I'm Norwegian and my health care is not the best. But the more I learn about the American system, the more I start to love my own country's take on health care.
Not THE best - but certainly among the best. #1 Overall - commonwealth fund report. (US #11) #4/4/5 (health, wait time, system) - Legatum/WHO #7 Overall cancer survival - Concord (US #1) etc. etc. In some cases top 3, sometimes top 5 or top 10. But much better than you probably think. PS! Also Norwegian - and working in healthcare.
I'm also a Norwegian but currently live in Italy. Healthcare in Norway is shit, down in Italy you can actually get basic supplements you need without needing to go trough a doctor.
The cost of the US system are not just high, they are profits. It's expensive because it's sold as product to consumers who are not in a position to say 'no'. So it's basically not a health care system but a business, that happens to do some health care in the process. It is at the heart of the matter. If government decides to provide health care for everybody, there is a bill to be paid of course. But that's an entirely different setup.
I think you're right. Also America has no real incentive for example, on trying to keep an healthy society, because since it's a business, the more sick they get the better the profits are, that's why they have such a morbidly greasy population. Where France for example, has by LAW food nutritional values displayed in every package, and they have tons of restrictions on junk foods too. America has a lot of things going right for them, sadly their healthcare system isn't one of them. Happy to live in Europe...
"The cost of the US system are not just high, they are profits " pure bullshit. in europe we pay 12-15% of ur salary as healthcare tax. if u pay same amount in the use as insurace u will get better service and also u will get "free" helatcare for ur whole family.
@@hshaughnessy17 ... while even the ex president admitted that they are not the best and greatest. or if they were the best and greatest, how could he have success with the slogan *_"make america great AGAIN"_*
@@Anson_AKB Did I say all of my fellow Americans? All you have to do is ask people. Many Americans are clueless about the rest of the world and just assume we are the best at everything.
My wife worked in the US hospital system. Told me of patients being bankrupted. We are in Australia and next month I will have open heart surgery by a top notch surgeon in the biggest cardio hospital in the southern hemisphere. Have had to wait 4 months because I have no insurance. Cost $0.
The Americans are being brainwashed into thinking the USA is the greatest, best, richest country on this planet. But the rest of the world knows that it’s not true. I lived in Europe for 42 years, then move to the USA. Here in the USA I have the feeling I’m living in a 3rd world country with uncivilized, uneducated people.
I think other factors also contribute to lower life expectancy (e.g. loving to play around with guns, or social injustice and pressure leading to more drug problems) but I guess health care is a huge part of the problem as it's less accessable to those with more health problems.
@@andreasprucha1451 Yes, healthcare. But also the quality of food. Europe has a very strict food regulation and food laws. Most in the USA processed foods are illegal to sell in Europe, because of all the unhealthy and almost poison ingredients.
In Portugal the healthcare system are owned by the government, anti-profit, and our army produce meds that the world pharmaceutical industry refuse to produce for not being that much profitable. Our main hospital doctors can order to the army some meds that fit in the med goals but the industry dont produce. Our universal free health care system are paid by indirect taxes. Here foods and drinks that are not healthy have higher taxes, so we pay our treatment before we get sick from our bad diet. The world should learn from this tricks... Alchool, fat, sugar, salt, the government under doctors guidance define measures and healthy food and drinks pay or 5% of taxes or 23% of taxes... -.,-.,-.,-.,-,.,-,.-.
You misunderstood. "Life expectancy beyond pension age is bad. Really bad. All those old people really hamper you're economic growth. The second the stop slaving for the billionaire donors, they really hurt the country. almost treason, living past your active work life, you're helping china catch up." Unofficial Policy of the US government. The two parties and the elections are only a smoke screen. Of course the always pretend otherwise, blame each other, etc. (Yes, even the think tanks don't actually write it like that. But they do make lobbying / policy for that objective).
In Portugal the healthcare system are owned by the government, anti-profit, and our army produce meds that the world pharmaceutical industry refuse to produce for not being that much profitable. Our main hospital doctors can order to the army some meds that fit in the med goals but the industry dont produce. Our universal free health care system are paid by indirect taxes. Here foods and drinks that are not healthy have higher taxes, so we pay our treatment before we get sick from our bad diet. The world should learn from this tricks... Alchool, fat, sugar, salt, the government under doctors guidance define measures and healthy food and drinks pay or 5% of taxes or 23% of taxes... -.,--.,-,.-,-.,.-,,
That’s just not right. In Australia, if you need cancer treatment, it’s zero dollars (The Australian Government provides financial support for cancer treatments under Medicare and PBS). And you also get prioritised if it’s urgent.
