, I pay 380 each januari and the rest for the entire year is all covered. This year I've had a broken collarbone repaired with a metal plate with all the photos before and after, I had 2 bladder infections which needed antibiotics and I had food poisoning on holiday and intestand infection, which was all covered at home and abroad.
Insurance
I pay 180 a month. It includes dental and some extras like 9 physical therapist appointments.
It's pretty much bullshit, you just get ignored or condescended to by assholes who want you out of their office so they can get the next "billable" in. When you demand competent attention, they just use their knowledge of the system to fuck with you. I had a doctor write me out a prescription the pharmacist took away, hiding the evidence of the doctor writing out a female hormone prescription rather than an appropriate treatment. 3 year wait list for a specialist, turned up they day of to find it had been cancelled a year prior. No recourse, can't contact these people by phone, when you trick the accounting dept to put you through to the office you had the appointment with, they lose their shit on you. STD check request? You get some moron demanding to know why you feel the need for testing. Canada, btw. I haven't had health insurance in 9 years, the first 6 because that province I lived i flat out refused to issue a health card, and the last three i this province, just because I am so over their bullshit I no longer care, I ever get hurt bad enough again need help, I'll worry about it then I guess. They just tend to let you die anyways, as far as diseases, injuries they'll do what they can, but cancer and the like they wait you out.
I've lived in multiple places, so I'll talk about all of them.
Brazil
I lived in two places there, essentially you can choose between public or private systems.
Under the private system you would book an appointment with whatever doctor you wanted, usually one or two weeks in advance, pay them (which is relatively expensive depending on the doctor), have the consultation, they might ask for some exams (some of which are paid, others included), possibly get a prescription (that you would have to pay for yourself), possibly go back for a follow up appointment (included in the price you already paid).
On the public system you book an appointment, wait some time (months in some places, days in others), have your consultation (if the doctor is in that day), possibly get a prescription (that you would likely get for free), possibly go back for a follow up appointment.
Ireland
There's a public system, but you have to be below a certain income level to use it, otherwise you have to go through the private system. You have to register with your GP (most of which don't have available spots), for anything you first need to contact your GP (which usually takes a week), and pay €60, explain your problem and if they choose to forward you to and specialist (even if you go and say I need to see a cardiologist they might say "no, you do not", although that's unlikely), then they send an email to the specialist who only then accepts that you book with them (usually for a week or so later), then you have to pay the specialist (which is usually >€300), they might ask for some exams (which you have to book and pay on your own, some blood work I did was €700), they might give you a prescription (which is paid but there's a €80 cap on medicine per house per month, which is the only nice part of the whole system), and if you need a follow up it's usually €150. If you have health insurance (or at least mine was like this) they give you back 50% of all your expenses up to a certain limit.
Spain
I'm not too familiar with the options here because I have private insurance through my work and as you'll see I've had no reason to look elsewhere, but I've been told the public system is fairly similar. Whenever I need an appointment I open my insurance app or call a doctor office and ask if they take my insurance, book an appointment (usually for a week or two in advance), go there, show my id and insurance card, go to the appointment, if they ask for some exams I do them, if they give me a prescription I take it to a pharmacy and pay it out of pocket (this is the only part I know public system exists and is somewhat better because you get the drugs for free, but since I don't take any recurring prescriptions I haven't bothered to check), if I need a follow up I book it and go back. Never had to pay one cent for anything other than medicine. I'm still waiting for the other shoe to drop and getting billed for all of the Dr appointments, but so far it hasn't happened hahaha
Ireland
That's mostly accurate, though my GP always has appointments within 48h or on the day for urgent ones. Plus there's the out of hours doc where you will talk to someone and probably see someone that day/night.
Norway, I book online if it's not urgent and wait a few weeks. If it's urgent I call them and get it same day. Costs about ~250 NOK or ~20 USD I think. Public doctors are always at least 45 minutes late (unless you are late if course, then they call you on time)
I also had a non-urgent matter, but felt like wait time was too long (holiday season) so I went to a private clinic, got appointment same day and paid about 700 NOK I think.
