As an American I’m curious what it’s like if you need to go to the doctor and how much you pay from say a broken arm to general checkup. Also list what country please

  • khannie@lemmy.world
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    2 months ago

    Ireland. Public health is high quality but it can be slow to get into the system. If you want high quality and fast you pay for insurance which is about 2K per year, depending on age and cover.

    All prescribed medicine maxes out at 80 euro / about 95 USD a month for our entire family. Government covers the rest.

    You pay for trips to the GP (local doctor) which are about 60 euro / 75 USD unless you’re low income in which case they’re free. They will refer you to the hospital if necessary and that is free.

    At that point if you’re not private things can get slow but my most recent example was fast. Daughter had ongoing headaches for a while. Third trip to the GP she wrote the referral letter and we went to the emergency room. She got seen quickly and they set up an MRI for the following week. After that we had two follow ups with a consultant (high level specialist doctor). All free.

    There is huge room for improvement but I honestly couldn’t imagine living in a place that will let you die if you don’t have enough money. I honestly find that notion both crazy and disgusting.

    Edit: I forgot to add, if you just show up to accident and emergency without a referral it’s 100 euro / 120 USD. Regardless of treatment that’s the full cost. Triage can mean that if you don’t actually have an emergency you’ll be waiting hours. If you show up with life threatening symptoms you’ll be seen very quickly though.

    Ambulance is always free.

    There are other supports for folks who need regular trips to the hospital but can’t drive (e.g. regular chemo). There’s a community car here in my town for example (10k people) with volunteers but I think they cover taxis in many cases.

    Last edit: you can claim any medical expenses for the year off your tax bill

    • Nibodhika@lemmy.world
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      2 months ago

      To me it’s abhorrent that Ireland is seen as having good healthcare. That just goes to show how shitty the system is in the USA. I lived in Ireland for 4 years, had a health plan paid by the company I worked, still had to pay 50% of every visit, and to get to any specialist you need to go to your GP (€60) and then, if your GP agrees (which he might not), they will contact the specialist for you which you will have to pay for out of your own pocket (usually €150-€300 depending on specialty), that specialist will ask for exams (blood works are €80 on the GP, but specialist might require specific tests that GP doesn’t offer, I have paid around €600 for some blood exams), then you go back to the specialist (and pay €150 again for a consultation) for him to check the results of the exams and tell you there’s nothing wrong so you can do another round of exams to see if they find anything… We’re already at around €1000 and the health insurance will only return me half at some point… The max €80 in prescription medicine was quite nice though.

      • khannie@lemmy.world
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        2 months ago

        blood works are €80 on the GP, but specialist might require specific tests that GP doesn’t offer, I have paid around €600 for some blood exams

        Sorry to tell you but you were being robbed blind.

        Bloods are free at my GP. If I’m going private (after the initial consult which I did forget to mention), once I’ve been referred it’s all been covered. Public it’s all free of course.

        That’s fucking wild shit. Honestly never heard of it. Not doubting you for a second. I’ve just never come across it.

        Edit: I wonder did your employer just pay for an absolutely shit private cover?

        • Nibodhika@lemmy.world
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          2 months ago

          Yeah, there’s a very real chance that the issue was my GP, but since you’re essentially stuck with the GP that you can get it is what it is. I don’t live there anymore so I can share these details in case it saves someone else. I lived in Dublin so obviously both are there, the GP was in Kilmainham medical center and the hospital for the specialist and expensive blood work was Black rock hearth Hermitage Clinic. I have a friend who just went through a similar situation so it’s not exclusive to me, but he does live in the same building I used to so he might go to the same GP, and that GP might have some arrangement or something with the people from that other hospital, not to mention he blocked me from seeing a cardiologist for years saying I didn’t needed it (wanted to do a checkup because my entire father’s side family died of heart related conditions, and after the ridiculous amount of money it costed to see the other specialist I just let it go.

          I’m saddened to think it could all have been due to a bad GP, my time in Ireland was very badly affected by these experiences with medical care. And speaking with friends they had had similar experiences so I never thought it could have been a bad GP.

          The health plan from the company wasn’t bad, at least I don’t think it was, but I don’t have any parameters to compare it to. I worked for 2 companies while I lived there and both used the same health plan. I don’t remember what it was, but at the specialist they said that I needed to pay and then talk to my health plan, and the health plan only refunded half of the value. I still work for the same company but on a different country, and here the health plan seems to cover everything, so I doubt they would have a good plan on one country and a bad one on the other, but it could happen.