How awful to get cancer and have to worry how to pay for treatment. I am a cancer survivor thanks to the NHS. Ten days after diagnosis I had my surgery. Can’t complain. The NHS may have long waiting lists for routine appointments but you can’t beat it for urgent care
@@k.vn.k And it even works this way with private insurences - We Germans actually have a public compulsory insurance for most people, wich is hardly regulated by the Fed... It basicly works out pretty good as well. We're not the best in life span, but I guess, that problem is more based on a too late retirement age =D
The disconnection you mentioned in min 9 has to do with social justice being different from charity. One has to pay one’s fair share of tax so all society can function properly. Moreover, companies can never be considered a citizen. Companies must serve society, not the other way around. Cheers, Rayan.
@@jennienoppers210 Paid by customers. Charity associations ensure that citizens have nothing to say about how it works, who is helped, etc. Charities are therefore funded a) by small donations and the thousands of people have nothing to say b) by big donors who follow their whims and people have nothing to say. On the contrary, social services are controlled by elected people. Therefore the responsibility comes from the voters. This is very difficult for Americans to understand. There are many reasons for that.
Agree. IMO: Charity is important - but the need for charity always signals a failure in public social security. IOW: Charity is needed to fix failures of the government. About "Companies must serve society".... well: That sounds great, but I think it's far away from reality as their primary goal is to serve their owners. I think when we are more realistic about that politcs also turns better: Companies are here to serve their owners, not their employees, not their customers and not the society. I think when we realize that politics becomes better as we do not expect unrealistic things anymore.
Charity concept is the opposite of "social justice" - there's no justice in it anyway -. Charity is voluntary by some people, "social justice" is compulsive by the government that has unlimited legal force use. This video rolls into a fallacy. Assumes that just showing a ranking of healthcare by country without explain evaluation basis, and taking the WP as trusted.
We are allowed 13 weeks approximately it will go over most companies may not sack you if you have a medical reason. They will let you go but you still have support from the state.
In Portugal the healthcare system are owned by the government, anti-profit, and our army produce meds that the world pharmaceutical industry refuse to produce for not being that much profitable. Our main hospital doctors can order to the army some meds that fit in the med goals but the industry dont produce. Our universal free health care system are paid by indirect taxes. Here foods and drinks that are not healthy have higher taxes, so we pay our treatment before we get sick from our bad diet. The world should learn from this tricks... Alchool, fat, sugar, salt, the government under doctors guidance define measures and healthy food and drinks pay or 5% of taxes or 23% of taxes... -,-.,-,-,.-,-,-.,-,.-
@@ricardoxavier827 With the exception of the military producing medicines it's exactly like the Norwegian system. Paid for by taxes, free when used, half the price of the US system, twice as effective.
@@dadaistaingegniereWell, I used the OECD data, not OCDE ;) And those datas are in agreement with other datas from other sources like the UN and WHO. Just because some datas doesn't fit your narrative, doesn't mean they are not correct.
@@Valfodr_jr It's not data itself, it's just the arrangement of it which OECD sometimes gets funny. I'm not interested on "narratives". They put up rankings and other conclusions without clear metodology.
I'm a 66-year old retired Canadian who has minimally utilized our healthcare system ... till 2-years ago ... when my body developed a fairly rare blood disorder. At that time, I walked into an emergency department in a small mountain town of 8,000 citizens and since then ... a medical team ranging up to 10 professionals has/was assigned to me. During the past 2-years I have had: monthly bloodwork, monthly primary caregiver meetings, 2 ultrasounds, 1 EKG, 1 ECG, 2 x-ray imaging sessions, 1 nuclear medicine session, and 2 CaT Scan sessions. In addition to these tests I have been assessed by specialists including an ENT, a Rheumatologist, a Dermatologist, a Doctor of Internal Medicine, and most recently an Ophthalmologist. Now in this coming month, January, I am scheduled for an MRI, an Electromyography (EMG), and a Dilated Eye Exam. I am sure I've left out a few events but you get the idea of the kind of healthcare I am receiving. Now, here is the kicker ... I have no idea what this cost as I will never receive a bill ... for world class healthcare provided by exceptional care givers. Canada provides one of the best healthcare systems to its citizens because we as a nation believe healthcare is a right ... not a privilege.