I go there, tell my story, if they need to take some samples they can usually do them on site right away for no additional charge.
If I need some medicine they prescribe that and tell me to come back in x weeks if it's not getting better.
If they can't help me I get a referral. It could take a long time to get certain procedures, especially if they are not urgent/very important, but most of the time it's been a few weeks for my issues.
Do you need to pay for any prescription medicine?
Yes, at the pharmacy, but it's not very much, I pay maybe 200 NOK for my two allergy medicines combined, they both lasts me about 3 months.
I just checked and there's a maximum payment of 520 NOK for 3 months worth of medicine for chronic illness, it's more complicated if there's more than one illness and multiple medications, but the norm is maximum 520 NOK for the months.
Amd ylthe cost I pay for prescription drugs for one time prescription have always been so small that it almost don't register.
My GP is often running 15-20m late, but the flipside of that is that there's not really a sense of urgency during the appointment. Doctors here take their time with you, which is very pleasant.
Also in Norway. Can generally see my FL in one or two days. He is always on time and takes good care of me. I can also just send a message for many things. Legavakt is nearby if something major comes up. My daughter’s experience is closer to yours and she too has seen private a few times. Good to have options.
UK. Phone local GP, no appointments available for ~3 weeks, maybe get a call back appointment in 2 weeks if I'm lucky. Alternative is to phone every morning between 0830-0900 and either not get through or be told there are still no appointments available.
I have found walk in pharmacists to be well educated (better than many GPs?!) and available without appointment so they're usually my first port of call.
Wow you get to phone yours? We get an awful convoluted website where you have to type in all your details every time, including pointing on a diagram of a person where it hurts and explaining the problem. It takes forever to fill out and you submit it and then wait however long they want to triage you. Tbf if it's fairly urgent they are fairly quick but it's the worst experience when you're sick.
Then maybe you get a phone call with a doctor who basically just tells you to wait and maybe they prescribe something which then the local pharmacy won't have in stock. Contact your doctor again to get it changed to something else? Good luck! Many days later you get your prescription after you finish needing it.
Germany. When I am sick I call my doctor in the morning ask what time would be best to go there as to not wait too long. Then I go there, wait maybe an hour sometimes because he likes taking time for his patients, tell him my symptoms, get a sick note for work and possibly a prescription if I need medication.
I dont pay anything for the visit. If I need medication I will go to the pharmacy near my flat after the visit give them my health card, get my medication and depending on what drug I got pay a little bit, maybe 5€ , maybe a bit more.
Dont forget you can write sick threw phone call now
Yeah but you need to go there once a quartal to give them your insurance card. So if you are sick less than that you still need to go every time.
East europe: Just use government level 2fa to sign into a health portal and send a message about your problem. It usually is answered within a few hous and you either get prescription or a checkup in a few days. If a specialist doctor is needed, wait times can be up to a year, unless you go the evil hypercapitalist route and pay them the price of happy meal to get a visit at a private clinic. All procedures are free or practically free. ER now costs like a tenner cause idiots would not fucking stop wasting their time with things like "oh I have a tick" and "oh my kid sneezed once"
Hey, man! A kid sneezing is very serious fucking business! What if the kid sneezes a second time? What then, huh!?
I call my Dr.
I book an appointment. If urgent but not medically urgent to my immediate wellbeing I can get in in a week or so.
If urgent, but not emergency, I can go to a clinic or the hospital non emergency (hospital can have wait times up to several hours)
If emergency and severe or traumatic injury or life threatening - emergency at hospital. Triage assesses need. Last time I had to take someone it was maybe a 20 minute wait - they had been hurt pretty bad - got jumped.
None of any of the above will cost me any money.
An ambulance, though, costs like 75$ if it is not life threatening.
Canada.
The hospitals usually have a severity for triage. If you broke your arm your going to be waiting longer than someone with a sever allergic reaction. Which makes sense, some injuries can wait longer than others.
That part is normal in US emergency rooms as well.
