Not on a theoretical level, but how would you practically have to pay costs, access specialist doctors?
USA. Others have covered cost but I’d like to add how long it takes to see a doctor.
I have an established primary care physician that I’ve seen for years. Now though if I want an appointment I have to wait at least two months. So I have a membership with an urgent care near me that puts a $180 cap on visits to their chain of urgent cares. There is obviously no on going care with them but most of the time that’s okay.
A friend of mine doesn’t have an established PCP and to get one he must wait at least a calendar year….
Where do you live that makes you wait a year for an appointment with a PCP? I’ve only ever waited a month or more for a particular set of specialists where I’m at.
The south.
In Poland, it doesn’t. They just steal our money without anything in return you have to wait for years to get into surgery what you pay taxes for.
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That is not true. Not fully true, and the true part is blown out of proportion by various populists (especially right-wing, who would like to replace what we have with USA model or worse).
Most basic health care is organized by the government and paid through taxes and social insurance (which is obligatory). Unfortunately it is not financed enough and it shows, more in some areas and less in others. GP access is quite good, especially in larger cities, unless someone didn’t care to choose his ‘first contact clinic’ right. Those clinics are mostly private, but working on government contract. One can usually get a GP appointment within a week, often same day. Urgent GP appointments are available 24/7 through special ‘holiday and night health care points’.
Things became worse when popular specialist help is needed. One needs a referral from his GP and may need to wait months for appointment. There is the point were people who can afford that, would often go private. That and dentists / orthodontist.
Big problems are in children psychiatry, mostly due to lack of funding.
Medicines are much cheaper that in USA. When prescribed by a doctor they are usually partially or even, in some specific cases, fully paid by government. That is not make it affordable for everyone that needs it, but it is not very bad.
When something very bad happens – serious accident, cancer, etc. then the public health care gives the most. Public hospitals will do what they can (with limited funding and overworked personnel) for free. People are not sent away because they are poor and won’t have huge debt to pay just because they got sick.
There are private insurances, or rather subscriptions services. They used to give better access to basic health care that the public services, but recently they don’t offer much more. And you must pay for the public service anyway. They usually totally fail in more serious case (chronic illness, cancer, serious accident) – one would get to and be treated by a public hospital too.
In short:
Pros:
- health care is basically free for everybody by principle
- GP access is good, and serious cases are handled quite well
- medicines are available and prices are not horrendous
Cons:
- not all the free health care is practically available, sometimes available appointments are months or years in the future
- dentists, orthodontists – not really available via public health care and private options are expensive
- doctors, nurses are other personnel are underpaid and overworked
- there is a lot of bad PR around health car here – this doesn’t help improving things
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