Back in 2013, I was in an industrial accident whereby I was pinned, for about an hour, under a 1200 kilo(2640 lb), 2 meter diameter steel door. They rushed a crane operator in and pulled it off me. Life flight to the hospital and two weeks in the ICU later, and 4 surgeries, and I was released to go home. Worker's comp paid for the whole thing. I'm sure they negotiated the price down, but the bill was $350k. The helicopter ride was $43k.
Canadian here, but have been living in the UK for over a decade. Isn't one of the reasons the NHS is struggling so much is that it's been underfunded since 2010? Not the only reason of course, but the austerity isn't helping matters.
The Dr's will understand this one. My father was the l9ngest serving hearttransplant in the EU, possibly the world 38.5 yrs (long discussion). He was involved in a survey with a Cambridge uni about year 29 after surgery. I don't know the ins and out, but the Uni came to the conclusion that his surgery, post surgery care, prescriptions etc. Cost $22.7 million in the US. So thank-you NHS and thanks medical teams.
The German system might actually work for you. It's a combination of a semi-private system but it's in competition with the government offered alternative that is still high quality. Everyone is required to buy health insurance and the government has enough purchasing power to keep prices down
We have Medicaid and Medicare which work with people who can't afford private health insurance or people who are unemployed or homeless. Idk about other states but in NYC, where I live, I remember they set me up with a company called EmblemHealth. I had $0 co-pay for PCP, SPEC, ER, and Dental. Until i got back on my feet and was able to afford a "better" health plan. Other than, if you have a nice enough job, they usually put you into the conpany health insurance plan after 3-6 months, depending on the company's policy, which covers a lot of things, but you can still try to find your own private insurance in case you have specialized needs.
If you want to learn something interesting in the US regarding insurance - if your not considered low income to qualify for Medicad or other government funded insurances, and if your work doesn’t provide you with health insurance, you have to pay for your own health insurance which isn’t what’s really odd, but it can be some what pricey; however, even then, these insurance companies can - at times - deny you coverage of certain procedures or medications they deem “unnecessary” even in some instances a doctor recommends it.
So, I know this is a bit old but still thought you might like further information about what happens in the US if you can't pay. So, there is something called the Emergency Medical Treatment & Active Labor Act (EMTALA) that requires hospitals which accept payments through Medicaid or Medicare to provide "stabilizing treatment" to people who have an emergency medical condition. Emergency medical conditions are defined as someone who has an illness, injury, or symptom that requires immediate medical attention to prevent serious harm to a person's life. The absence of attention could result in the following: - Placing the person's health (or, for a pregnant woman, the health of the woman or their unborn child) in serious jeopardy. - Serious impairment to bodily functions. - Dysfunction of any bodily organ or part. If a pregnant woman is having contractions, an emergency medical condition exists when: - There is inadequate time to safely transfer to another hospital before delivery. - A transfer might threaten the health or safety of the woman or the unborn child. Now, these rules only apply to hospitals who accept Medicaid or Medicare, which while most do there are some who don't. It also doesn't apply to any healthcare facility that is not equipped to handle emergencies or simply unable to provide the care needed for a specific emergency. In those instances they are required to refer patients to a nearby facility that can do these things. Hospitals that have the ability to treat something or handle emergencies must accept patient transfers for emergency medical conditions. So, if someone is not able to pay [whether they have insurance or not.] It works like any other debt someone has. The hospital will work to collect the debt from the person who owes it. They will at some point [some do it much sooner than others will,] sue the person in order to get a court-ordered payment of the debt & seek to have the court order for garnishing their wages [i.e. the person's employer will be required to take the ordered percentage of their pay, up to 25%, after taxes are withheld & send it directly to the creditor.] The court will add onto the amount an interest rate that varies by state & is usually between 2-18%. A person who has a wage garnishment is required to inform the court of any employment changes [whether by taking on other job(s) or getting employed elsewhere,] so the courts can ensure that whoever employs them will garnish their pay. They will have this money withheld from them until they pay everything off [the debt owed, interest at the rate the court set, plus any extra court fees or what not they add on.] The only way to end this that isn't just by paying it off either over time by letting it run its course or in a lump sum if you are able to at some point is by successfully filing for bankruptcy. These things happen all the time. I remember seeing a story about my town [population 17,000 in a county of 44,000 total without any city of 50,000 within 80 miles,] about 1.5 years ago. It talked about one of the 2 local hospitals taking about a dozen people to court every week for debt & most of them had some form of insurance. The craziest part of this is that on an aggregate level healthcare providers are ultimately compensated around 80% of the cost for any uncompensated care they provide [which includes costs for care provided to people who can't pay,] through various state & federal government programs. One would think that if they do receive reimbursement for any uncompensated care they provide then they would have to stop pursuing payment from the patient, but I'm not sure if that is necessarily required & even if it was I'm sure there is rampant violations of it as there wouldn't be anyone who actually looks into that beyond the providers saying they comply. At least it would appear to abused judging by the number of people with healthcare debt, the amount of that debt, combined with the figure at an aggregate of 80% of unreimbursed care being reimbursed by the government.