I think your definition of "urgent" might be off if you think that it can wait a week or so.
"Emergency" and "urgent" are different categories in hospitals.
And actually defined, at least in my local Canadian hospital.
Urgent Care is defined as infections, lacerations, wounds, less serious injuries, minor Pediatric illness, situational crisis support, Women's Health services, contraceptive management, etc.
So stuff that "could" wait about a week if necessary. I find they can get to stuff much sooner, based on anything I've needed or reports from friends and family.
No that tracks for me, and I work in Healthcare in the US just the same. I personally had what I perceived as urgent but non-emergent and got into my doctor within a week.
I would go to urgent care (I know it's in the name but alas) if I had more pressing concerns or symptoms were bad but not life-threatening.
I would go to the ER if I was in massive pain and felt at imminent risk of death.
United Kingdom, Dorset.
My 3 year old daughter was vomiting and not keeping liquids down. Phoned the non-emergency line and after a bit of a wait, spoke to them and went through the script.
Was told to go to A&E and we would be expected. After a short wait there, was led down to the children's ward and she was given a bed in her own room. She was put on a drip, had antibiotics and kept in overnight. By the end of the following day she was able to keep down water and some toast so was discharged.
Had a follow on call from a GP the next day, she was back to normal in a couple of days.
Cost: £0 (I contribute to the NHS through general taxation)
Overnight stay at a hospital here in the US is at least $3,000 / £2.196 / €2.552
This has been pretty much our experience too when our kids have been ill, except they didn't have their own room but a small ward.
Yes I think we got lucky with the room, perhaps it was just a quiet period
That sounds kind of scary, did they actually get to the bottom of what happened or was it just "Hey, she can eat toast now, you're free to go!"
Yes it was gastroenteritis, luckily she bounced back quite quickly!
Portugal
If it doesn't require immediate attention I call my health center. I can get an appointment with my family pshysician in a few days or, if it's more urgent, some other doctor will see me the same day but I'll have to wait there until one is free (can go anywhere between 15mn and 2 hours). I'm lucky though, some health centers suck really bad. The ones in big cities are generally better.
If it's more urgent I call the national health line and they'll A: tell me how to treat it myself B: set up an appointment in my health center (or another if mine is not available) C: send me straight to the closest emergency room.
Wait times in the emergency room depend on the gravity and the hospital. My hospital sucks. Low priority you'll spend there the whole day, easy. 10+ hours. Medium priority you'll wait 4 or 5 hours. High priority about an hour, maybe two. Very high priority (head falling off) you go right in. In good hospitals those times are much lower. In the major city I used to live I never waited more than 2 hours for any priority. I also had surgery there and it was great.
Never paid a cent, I think it goes without saying.
Brazil, urban area, with a health plan (private healthcare)
I go to the doctor, grab a little paper with a number on it, wait for the number to be displayed on the monitor, go to the reception desk, give them my health plan card and my ID, they give those back to me, I sit back down and wait for the same number to be displayed on a different monitor. Once it's displayed, I go to the room number shown on the monitor and from there, I discuss what problem I have with an adequate specialist.
For an unplanned visit, the wait time is usually 5–30 minutes, depending on the hour and season (there are a lot of tourists during summer, meaning longer wait times and more people at the hospital).
I don't know about pricing (my parents pay for it), but it's probably not too expensive since we've never had financial problems due to health issues (as far as I'm aware).
I've never not went to the doctor for financial reasons, only for health concerns (worrying about getting sick with something else, specially if the waiting room is full or almost full). Sometimes prescribed medicine can be pretty expensive.
Sweden.
A few alternatives:
All in all, things work fairly well in Sweden, but having gotten private health insurance has definitely jaded me a bit on account of how much better the experience is when you have that. If only the public system wasn't systematically underfunded and run by the dumbest politicians on offer in the country, then maybe everyone could have great patient experience.
Does these costs count towards the högkostnadsskydd? (cost ceiling)
Yes, but there are two different ones - one for medical appointments and one for medicine.
From US and was visiting Singapore when I came down with a sinus infection.