I'm in Canada also, and have gone through a lot of the same things. I have a rare neuromuscular autoimmune disease with comorbidities. I've been in and out of hospital since 2006, more tests than I can even count, several done over and over again to track disease progression, I worked until I was 33, paying into my social security and now live on Canada Pension Disability I come, which is considered below the poverty level, but i still receive the best care from a team of doctors, that even includes a psychologist & psychiatrist, because being so sick with the possibility of dying, really messes with your mind. I've seen all kinds of doctors over the years. Opthalmologist, nephrologist, urologist, cardiologist, internal medicine doctor specializing in autoimmune diseases, psychiatrist & psychologist, neurologist, dietitian, occupational therapist, dental specialist, have had more test like CT scan, MRI, tons of x-rays, endoscopy, colonoscopy, EMG, EEG, EKG, PFT, ultrasounds, cystoscopy, I have IVIg treatments every 8 weeks, labs once a month, a port surgery, port flushed on the off 4 weeks I don't have IVIg (because they have to be flushed every 4 weeks), and medications up the wazoo. All I ever have to pay for is 37 dollars a month for one of my prescriptions for a medications that is for seizures but because I use it for off label use (gabapentin for nerve pain) it's not covered under the NLPDP. All my other medications are paid for. This is all from a mixture of provincial health care (MCP, NLPDP) and federal (Canada Pension Plan Disability benefits). 37 dollars a month. So for those who think our health care system is a joke, think again. Yes, we pay very little more on taxes. But what people don't realize is we also get a lot of help from the taxes, and not just medical. We have the child tax benefit monthly, GST rebates every 3 months, lower cost for childcare, government programs for almost every person you can think of, even a new climate action incentive plan that we get a rebate for every 3 months. Canada has its issues, SOMETIMES we have longer waiting periods, but if you're waiting longer, it's usually because you're not as I'll as someone else who needs to get that procedure or test done sooner. I'll take all that any day over what would be happening to me if I were in america. In face, I'd most likely be dead by now.
Spanish woman here. When I and my family moved to the US 8 years ago, there were some cultural shocks, which is normal. The biggest one, was how people were perceived more as potencial customers than just people. It also caught my attention how many “go fund me” I saw and how quick and well normal people responded to them. In my Spanish mentality an alarm said: “But that is the duty of the government, state or federal, to care for their citizens and use part of the taxes to do it.” Wrong! I’ve learnt that most of Americans accept it as a way of how America do things differently, and if you pay for something it makes it better. It’s the same with the cost of high education, unaffordable for too many. No surprise that so many Americans that move to other countries get stunned by their effective Healthcare system, transportation, education and quality of living, among others.
Yeah, this might be a thing - Hospitals in Europe were mostly run by the churches a long time and no one would have accepted commercial hospitals. Germany tried this, but even the strong reactionary Bismarck had to introduce a semi-public and basicly social-democratic health system, where no one does have to fear not to be able to pay if he becomes sick...
Born and raised in Sweden, I can only shake my head at the American system. In Sweden every time you go see a doctor you pay $25 and when reaching $130 you don't pay anything more for the rest of the year - the rule is maximum $130 for public health care during 12 months. Same with medication - when you reach $250 you don't pay anything more for your medication for the rest of the year. Staying at a hospital is $12 per day. So yes, one doesn't need to worry about being ill in Sweden and I am so thankful for this - definitely makes it worth paying the taxes!
A year ago I broke my toe during my hollidays in USA. I called my travel insurance and they gave me an appointment the next day. The first thing they did was ask me my insurance number and my credit card. I had to argue with them about it because I had a total covered visit. They weren't very helpful because I had to call the travel insurance and made them talk to each other to visit me. They took X-ray and told me that I had a broken toe. I knew it!!! I wanted it splint and something for the pain. They didn't splint it, they didn't gave me anything for the pain (I took the paracetamol I brought in my travel first aid kit and the paracetamol that my friends had with them) or told me how to take care of it and they gave me an orthopedic shoe that was incorrect for my injury and too big. The doctor wasn't very helpful at all because he didn't gave me instruccions of how to take care of my broken toe. The total cost was 490 dollars. For nothing helpful!!! I asked the USA doctor that they gave me the X-ray plaque (I paid for it) and he watched me like I was an alien for asking about the report of a procedure that I was brought under. They gave me a CD (a CD!!! that it's not usable in anywhere because who has CD readers now?) but they didn't give me a medica report. Here in Spain, when I pay for a private medical visit, the doctor give me all the results in writing and the x-ray, ecos... in a suitable support to present to other doctors. When I came to Spain the first thing I did was going to the doctor (emergency room of my family doctor) with the travel bag and without my national medical card. I gave them my passport to indentificate me and waited 35 minuts. The doctor said to me that I had a broken toe like I was aware of and she asked me why I hadn't it splint. She splinted it, gave me instructions to take care of it and to take care of the pain and said to me the aproximate time it was going to be sore. Exactly the same injury but different aproach. Much more helpful the Spanish one because she told me what to do and how to do it. The Spanish Healt System is not perfect, we have to wait a lot for small treatments or illness and to talk with your first care doctor but for important things they are very speedy. My mother has an important illness and they put her in tons of medical tests and had like eleven doctor or nurse apointments in a month. She only had to pay 0,65 € for a pair of boxes of pills one of them that need now and other that has a possibility of needing but they asked her to have at home. I prefer the Spanish system because if you don't have money, you can be treated. I and the rest of the Spaniards pay for the treatments of people with less money or we pay for future costly treatments for us or family members.