Been paying off $6,000 for a doctor recommended breast ultrasound after a mammogram (that did identify a cancerous issue) for about 4 years now. I will never pay off the bill that came for the resulting medical intervention.
I click these videos for a chuckle (US vs Europe healthcare bills) and forget how depressing they are. 😅 Who has two thumbs and is still paying off her appendectomy! (I even drove myself to then ER 🚑)
So, in the best defense, we technically do have public healthcare systems named medicaid and medicare that can do a good job of covering millions of Americans. It's trying to EXPAND them and their payment services that's an issue. Like for me growing up as an average kid I had my colds and got sick and had checkups and need cold meds. I had a surgery as a teen. And I had to take meds for it. But, literally no out of pocket costs from my parents, from hospital visits, doctors visits, meds, glasses etc. because of these great systems. It's time to expand to everyone I say.
To answer your question, people go into Medical debt. There is a program to help you pay it off, but it ruins lives. People also declare bankruptcy over medical bills.
I personally think the NHS should always be given what it needs to work a function at a level it needs at any one time. And stuff should've compensated more via, companies in the UK giving the staff perks and such. Show proof you work with NHS, get free coffee, get free WiFi at home. Free parking at car parks also etc etc. I think other wise I rather the UK system, even would not mind more my pay going to national Insurance. I'd does help me think feel and believe I got to doctor or hospital everything is free for me. And even subscriptions are at a capped price it's a great system, just need to treat you staff bettet
I agree nhs should be well funded and staff should be treated better. However there are better, alternatively funded systems out there which we can learn from. As for private companies offering perks, why should they? They have nothing to do with the NHS
@@ScanningTheMind I think it would be a good thing, and incentives for the companies that do that. Look after the people that work in the emergency services. Like how the NHS had deals with the drug companies to cap the prices of subscriptions. Government if I was prime minister I'd negotiate benefits for the staff, hopefully keep the staff and people that make the NHS and such treated and compensated fairly. Just a thought I've always had. Like how a sandwich shops has discounts for NHS staff etc. Id have to see what the other systems in the world is like. Agree it's interesting how the UK is pretty much only country in the world with this system and is complete 180 compared to the us..one extream.to another. Ps think you should react to scrubs episodes
@@ScanningTheMind I saw this on S Korean medical bills for someone giving birth. Maybe if system was like this. Is this what your thinking. Everyone contributes somethig ua-cam.com/users/shortsuiNH4QKNaHY?feature=share
It costs $216 to go see my doctor for a checkup. No blood work, nothing. Just pulse, blood pressure, and maybe 5-10 minutes of talking and it costs me $216. During covid lockdowns, because it was just a checkup, I had a phone appointment with my doctor. We talked for 1 minute 49 seconds. $83 bill.
Hey guys, do you think that in the future working private will be a more reliable than working in the NHS, in the view point of job security and value?
For certain specialties, yes I think so. Private work is already more lucrative than nhs work, it’s just the amount is limited due to nhs. The less the nhs provides/is funded to provide the greater private market share. This will usually be for elective, non emergency things like orthopaedics, diagnostic radiology etc. I think if you do things like ICU or A&E the nhs will always have to be your main employer as not many private companies want to offer high risk services.