Took the elevator from the government controlled housing to the ground floor.
Walked 5 minutes to the attached small community strip mall which consisted of cheap food options, a grocery/convenience store, and a number of essential stores including a small drs office.
Waited 15 minutes, saw the dr. Explained my condition, allergies and medication I usually take and went through the exam. We had to help look up some of the medication names.
Paid $35 for the exam. There was some confusion because I expected it to cost more and I asked about. They apologized and said that since I’m foreign I had to pay full price.
Walked across the mall to the small pharmacy. Waited 5 minutes for the antibiotics prescription. Paid maybe $5?
Bought some tea from the grocery and was better over a few days.
People from the US who travel and need healthcare know very well our system is the worst.
Guess you don't get to Canada much. People that actually need fixed now head to the states and pay, and are usually impressed by the treatment, both personal and medical. It's often life or death though, die waiting here or don't.
People from the US who travel and need healthcare know very well our system is the worst.
I mean, we don't turn to witch doctors, so I guess we're not literally the worst, but....
Dude shut up this comment was so unnecessary
There's a sizeable portion that tout hopes and prayers as a cure, and plenty of faith healers off the highways. May not be the bongo drums and carved masks you imagine, but it's witch doctors all the same.
I'd rather go to some nice lady who know what all herbs do what than Dr fuckin oz
Canada. It's generally easy and free (no direct cost to me). I try to avoid having to go to my doctor whenever possible and I live with a nurse (and my doc knows that). Usually when I send him a message, either by email or by calling, he'll have a follow up question or two (sometimes none) then decide a course of action and move right to implementation. Sometimes that's sending a script to my local pharmacy, sometimes that's a referral to a specialist. Who knows? I haven't seen the guy in years. But if he made the request for me to go in, I would without hesitation.
I know my experience isn't the same as others, since my doctor and my spouse have actually worked together; but still. It's all free and there's usually minimal waiting.
The only significant delays I've heard of in Canadian healthcare relate to major procedures when the issue is non-critical. Like getting an MRI as a precaution, to make sure things aren't messed up or something (IDK what MRIs are used to diagnose, I am not a doctor).
Everything is triaged, so if you're not actively dying from a thing, and you need a big piece of equipment to scan you to figure something out, you're going to be waiting a while.
You can do like I just did a week or two ago and pay to get an MRI in Buffalo, it cuts the waiting time down to like 2-10 days.
Give them a call. Generally get an appointment within 2 days.
Get told to take paracetamol for 2 weeks and make another appointment if the problem persists.
Drs are generally on time maybe 10 min behind but when I was in Australia they would regularly get up to an hour late.
Costs are generally subsidied by the national government so unless something comes up unexpectedly there is no cost. If something does then you pay a fee and your private health takes care of the rest.
Why do you have private healthcare?
In addition to what slazer said, in Australia once you earn over a certain amount you get hit with an extra tax if you don't take out private health. The conservative coalition brought that in a long time ago because their donor mates in private health asked them to ruin our public health care and this was their first step towards that.
I still have private cover as it seems like the least bad option even though it pisses me off. I guess that's the point.
Australia has a dual system of private and public health coverage.
You get access to public health services but as with all public health services things take time. If you have private health insurance you get a faster access to specialists. Public health doesn't do stuff like dental or physiotherapy where private cover does.
Germany:
I call the office
I schedule a time (and maybe a date if it's not urgent)
I go there
I get my treatment (advice), a prescription and if needed when to reschedule
I go to the apothecary and redeem my medication (usually without extra charges. But some arent subsidized 100% and you need to pay the remaining)
I get better again
I start working
Germany,rural area.
I call my GP. It might take a few tries to get through. Tell the receptionist what I've got, she is more or less trying to triage me. When it's urgent enough and I am calling early enough I can usually get there on the same day but have to wait longer at the office,if it's less serious it's mostly one or two days,but with less waiting time at the office. To check in you hand them your insurance card. Medication is prescribed electronically, so you just hand the card (or do it online) at the pharmacy. The GP visit is free, medication has a small, limited copay. You get fully paid for 6 weeks of sickness per diagnosis by your employer, reduced pay for up to 2 years by the health insurance.