These are all facts. The issue with American health are that so far (not finished the video) these experts talk about is, that it is more problems than just the price. Healthcare in America is literally first and foremost, a business. What you got with your broken toe was the cookie cutter of medical diagnosis. If they don't think it's something they can be sued over, they don't care. A copy of the x ray shouldn't even be a thing, fact they couldn't give a splint you asked for, is two fold, they didn't give what you asked for, and you knew the thing you needed more. It's a joke
Exactly why I dread falling ill in the US on holiday. I got ill from a hotdog in NY (I know I know, I should've known better but I was in NYC hotdog from a vendor had to be done! 😂) I had fully comped Travel insurance , the platinum of platinum plans and it was still a nightmare at the hospital. They kept pushing for card details, like you I ended up calling the insurance company to speak directly to them. Admittedly I was given something to stop the vomitting and diarrhea and a drip for dehydration but by god it was an uphill battle all the way.
Hey, I'm a guy from Poland, here at home we laugh at our healthcare system, at how slow it is etc. etc. but I learned a bit about system in the US and I saw one thing about this topic that infuriates me in this WP video that you watched. They say about cost and life expectancy, but what does that mean for people. They are still talking about this from the business standpoint and the problem is that public healthcare is not a business in Europe it's service just like police, fire department or military. They talk about finding a way out from the system that from the get go is cancerous in nature. If your government don't reform entire system from ground zero, abolishing healthcare as a business route it will never reform into a healthy organization that will not suck your blood like a bloody vampire. They talked a lot of BS about nothing and nothing will change bc you government is and still will be in the pocket of the wealthy bc your entire country is constructed as a colony for the corporations and not a place for living, breathing people. Yes we have in Europe healthcare businesses, but even if you are a member of this private healthcare organization you can still use public healthcare benefits and even private services are way, way cheaper than in the US bc your system is constructed into sucking dry entire society. It's a soulless machine created by greedy people who doesn't give a damn about anybody except their accountant and even that may be wrong. Edit: There is also one thing. Here in Poland we are a bit more blunt with our words. If we see a problem we call this problem by it's name. We can say that it's sad that such a problem happend, but we try to fix this problem. You in the US are going in the very roundabout way about stuff but that born patologies like "+size" movement and other stuff that you should call by it's name and kill with fire in the origin, but you were taught differently. Being open about certain topics don't mean being rude, it means that you care. Sorry for interpunction mistakes if there are any (and I think there are).
@@stannumowl that's true, when you are really in need you don't have to worry about money or going bankrupt. You can pay to make certain things faster, but it's not a crazy money, at least until they don't have to open you bc that may be costly even for us to quicken the procedures.
Currently, 12 million Americans have been thrown off Medicaid (health insurance for poverty wage earners) since the beginning of 2023. This savage budget cut was to make way for record military spending. These low income earners are being tossed to the wolves of the private market. If you live in the US you've undoubtedly seen the deceptive commercials offering bare-bones policies to these newly uninsured. These people (the bottom 20%) will likely live ten to fifteen years less than high income earners who can afford nutritious food and quality healthcare.
Interesting vlog! Just thought I would share: I am a septuagenarian living in a Canadian province, who has had a number of medical issues over the past 4+ years, including COPD, (flare-ups of which have put me in emergency rooms on a NUMBER of occasions), gallstones and an aortic embolism, ALL of have been expertly treated and which have cost me ZERO dollars - aside from the required medications. WRT the latter, (as an example), as a senior citizen I have complete coverage for meds (at ZERO cost) for which I pay the bare minimum: I need a medicine for my COPD - an inhaler taken every day - which for 90 days costs me approx and which, without government coverage, would cost me !!!!!!!! The US needs a government with the cojones to spend what is needed to start looking after ALL of its people, not just those that can afford to be cared for - THAT is true democracy.
@@ThorDyrden Here lies a central problem. The truth that no one wants to speak out loud in the U.S., I am afraid, is that the people do not believe that everyone is worth the same care, rights or concern. That comes from a lifetime in ministry, talking to people about these kinds of issues, and unhappily seeing a widening gap between the idea of self-promotion and caring for one another. I personally think this is tied to our religious belief in Capitalism. While we could be a society that agrees to take care of each other, where everyone is entitled to the same and equal rights, and still practicing modified capitalism, we choose to be hard-line capitalists accepting all of the harsh outcomes for those at the bottom. We are a winner-takes-all, kind of people, it appears.
As a Canadian who recently cared for his senior mother in his house as she was in the final stages of pancreatic cancer, I learned to appreciate our system in a whole new way. Not only were her medical care and medications covered, but so were daily home visits by nurses and PSWs, all necessary medical devices and mobility aids and even a few small quality-of-life home improvements were covered 100% through the palliative care program. She didn't want to spend her final days in a hospital and because of our palliative home care system, she could spend them with me in my home, and it didn't cost me or her a penny. I can't express how grateful I am that I live in a system that made that possible.