I'm chronically ill and feel so guilty about the time, money and resources I take up for the NHS. The way I try to feel better is because of the healthcare I receive through the NHS, I am able to work, thus able to pay taxes which then go to the NHS. Even with my low income I would welcome a +1% increase in my tax if it was guaranteed to go to the NHS directly.
100 $ + but remember the minimum wage is a joke, imagene you need to work 2 days and extra hours( if you get some and if you get paid for them) just to get a simple check up. Nope- not ok.
Interesting point. The benefits of a general, non specific check up for everyone are controversial. If the government doesn’t fund these check ups how much do you think we should have to pay for them?
To me medicaid would be better though. Medicaid is the nation's public health insurance program for people with low income. And it's paid by both state and federal. Now, take out low income and expand it everybody, now there you have it.
US here. I know a lot of poor people who avoid getting medical help because they cannot afford it, even with insurance. Going into debt and declaring bankruptcy because of medical bills is an actual strategy that bankruptcy lawyers will promote. I have friends that get free medical care from family in the field, but cannot have tests run. So, they get a prescription on a 'best guess' of what is wrong with them and what dosage they might need. That's probably ok for common cold/flu, but they have this system for endocrinology needs. No meters, no blood tests, just advice and meds based on weight.
If you don't pay your medical bills here they report it on your credit so it can quite literally ruin your life financially. Fortunately, not everyone reports to the credit bureaus but many do. I honestly don't even know how much medical debt I'm in. I had an emergency cesarean, high risk pregnancy, and 2 special needs children. I owe a ton in medical bills. I try to pay the bills for doctors we will need to see again like the pediatrician but I don't pay the others. I just saw a 1,000 debt from my sons old cardiologist got added to my credit report recently. I can't go back to my OBGYN because I owe so much from my last pregnancy. Personally I just don't get healthcare for myself unless I'm pregnant. My kids get the care they need but I generally can't pay for it.
I will add sometimes when a debt collector buys your medical debt they may offer you a settlement. So for instance they may offer to settle your 1,000 debt for 500. If I get a really good offer I can afford ill pay it that way but once it gets to that point it's already likely on your credit report.
sadly im glad for NHS but lots improvements needed, like better access to stronger drugs. ive had two operations on my spine younger a lifting injury and most resent rear shunt car crash. lost count how many years ive been asking for stronger meds as ones i get do not work not even 2%. cannabis about 40% pain help. been asking for morphine as it agrees with my system and don't make me feel ill as i really need to stop smoking as if i don't oxygen my be the next issue as a heavy smoker over half my life but cannot quit till i get the pain relief replacement. i do the required exercises but them puts me back days recovery before things settle down so it one step forward two back. morphine would be a short thing as what my doctor said i need to build more muscle in my back / legs and the pain should be reduced but need something much stronger than cannabis to get me over the blockade so i don't need days of recovery so i can step forward and get back on with my life. most days i do one task thats me done. i know hands down that getting the required med even if costly to start with, it save nhs a lot cash long term as would require less meds as so far going on over 7 years, why ive almost given up asking for help, and seriously considering using the black market and if its genuine then it was prob stolen from nhs. lots improvements are needed with access to meds what work, also using private company's to do the admin and other services needs to go back to 100% public funded no private company's. thats my thoughts through my experience.
![British Doctors React to BOJACK HORSEMAN [Episode 2]](http://i.ytimg.com/vi/3b_9J_CU5rA/mqdefault.jpg)
![British Doctors React to BOJACK HORSEMAN [Episode 2]](/img/tr.png)
Back in 2013, I was in an industrial accident whereby I was pinned, for about an hour, under a 1200 kilo(2640 lb), 2 meter diameter steel door. They rushed a crane operator in and pulled it off me. Life flight to the hospital and two weeks in the ICU later, and 4 surgeries, and I was released to go home. Worker's comp paid for the whole thing. I'm sure they negotiated the price down, but the bill was $350k. The helicopter ride was $43k.
What a crazy (and scary) story, thank you for sharing! Glad you made it out the other side.
Jesus Christ man... forget the bill, an hour under a 1.2 ton steel door? Glad you survived.