If it's an illness requiring a specialist I can also try to book an appointment for that directly - but while that works well in larger cities it is totally impossible here, you simply won't get an appointment, not even in a year. The same happens when your GP refers you to a specialist,but there are mechanisms to give you a more urgent appointment - which works sometimes,sometimes they don't.
Brazil.
If I'm at home and simply unwell, I can walk to the neighborhood clinic (one specific clinic based on my address) and get checked - that usually takes half an hour to a couple hours, but it may not always have a doctor available.
So most people skip the local clinic completely and go to a municipal hospital instead (something doctors often plead people not to do). These should always have a couple doctors available and they'll see anybody - even if you have no documents. When you get there a nurse will check your pulse and stuff and ask some questions to determine your priority level, then the waiting time can go up to 4 hours if it's low priority.
If you need specific exams, that will depend on how well equipped the hospital is. Many will do it right there, some will request it from other cities and that may take time, so there's the option of doing it in private clinics too.
No matter what you may end up needing, if you do it through the public health system you won't need to pay anything at all. Even experimental treatments and surgeries can get arranged. But there's always the option of going to private clinics as well. Those can have much shorter waiting times.
Based on my limited experience, this is what people seem to do for each kind of visit:
Emergencies: pretty much everybody go to public hospitals. Most places don't even have private options for this.
Basic check up: most people will use the public system first, unless it's something very specific and they are well financially.
Dental care: most people who won't be financially crippled by it will go private. People tend to stick with the same dentist once they find a good one. On the public system you never know who you might be seeing.
Eye doctor: 50/50. There are nearly as many private options for this as there are for dental care, but a lot of them suck.
Expensive exams and operations: people will try to get them for free at first, or through some Health insurance plan they may have from work. Everybody knows someone who's been waiting months for something on the public system.
UK here. This is all "free" (i.e. paid for by a significant portion of every paycheck I ever earn via tax).
I phone my GP. They say you have I call at 0830 to get an appointment. Call back tomorrow. I ask for an advance appointment and they say they have nothing for 6+ weeks. So I call back the next day and the line is constantly busy. I get through at 0837 after mashing redial constantly. I'm told the appointments are all gone and I should call back tomorrow again. They suggest "if it's urgent then go to the A&E department"....which is clearly inappropriate for my problem. So I call back the next day. The next day I happen to get through at 0833 and they take my details. I'm told the doctor will call me back at some point later that day. Spend the day watching the phone, but can't answer it because I'm work. Duck out of something really important at work to take the call, I'm told to come to the GP later in the day. Later in the day I have work stuff I can't just leave immediately, so I ask for an appointment the next day. Get told to phone back at 0830 the next day to make an appointment.
I've figured out a way to short circuit the system. There's a national urgent medical line (111) and I have to answer the operator's questions for 20 min (am I bleeding profusely? Am I unable to breathe? Am I going to die imminently?). Finally, they're able to allocate an appointment for my own GP at a sensible time the next day.....apparently thesr guys have access to appointments with my GP which the fucking GP won't give me. Great! I go to the GP to be seen by a FY2 doctor (i.e. 15 months posts undergraduate qualification), this guy admits that he doesn't know what he's doing, that he'll speak to the GP later and phone me back with the outcome later that day. He phones me back later that day saying they don't know what to do so they're going to refer me to a hospital specialist, the hospital appointment should be sent to me in 10 months or so.
The few times I have had to go to the A&E department with my kid, I've taken chargers, entertainment devices, extra coat for my kid to use as a blanket, food (2 full packed meals), water, video game console.......I'm expecting to be there for about 6 hours if things move really quickly.
The state of national healthcare in this country. Thank you Conservatives, for 13 years of record low investment.