@@JeroenJA een huisarts bezoeken is gratis. De voornaamste reden daarvoor is om het bezoek aan een arts zo eenvoudig mogelijk te maken en ernstige ziekten tenminste snel herkennen.
@@spvdijk tja, ik betaal in belgie.. 4 euro remgeld denk ik? dat ze nogal druk bezet zijn remt veel meer af.. online afspraak maken lukt vaak maar 2 a 3 dagen later, en als 't dringend is kan je bellen voor gaatjes die ze vrij houden.. in NL genoeg huisartsen om wel heel vlot dag zelf nog te kunnen gaan dan? tandarts nog erger.. afspraak maken voor volgende jaarlijkse of halfjaarlijkse controle = ah, binnen 3 maanden kan het nog eens.; allemaal sinds corona, maar wachtlijsten lijken maar deels te blijven.. kwetsbare, van sociaal tarief enzo krijgen denk ik zonder remgeld, maar als 4 euro je tegenhoud als werkende..
I think if you discount the cost and just look at the quality/outcome of healthcare the US still comes out pretty low in any list of developed countries.
But lots of profit for healthcare providers which are funding political campaigns... The issue in the end is not healthcare system. At the root of it all it s about corruption and how politics are financed. Corruption rots the healthcare systèm, but not only. It also ruins the education, the construction, infrastructures, research etc... Things aren t done for the general interest, but for the earnings of a few.
PREVENTION: If You catch cancer in an early stage You live longer and better, if high blood pressure is detected early, You live longer, if You know You have diabetes You live longer. AND Healthcare is a right, not a charity
Thanks, left-wing know-it-all. Bismark had NOT granted statutory health insurance as a right of the population, but as a defensive tactic against socialist unions. Secondly, this only affected a small minority of around 10% of the population@@mscheuer1977
@@h.becker2129 Common sense, and it is cheaper to have 10000 tests, instead of one operation. The person in question lives longer whilst in US life expectancy declines
Healthcare should be free of charge for people with a low income. In Spain, healthcare is free and there are very modern hospitals. In the Netherlands, it is mandatory to be insured for healthcare. If you are poor, then the government gives you an allowance to pay for the insurance. When in Europe, someone wants to criticize healthcare, people talk about 'American situations', which means as worse as it can be. Healthcare has to be accessible for everybody, not just for ones, who can afford it.
Here in France I had an hernia which demanded invasive surgery. Whilst waiting for the operation I had to have emergency heart surgery and was also diagnosed with leukemia. Hardly ever been ill in my life then was hit with this all at the same time. Treatment was superb, integrated and cost me nothing above what I paid on a monthly basis. I have a friend who lives in New Jersey. He had COVID, has insurance, wasn't hospitalised but still received a bill for $12 000. Work it out.
I grew up in Switzerland, but unfortunately moved to the USA a few years ago. I had to have antibiotics, what would of cost me in Switzerland approx 40 CHF. In the USA the same antibiotics costed me 800 USD.
And yet many Americans will tell you that they have the best health system in the world because they are the best country in the world, the most free country in the world, the .........God bless America!
Just to mention about that “Red Cross” flag. It’s a tribute to Switzerland who was very advanced in healthcare. The Red Cross flag is the Swiss flag reversed.
@@DanMarksmanYou're right. Henri Dunant was from Geneva Switzerland and funded the International Red Cross. In Italy he assisted at the bloody battle of Solferino. He witnessed that all injured soldiers from the both sides were abandoned and let to die. He also saw that civilians, common Italian people try their best to help them. Here's the roots of the International Red Cross.(still in Geneva)
I can go to doctors / hospital with out going bankrupt. I pay a % out of my weekly wage. This covers me and anyone in the Uk 🇬🇧. A member of the family had hart attack. Before I new anything about it they had 4 stint and was in recovery it did not cost us a penny. As the big saying is free at the point of need.😊🇬🇧🇬🇧🇬🇧🇬🇧
Went to the opticians (Thursday). Diagnosis- Potential stroke. Sent to A&E (Emergency room) immediately. Bloods, ECG done etc.. Dtr. referred me to the stroke clinic today. ultra sound done on neck… Brain consultant happy it definitely wasn’t a stroke & referred me back to the options for an ‘Eye problem’. The NHS was fantastic!!! I’m celebrating with a festive glass O vino tonight!!… I’m Irish btw… I pay Uk taxes.