@@sample.text. I easily could have been paralyzed or killed. I have nerve damage in my legs, but you have to live to be afflicted with it.
Canadian here, but have been living in the UK for over a decade. Isn't one of the reasons the NHS is struggling so much is that it's been underfunded since 2010? Not the only reason of course, but the austerity isn't helping matters.
Yup, austerity is one of the big reasons we are struggling.
Skrew the Tories
The Dr's will understand this one. My father was the l9ngest serving hearttransplant in the EU, possibly the world 38.5 yrs (long discussion). He was involved in a survey with a Cambridge uni about year 29 after surgery. I don't know the ins and out, but the Uni came to the conclusion that his surgery, post surgery care, prescriptions etc. Cost $22.7 million in the US. So thank-you NHS and thanks medical teams.
The German system might actually work for you. It's a combination of a semi-private system but it's in competition with the government offered alternative that is still high quality. Everyone is required to buy health insurance and the government has enough purchasing power to keep prices down
We have Medicaid and Medicare which work with people who can't afford private health insurance or people who are unemployed or homeless. Idk about other states but in NYC, where I live, I remember they set me up with a company called EmblemHealth. I had $0 co-pay for PCP, SPEC, ER, and Dental. Until i got back on my feet and was able to afford a "better" health plan. Other than, if you have a nice enough job, they usually put you into the conpany health insurance plan after 3-6 months, depending on the company's policy, which covers a lot of things, but you can still try to find your own private insurance in case you have specialized needs.
If you want to learn something interesting in the US regarding insurance - if your not considered low income to qualify for Medicad or other government funded insurances, and if your work doesn’t provide you with health insurance, you have to pay for your own health insurance which isn’t what’s really odd, but it can be some what pricey; however, even then, these insurance companies can - at times - deny you coverage of certain procedures or medications they deem “unnecessary” even in some instances a doctor recommends it.
So, I know this is a bit old but still thought you might like further information about what happens in the US if you can't pay. So, there is something called the Emergency Medical Treatment & Active Labor Act (EMTALA) that requires hospitals which accept payments through Medicaid or Medicare to provide "stabilizing treatment" to people who have an emergency medical condition. Emergency medical conditions are defined as someone who has an illness, injury, or symptom that requires immediate medical attention to prevent serious harm to a person's life. The absence of attention could result in the following:
- Placing the person's health (or, for a pregnant woman, the health of the woman or their unborn child) in serious jeopardy.
- Serious impairment to bodily functions.
- Dysfunction of any bodily organ or part.
If a pregnant woman is having contractions, an emergency medical condition exists when:
- There is inadequate time to safely transfer to another hospital before delivery.
- A transfer might threaten the health or safety of the woman or the unborn child.
Now, these rules only apply to hospitals who accept Medicaid or Medicare, which while most do there are some who don't. It also doesn't apply to any healthcare facility that is not equipped to handle emergencies or simply unable to provide the care needed for a specific emergency. In those instances they are required to refer patients to a nearby facility that can do these things. Hospitals that have the ability to treat something or handle emergencies must accept patient transfers for emergency medical conditions.
So, if someone is not able to pay [whether they have insurance or not.] It works like any other debt someone has. The hospital will work to collect the debt from the person who owes it. They will at some point [some do it much sooner than others will,] sue the person in order to get a court-ordered payment of the debt & seek to have the court order for garnishing their wages [i.e. the person's employer will be required to take the ordered percentage of their pay, up to 25%, after taxes are withheld & send it directly to the creditor.] The court will add onto the amount an interest rate that varies by state & is usually between 2-18%. A person who has a wage garnishment is required to inform the court of any employment changes [whether by taking on other job(s) or getting employed elsewhere,] so the courts can ensure that whoever employs them will garnish their pay. They will have this money withheld from them until they pay everything off [the debt owed, interest at the rate the court set, plus any extra court fees or what not they add on.] The only way to end this that isn't just by paying it off either over time by letting it run its course or in a lump sum if you are able to at some point is by successfully filing for bankruptcy.