111 isn't an urgent line (if it's genuinely an emergency go to A&E or call 999) and from personal experience it takes hours for them to get back to you, at which point you've either already told them your symptoms have got worse, still had no call back and gone to A&E or they get back to you eventually and tell you that you might be fine, but should go to the hospital anyway and sit in a queue for 6 hours so they can make sure it's not actually something serious. NHS 111 is just as useless as the NHS Direct it replaced
For GP appointments that are released on the day, in the morning, you can avoid waiting in a long call queue to the GP by booking the appointment through the NHS app if your GP supports it.
Very much this.
If you live in the UK download the fucking app.
If all the ppl. bitching about the phone lines just used the app. then the ppl that actually HAVE to use the phone lines (digitally excluded ppl) wouldn't have so long to wait \ phone back every day.
Every time I've needed to contact the gp for something I've done it through the app and then I've either been contacted back with advice \ an appt or an onward referral within 24 hours.
If you need help quicker than 24 hours it's an emergency, if you think it's an emergency but don't want to go to a and e it's not a fucking emergency.
There's a national urgent medical line (111)
What? I've been lied to. I was told the UK line was 0118 999 881 999 119 725... 3
I have health insurance in the US and still have to pay a fuckton in copays to use it.
In early May, I searched GPs on my Healthcare plan, and I get to see a doctor on Jully 11.
Some hospitals are horribly staffed like this. In Sweden I had this problem until I changed to a different (government-owned) GP.
Canada, I make an appointment with my family doctor, usually within a week, free. Specialists are more annoying because our right wing provincial government keeps chipping away at public healthcare and justifying it with its own results, but generally goes pretty quick too.
Germany: If I'm sick and want an appointment asap I just go. They tell you to call in advance but if you do they give you an appointment for another day and if you just rock up they tell you to sit down and wait for the doc. Which can take anywhere between 5 minutes and 5 hours, at least that's about the range I've experienced. Oh and not sure if that's only a thing here but it's common to awkwardly greet the other patients when you get into the waiting area.
Seeing the doc would be similar to the US I guess, except there's no need to discuss money. Doctors shake hands here, maybe that's different from you but Idk. After the appointment you check in with the front desk again to fetch any prescriptions (although those are mostly digital since last year) and notes you may need for work. That's also the time to book a follow up appointment if you need one.
Cost depends on what you got. Getting extensive bloodwork or some less "necessary" exams for example aren't covered by insurance. There's a flat 5€ fee for prescription meds and 10€ per day in a clinic. If you don't have enough money you can let the insurance company know and they'll cover some of those fees too.
There’s a flat 5€ fee for prescription meds and 10€ per day in a clinic
Jesus... As an American, we already pay $1,200 a month for the privilege of paying $50+ just to walk into the doctors office. Forget prescriptions or testing...
We do also get money taken directly out of our pay check for health insurance. So it isn't just the 5 euro fee. But I think it manages to be considerably less, since everyone is required to have insurance. I think that brings down the cost for everyone.
Also Germany: I live rural. Most times I've gone I see the doctor itv takes than 30 minutes, but it depends on who else is there obviously. First come first served.
Interesting that they ask you to call in advance. I've never had that. We can, if we want an after midday appointment for something specific.
Yes, the awkward "Moin". Definitely!
There used to be a 15 euro per quarter charge when using the local doctor. They scrapped that a few years ago.
All the blood work I've had has been free. But I'm not sure what you meant by extensive. I take a lot of anti biotics, so they check my liver numbers occasionally.
But yeah, generally a similar experience to you.
Yeah, I'll pass sitting in a small room with more sick people.
Don't you think if this was an issue we'd have addressed it by now? 😅
Canadian here. My son just had an ear infection that was lasting 3 days. On the 3rd morning we called our doctors office to have it checked. They were able to squeeze us in at noon. Took him, and they couldn't tell if it was viral or bacterial, so suggested we wait and see if it clears. Didn't clear after another 2 days, but it was the weekend now. Called 811 and they contacted a medical center to make us an appointment in the morning. Next morning (Sunday now) office called us, made an appointment and saw him again. This time we got a prescription for some antibiotics.