@simonman3042. Pleased to hear it wasn't a stroke. I agree about the NHS. It annoys me when people moan about it when it could be like US system. Enjoy your glass of wine.✌🍷
My 88 year old father spent 4 hours waiting in NHS hospital…and he had an appointment. My mother had to wait 5 months to see a knee specialist because she can hardly walk and is in excruciating pain, eventually when she saw the specialist he told her the problem was with her back and there was nothing he can do. Now she is waiting again for a consultation while in severe pain. NHS is free and shit.
I am so sorry Paul. Our experience is the polar opposite! I sincerely, wish your parents, love. Keep the faith mate,& don’t fucking give up! Sorry, Irish express themselves in unusual ways. God bless you, Ma & Pa xxx
Here in Australia, I would rather wait for elective surgery for a few months then go bankrupt trying to stay alive. Emergency or life threatening injuries/surgery is a priority here in Australia... Here we DO go to the Dr if we need to, not ignore our health until we die because we cant afford to get health care to save our life! Its all perspective - free health care with a waiting list or just dont go to the Dr and die or go bankrupt!! Take care and stay safe. Merry Christmas/Happy Silly Season from Australia - Cheers. 🙂
9:24 The answer to your question, 'how many people support the system?' lies in the election results, in the last decade one party tried to change your system and lost the next election to the orange man.
I believe it is much more nuanced than only election results. - There are lots of reason why the orange man won from the b*tch. During the campaign, Obamacare was certainly not the major issue . - The orange man tried to drastically change Obamacare but Congress (with a Republican majority) only approved a watered down version of his original proposal. - Polling has regularly shown the vast majority of Americans to be in favor of universal healthcare. It seems to me they want it but are not yet able to come up with an acceptable compromise. It does not help either that both political parties are too busy with fighting and dividing.
And you can also find enough US American negative comments in the comment sections of the videos with the topic, such as: "I don't want to pay for others", "The taxes are then way too high", etc. However, if you try to explain that the American system also pays for others or that you should add the costs of health insurance and schooling to your tax expenses, you will often be insulted rudely. And some also forget that the (targeted) donations in other countries are lower for the donor because a large part is already regulated there by the “state-organized donation distribution” (taxes/social expenses). ;)
In Portugal the healthcare system are owned by the government, anti-profit, and our army produce meds that the world pharmaceutical industry refuse to produce for not being that much profitable. Our main hospital doctors can order to the army some meds that fit in the med goals but the industry dont produce. Our universal free health care system are paid by indirect taxes. Here foods and drinks that are not healthy have higher taxes, so we pay our treatment before we get sick from our bad diet. The world should learn from this tricks... Alchool, fat, sugar, salt, the government under doctors guidance define measures and healthy food and drinks pay or 5% of taxes or 23% of taxes... -.,-.,-.,-.,-.,-.,-,.
But in the Australian system, where people can take out insurance, you can go on the public system and wait in line, or you can go privately and get a much shorter wait time. And you can ‘go public’ even if you’re insured, and pay nothing - if you’re not in a hurry. If something is urgent, you’re treated immediately, no matter what.
In Germany it is. Health insurances pay up to 80% I think If people join a socalled prevention sports class eg Nordic walking, Yoga, courses for making the back Stranger and nutricion courses if obese or having (risk) of diabetis.
I live in Australia. My partner needed both hips replaced a few years ago (chronic arthritis). We went through the public system so there was some wait but nothing ridiculous. Top of the line implants installed by excellent surgeons. This upgrade cost us nothing. In the US, total surgery cost without insurance runs at about $45k each.
But you can also cost in the hospital stay, they medications, the physiotherapy costs, the x-rays, etc and their medical costs are way higher. I'd be surprised they'd see much change from $250 000.
You are absolutly right. In US you have one of the best hospitals and threatments in the world but the problem is the price and how they monetize Healthcare. People in US complain that they dont want to pay for other people healthcare and insted pay for insurances (or companies does). But if half of that money were paid in taxes (insted to Insurance companies) the govenrment would be able to give free healthcare for everyone. And no, thats not some socialism/communist bullshit Americans claim to be. Most of developed countries in the world have freee healthcare for their population and they are not communist regimes.
An insurance (even in the US) is nothing else than spreading the cost and risk to many people. You can't pay yourself for your medical treatment if you are not rich (then you don't need insurance) and with these high costs in the US. Even there the remaining of the cost is divided onto other insured people who don't get sick. You alway pay for others if you are not sick. Otherwise the system wouldn't work. The gamble of the insurance will only work with enough participants. But in the US they are just private businesses who want to make profit. And anybody else, too, which leads to completely irrational prices (maybe $100 for an aspirin at a hospital). In other countries these profits are limited or it gets organized completely by the state. And the costs of treatment are limited and negotiated on a large base.
Disagree with this. Because your hospitals are run by private companies they run at a profit , how can it be better , to hospitals where the tax payers have full control .