These things happen all the time. I remember seeing a story about my town [population 17,000 in a county of 44,000 total without any city of 50,000 within 80 miles,] about 1.5 years ago. It talked about one of the 2 local hospitals taking about a dozen people to court every week for debt & most of them had some form of insurance. The craziest part of this is that on an aggregate level healthcare providers are ultimately compensated around 80% of the cost for any uncompensated care they provide [which includes costs for care provided to people who can't pay,] through various state & federal government programs. One would think that if they do receive reimbursement for any uncompensated care they provide then they would have to stop pursuing payment from the patient, but I'm not sure if that is necessarily required & even if it was I'm sure there is rampant violations of it as there wouldn't be anyone who actually looks into that beyond the providers saying they comply. At least it would appear to abused judging by the number of people with healthcare debt, the amount of that debt, combined with the figure at an aggregate of 80% of unreimbursed care being reimbursed by the government.
Been paying off $6,000 for a doctor recommended breast ultrasound after a mammogram (that did identify a cancerous issue) for about 4 years now. I will never pay off the bill that came for the resulting medical intervention.
I click these videos for a chuckle (US vs Europe healthcare bills) and forget how depressing they are. 😅
Who has two thumbs and is still paying off her appendectomy! (I even drove myself to then ER 🚑)
So, in the best defense, we technically do have public healthcare systems named medicaid and medicare that can do a good job of covering millions of Americans. It's trying to EXPAND them and their payment services that's an issue. Like for me growing up as an average kid I had my colds and got sick and had checkups and need cold meds. I had a surgery as a teen. And I had to take meds for it. But, literally no out of pocket costs from my parents, from hospital visits, doctors visits, meds, glasses etc. because of these great systems. It's time to expand to everyone I say.
However, there are many working class people who could benefit from medicare, but they are not eligible for it.
@@mekia02 Which sucks. It should be applied to all who need it. Which is everyone.
@@mekia02 Well we need to expand Medicare. Otherwise working class people won't get coverage.
To answer your question, people go into Medical debt. There is a program to help you pay it off, but it ruins lives. People also declare bankruptcy over medical bills.
I personally think the NHS should always be given what it needs to work a function at a level it needs at any one time. And stuff should've compensated more via, companies in the UK giving the staff perks and such. Show proof you work with NHS, get free coffee, get free WiFi at home. Free parking at car parks also etc etc.
I think other wise I rather the UK system, even would not mind more my pay going to national Insurance. I'd does help me think feel and believe I got to doctor or hospital everything is free for me. And even subscriptions are at a capped price it's a great system, just need to treat you staff bettet
I agree nhs should be well funded and staff should be treated better. However there are better, alternatively funded systems out there which we can learn from. As for private companies offering perks, why should they? They have nothing to do with the NHS
@@ScanningTheMind I think it would be a good thing, and incentives for the companies that do that. Look after the people that work in the emergency services. Like how the NHS had deals with the drug companies to cap the prices of subscriptions. Government if I was prime minister I'd negotiate benefits for the staff, hopefully keep the staff and people that make the NHS and such treated and compensated fairly. Just a thought I've always had. Like how a sandwich shops has discounts for NHS staff etc.
Id have to see what the other systems in the world is like. Agree it's interesting how the UK is pretty much only country in the world with this system and is complete 180 compared to the us..one extream.to another.
Ps think you should react to scrubs episodes
@@ScanningTheMind I saw this on S Korean medical bills for someone giving birth. Maybe if system was like this. Is this what your thinking. Everyone contributes somethig ua-cam.com/users/shortsuiNH4QKNaHY?feature=share
It costs $216 to go see my doctor for a checkup. No blood work, nothing. Just pulse, blood pressure, and maybe 5-10 minutes of talking and it costs me $216.
During covid lockdowns, because it was just a checkup, I had a phone appointment with my doctor. We talked for 1 minute 49 seconds. $83 bill.
Hey guys, do you think that in the future working private will be a more reliable than working in the NHS, in the view point of job security and value?
For certain specialties, yes I think so. Private work is already more lucrative than nhs work, it’s just the amount is limited due to nhs. The less the nhs provides/is funded to provide the greater private market share. This will usually be for elective, non emergency things like orthopaedics, diagnostic radiology etc. I think if you do things like ICU or A&E the nhs will always have to be your main employer as not many private companies want to offer high risk services.