I've taken a course about anti-microbial resistance and I understand that doctors are instructed not to go with antibiotics first thing so it didn't really bother me to go back a second time. It was nice they it was easy to be seen again even if it wasn't with the family doctor.
Ex had gallbladder issues that ran in the family.
One night she had bad abdominal pain. Drive over and rush her to hospital. Gets in 15 minutes. Nurses provide aid and pain relief, night shift ER doc looks her over, determines is likely gall bladder and it needs to be removed based on pain. Morning doctor looks her over, says it's not bad enough to warrant immediate attention, sends her home with painkillers, an appointment for an ultrasound and a 6 month-ish waitlist for removal.
--
Two nights later, same story, she opts for an ambulance this time. This time the same night shift doctor stays a bit late to ensure that she gets an ultrasound right away.
Gets sent home after the ultrasound and told that they will phone with next steps same day.
11am, go back to the hospital, get told that she is being admitted for immediate gallbladder removal. Ended up taking a day and a half to get to the surgery because of a bad motorcycle accident then two emergency c-sections tired out the only surgeon available and his staff over a straight 24 hour shift. 8 hours sleep and she was first up. Got it out, follow up at a nurse practitioner to get the drain removed.
Cost to us: $0
I'm an American, but when I lived in Japan, I needed to go to the doctor a few times. Honestly, the experience isn't great aside from it being cheap.
For example, I herniated a disc in my neck at one point and needed to go to the emergency department. I got there just after 10:00 a.m. and was told that they stop accepting patients at 10:00. "Fortunately", I was unable to hold my head up straight, so they decided to see me anyway. The appointment was just over the equivalent of $20 at the time. They prescribed a muscle relaxer and sent me on my way. The prescription could be filled a block or two away and was pretty quick and only cost about 10 bucks. (Edit: I should note that this was a very temporary solution. The problem lasted for years.)
Another time, I went to a clinic to try to get a sinus infection treated. I had/have a history of chronic sinus infections. Despite speaking pretty good Japanese and having a dictionary with me, I could not get them to understand the concept of a sinus infection. They put me on a nebulizer and then sent me home. Obviously not helpful. Don't remember what it cost.
France, not a big city. If I'm sick. I call the doctor office, in another city because all doctors here have no places. I may book an appointment in two or three weeks. If I really need a doctor, I can book an appointment to "sos doctor", that I will pay for a part (and part healthcare), or go to a non-vital emergency doctor at night, which is expensive (for a doctor in France) but reimbursed by healthcare. I can have access to this because I'm still in/near a city.
The waiting time in a doctor office can be long, depending if they take time for their patients or not. I'm ok with that. If I have an appointment to my usual doctor, I don't pay or I only pay a little part which will be reimbursed minus 1€ (50/year max). There are doctors with exceding fees, like "sos doctor", those feeds are out of my pocket. Most of the time, we have healthcare AND private insurance, but there is a health insurance for poor people.
For medecine, most of the times we don't pay anything but there are fees, 1€/medecine box (50/year max, but not the same as the 50 for doctors).
From south Brazil.
For something not urgent I can usually get a private GP within a week or a specialist within a month.
For something a bit more urgent, usually 1-2 hours in a private hospital, or 2-6 hours in a public one.
When going private the health insurance has always covered everything, so no cost.
Never had an emergency so I can't say how it is.
Slovakia
Notify my employer that I won't show up, go to doctor and wait in the waiting room. When the nurse shows up, give her the insurance card and wait for your turn. They'll check you, and if it's nothing special (requiring a specialist), you'll probably get prescription for some meds to pick up.
Then you get those in a pharmacy. Either it's electronic, or if the system is once again broken, you hand them the Rx paper that the Dr. gives you in that case. And then you figure out what you're about to pay. A lot of things will be fully covered by insurance, but potentially you'll have to copay. There's also a chance the Dr. tells you to get something that isn't covered, like some specific eyedrops, cough meds, probiotics (if you have antibiotics for example), etc.