@@eucitizen78 For the non religious or non christians.. it has to do whit a misunderstanding of how it works in other countries ( they think its communist) They also think they pay a lot less in insurance than we do in taxes.. which is not true.
Thailand makes billions of dollars per year via medical tourism. They have modern hospitals and technology, and the price is way below that of America. And for many medicines a prescription is not needed. It is possible for Americans to take a holiday there and combine it with medical treatment, buy a supply of medicine to take home, and save money. Thai dental treatment is also also very popular with tourists.
Thats another problem US has, theres no such thing as holidays. In Europe people have +20 days per year of vacation, i dont think US citizens have that right. Everytime i think about how US citizens could live if they had Europen rights, would definly the best countrie in the world to live.
This price drop can be found all over the world. In Europe dental treatment in the eastern states (Hungary...) is much cheaper. You find advertising for the trip and treatment all over. The wife of a friend needed a lot to be done and took that route.
except that relevant meds cant be carried this way, am pretty sure because I have seen a brazilian comrade getting fukt @ usa airport for bringing our crystalia 10mg methadone tablets
Ho yes... Sorry it's a poor proposal. How many Americans can afford it? Not the people who desperately need help, the poorest. Btw if you have cancer... Don't work...
Fixing the potholes of healthcare with charity is a concept of monarchies and dictatorships. Having healthcare provided to everybody is a sign of a functioning democracy.
One thing to bear in mind is that in the UK everyone is covered by the NHS, but there's nothing to stop those with the means from "going private" to pay for their own health care, either with private health insurance (eg BUPA) or paying one-off costs for private operations, etc. They still pay for the NHS through taxation, and they can still access it, but if they want to jump with the waiting lists or have a nicer room to themselves whilst they stay in hospital they can. I view this as a good thing, as those people are removing themselves from the NHS waiting lists but still supporting the nationalised health system for those that need it (which may include them if their circumstances change as they sometimes do in life).
In the USA you have access to the best healthcare in the world. Just like I have access to my local Jaguar dealership. Having access to something is pretty pointless if it takes a shit-ton of money to get it.
I've seen and tried several European health systems over the years. They were overall efficient, relatively fast, quite competent and very cheap if you went through the correct process when registering. I am especially grateful I am French. There might be some problems , but the national system is still fantastically good in my own experience - that goes for my kids as students or my parents at the end of their days, or very sick friends or relatives with life threatening pathologies. Giving birth was a joyful, stressless experience both times , I trusted the system and loved the different choices I had with next to zero cost. Neddless to say, when we plan a trip to the US we take no chances, and subscribe to a special insurance, just in case we have a health problem. I've heard of so many horrifying stories of people not seeing a doctor when they should, because of the cost, to the point of dying from lack of basic care.
There is another American UA-camr (can‘t remember her name) how lived and worked in Germany but comes from Florida. In one video she said: when she’s feeling sick it‘s cheaper for her in FL to take a taxis to the next airport, take a business class seat, fly to Munich and take a taxi to the next hospital with her German health care ID. And the treatment is not worse. Somehow I saved this analogy in my mind. I think this describes the „problem“ with the US health care quite good. On the other hand there are a lot of top experts working in the US. But where is the benefit if only a fraction can afford them?
Yeah, the US Hospitals are not better in average. They do have some pretty good specialized stuff, you might find in Israel perhaps, not that much in Europe - I would argue, that in most cases, the European treatments are actually better than the US, but they might not be as good in the high-end.
@@bugfisch7012 here we have some specialized centers but not as many as in the US. Im my neighborhood we have a little boy with some serious disabilities. There was a crowdfunding to send him to the US for a specialized treatment. So it seems there is no one available here in Germany.
I suffer with Parkinsons and in the UK prescription cost £9.65 per item . I need 5 different medications a month £579. yearly. instead i purchase a Prescription prepayment certificate for £111. The NHS is not brilliant but at least we have something that people can go to when they are sick and not worry about how much it will cost
I really think it needs to be pointed out that if your health situation becomes an emergency you're seen immediately. Waiting List or no waiting list. When my gal bladder acted up very badly and I was constantly throwing up and in so much pain I was in tears to the nurse on the phone Saw a local doctor who gave me enough pain relief so I could cope with getting to the hospital. Was kept in and examined and had my gall bladder removed through a laparoscopic surgery a few days later, then had a few more days in hospital afterwards to recover enough before I was sent home. Bill I had to pay £0. I had excellent care. I'm from Scotland
An insurance is a way to split the cost for future expenses with other people. The more people who pay for the insurance the lower the cost. If the government is the insurance company the whole population is splitting the cost.
You did it again, this time too you touched on an obvious truth starting from an assumption of ignorance :) The international red cross is a medical institution founded by a Swiss philanthropist, the logo that made it recognizable was the Swiss flag with reversed colors . Over the course of a century, the red cross has become synonymous with healthcare in the collective public imagination.