I'm chronically ill and feel so guilty about the time, money and resources I take up for the NHS. The way I try to feel better is because of the healthcare I receive through the NHS, I am able to work, thus able to pay taxes which then go to the NHS. Even with my low income I would welcome a +1% increase in my tax if it was guaranteed to go to the NHS directly.
Nice video as always.
Will you react to The Good Doctor?
Thanks. It’s on our list (along with a lot of other shows!)
100 $ + but remember the minimum wage is a joke, imagene you need to work 2 days and extra hours( if you get some and if you get paid for them) just to get a simple check up. Nope- not ok.
Interesting point. The benefits of a general, non specific check up for everyone are controversial. If the government doesn’t fund these check ups how much do you think we should have to pay for them?
You should really link the video to which you're reacting, as a courtesy.
You’re right, that was our bad. Certainly not intentional, we’ve now rectified.
@@ScanningTheMind
To me medicaid would be better though. Medicaid is the nation's public health insurance program for people with low income. And it's paid by both state and federal. Now, take out low income and expand it everybody, now there you have it.
If you are uninsured and go to the ER they have to treat you
Do they send you a bill afterwards I assume?
@@ScanningTheMind Yes they do
Why is the US so far behind other modern countries?
US here. I know a lot of poor people who avoid getting medical help because they cannot afford it, even with insurance. Going into debt and declaring bankruptcy because of medical bills is an actual strategy that bankruptcy lawyers will promote. I have friends that get free medical care from family in the field, but cannot have tests run. So, they get a prescription on a 'best guess' of what is wrong with them and what dosage they might need. That's probably ok for common cold/flu, but they have this system for endocrinology needs. No meters, no blood tests, just advice and meds based on weight.
in 2017 they ranked nhs #1 for some reason lit ep.
Interesting, was it for anything specific?
If you don't pay your medical bills here they report it on your credit so it can quite literally ruin your life financially. Fortunately, not everyone reports to the credit bureaus but many do. I honestly don't even know how much medical debt I'm in. I had an emergency cesarean, high risk pregnancy, and 2 special needs children. I owe a ton in medical bills. I try to pay the bills for doctors we will need to see again like the pediatrician but I don't pay the others. I just saw a 1,000 debt from my sons old cardiologist got added to my credit report recently. I can't go back to my OBGYN because I owe so much from my last pregnancy. Personally I just don't get healthcare for myself unless I'm pregnant. My kids get the care they need but I generally can't pay for it.
I will add sometimes when a debt collector buys your medical debt they may offer you a settlement. So for instance they may offer to settle your 1,000 debt for 500. If I get a really good offer I can afford ill pay it that way but once it gets to that point it's already likely on your credit report.
sadly im glad for NHS but lots improvements needed, like better access to stronger drugs. ive had two operations on my spine younger a lifting injury and most resent rear shunt car crash. lost count how many years ive been asking for stronger meds as ones i get do not work not even 2%. cannabis about 40% pain help. been asking for morphine as it agrees with my system and don't make me feel ill as i really need to stop smoking as if i don't oxygen my be the next issue as a heavy smoker over half my life but cannot quit till i get the pain relief replacement. i do the required exercises but them puts me back days recovery before things settle down so it one step forward two back. morphine would be a short thing as what my doctor said i need to build more muscle in my back / legs and the pain should be reduced but need something much stronger than cannabis to get me over the blockade so i don't need days of recovery so i can step forward and get back on with my life. most days i do one task thats me done. i know hands down that getting the required med even if costly to start with, it save nhs a lot cash long term as would require less meds as so far going on over 7 years, why ive almost given up asking for help, and seriously considering using the black market and if its genuine then it was prob stolen from nhs. lots improvements are needed with access to meds what work, also using private company's to do the admin and other services needs to go back to 100% public funded no private company's. thats my thoughts through my experience.
NHS is not free you pay National insurance the higher your pay the more NI you pay.
Yep america is a buisness cash is king and the rich run it but yeah we definitely need a new system but thats never going to happen because of greed