The pharmacist may recommend a cheaper alternative, will likely tell you recommended dosage, tell you that once again this specific Dr. prescribed something that hasn't been manufactured for the past 30 years, and in the rare case, tell you the prescription seems dangerous and to contact the Dr.
And also decrypt any handwriting/encoding.
Is it the way outside of Bratislava?
i just go 😊
UK and Australia I’m originally from the UK but lived in Aus for 20 years. I returned to the UK a year ago due to my Mom getting a terminal diagnosis.
In the UK I’ve had two GPs this year due to moving around. First GP you’d request appointments via an online form that was available for about an hour at the start of every day and they’d send you a date and time once they’d triaged all the requests. Usually got in within a day or two. Second GP requires a call, and you can book an appointment provided it’s not a busy day, again usually 2-3 days depending on how busy they are. Both GPs were via the NHS, so no upfront cost, just a small amount taken from your pay each month.
In Aus, my GP was free at the point of delivery. It was pretty easy to get appointments and if you really wanted to see him, you could just turn up and wait until he could fit you in. Sometimes a 2 hour wait, but you could put your name down and return in 2 hours. I’m planning to change GP when I get back so will probably end up finding one where you pay an additional fee. There’s almost no doctors where you don’t pay extra any more.
Depends. When I broke my leg I had to wait a couple hours to get in to see a doctor, then surgery was a couple days. Even without a family doctor though if you’re just sick and need like some penicillin or stitches or something as long as you don’t go in a major city it’s like 15 minute wait times, usually no longer than an hour. Then you go in, tell em what’s wrong, they deal with it and prescribe you some drugs, then you leave and go get your drugs at the drug store. You gotta pay for the drugs unless you have benefits at your job though. Everything else is free.
Edit: am Canadian.
I go there, try to explain what I have (I don't speak Korean and the doctor is not very good in English). Then the might give me a shot and let me inhale some stuff. Then I pay some mony (don't remember exactly how much, but not so much) and they give me a prescription and I go away. Most of the time it takes about 10 minutes.
If it's urgent, I go down there. If not, I schedule an appointment (how soon usually depends on the severity. Can be the next day, or the next week).
Example: My oldest kid (12 years old at the time) fractured his arm while in school last spring. I was notified right away, so I picked him up at school and took him to the local clinic (3 minutes away) . The doctor wanted some xrays done, so he referred him to the local hospital and gave him some painkillers for the one hour trip (we live kind of in the middle of nowhere).
We arrived at the ICU (it was after "office hours"), so we had to wait 30 minutes for the x-ray tech to be available. Turned out a titanium rod insert was needed, which requires anesthesia, so they couldn't do it the same day because of fasting requirements. Operation "scheduled" for the next day. He was given a temporary cast.
Day arrived, and while there was a bit of wait since it was something they'd just have to insert into the schedule for the day whenever possible. Surgery went according to plan, and he was given a sandwich upon waking up, as he hadn't eaten since the day before. He had a new cast on that he had to keep for a couple of weeks. The local clinic could remove it, but they wanted to do it at the hospital so they could do a follow up xray to see that it was healing properly.
A few weeks later, and things looked good. Cast removed.
A couple of months ago he had the titanium rod removed without much ado.
My only expense was the fuel cost for driving to the hospital.
The only negative feedback I have is that my son didn't get to keep the titanium rod as a souvenir after they removed it. I guess the doctors have better things to do than washing gore off of scrap metal.
Honestly depends.
If it's life or death urgent, an ambulance arrives, takes you away and with any luck, fix you right up. Visitors will likely have to pay to park at the hospital, and that will be your biggest expense. When my dad had a cardiac arrest, it was during covid, so the parking was free. The biggest expense was cleaning his blood off the carpets and putting their cat in the cattery for a week.
If it's something non-urgent, and the cause isn't immediately found by a doctor, then you might go on a waiting list and be seen in a few months maybe. And even then it might not get sorted. It's not like House.
The most annoying bit is the 8am phone roulette to try and get an appointment.
If he had a bat would you put it in a battery?