This was taught in Primary School here in the UK, it's also why medical kits have a white cross on a green background, green because that's an emergency medical colour. For example here in the UK, BASICS Doctors that respond to Emergencies, and Hospital Mobile Trauma Teams use green lights, uniforms, equipment, etc.
All new games you will never find the red cross logo on med packs because the Red Cross is extremely trigger happy and will sue any company using their logo without authorization, and they have never given permission to a videogame company.
I'm Canadian, and most of us are assigned a family doctor. I never had to wait long for anything. If I have a problem, I would call my family doctor's clinic for an appointment. If it's an emergency, another doctor will take me instead of my family doctor. I never go directly to a Hospital emergency where you can end up waiting for hours. Such a piece of mind to be a Canadian.
I live in the UK and words cannot convey how grateful I am for the NHS. I've been in hospital 4 times in the last 10 years, and had 3 operations. The fact that it's all taken care of is just amazing. I got a taste of what Americans go through when I was in Switzerland and wounded my leg, snowboarding, it cost £750 to have an x-ray, and 28 stitches put in. Ouch. I'll also add that, we don't have to wait for anything that is critical. However, when I had my hernia operation, I had to wait 3 months. For comparison, when I severed my tendons in my hand, they were fixed within 3 hours. ❤
Are you serious?! First of all the Swiss earn more than you brits and pay less taxes. (I’m a German but live in Switzerland.) Second, you do not have insurance in Switzerland. In most countries you pay more than if you’d be a resident. In Switzerland you’d have paid 1/10 or nothing of what you paid, depending on insurance and hospital
Many hernias can be conservatively managed so a 3 month wait may have been appropriate depending on your particular case. NHS will sort you quick if you need to be sorted quick. The problem is must people have no idea what actual urgent cases are. £750 for an x-ray is outrageous and I'm guessing must have included other costs as well. Here in the UK £750 is around what a complex MRI costs the NHS.
@shorey66 - you’re right, it did include other costs, like ambulance and meds. Those living in Switzerland would pay 10-20% of that out of pocket (because they have insurance, and depending on insurance plan). The swiss also earn more than the British (as seen in rankings) and pay less taxes. In my home country Germany the NHS is represented as “being in shambles”….
@@ManuelSteiner it definitely isn't at its best right now. However that's less a product of the system itself, more of 13 years of deliberate underfunding
The reason why the Swiss flag looks like health symbol is because Henri Dunant, the founder of the Red Cross was swiss and he just inverted the colours of the Swiss flag as the logo of his organisation.
I'm French. My take on healthcare is the same as the majority of people in the country. If I can pay a little of my salary every month so the children are healthy, my fellow citizens are healthy and the elderly who paid for me when I was younger are taken care of, hell yeah I am happy to do it. Our values are Liberty, Equality, Fraternity and we are pretty proud of it. If I'm not using the healthcare system myself that's great, it means I am healthy. But when I need to, I am feeling taken care of by the entire nation. And it is great because even if I am vulnerable, I feel safe. I don't know what it would be in the US, being sick and vulnerable but also stressing over the cost of healthcare.
according to the waiting lines being long... you gotta differ between what issue you're having. if you need a knee surgery after an accident or something like that, its NOT the case that you have to wait 8 weeks for an appointment (speaking out of germany here btw). but if you want to see a specialist just for a routine like checkup (like an oculist that you should see every few years to get your eyes checked) it could take a few weeks until you get that appointment because in cities those specialists are kinda rare, so that the patient vs available doctor ratio is so one sided that it automatically leads into longer waiting times. but as i said before, any kind of emergency or imminent issues that require you to see a (specialist) doctor or a hospital usually dont take you too long to get into.
There's a life expectancy gap of 8.5 years between Americans with and without a four-year college degree, according to a Princeton study in 2023. (A college degree is proxy for socioeconomic position, i.e: wealth.) This gap was just 2.5 years in 1992. Those who have obtained a higher education can expect to live to 83.3 years of age. The two-thirds of Americans without a bachelor’s degree will see, on average, life end at 74.8. *Summary: life expectancy in the US is most strongly correlated to wealth.*
😂😂😂 so you're saying a famous university is making a study about life expectancy and somehow the results are magically showing if you have a degree you're likely to live longer 😂😂😂 great marketing tool!
@@BP-of5cp Please read for a second time what I wrote. This time pay closer attention to this sentence: (A college degree is proxy for socioeconomic position, i.e: wealth.)
@@cygnusx-3217 and please pay closer attention to this part 😂😂😂😂 That little face there indicates someone having a bit of a laugh. Wow that degree didn't certainly help you...
We know that education does have a relationship with wealth. With wealth people have better access to health care. Those on the poverty line or just above May not have access to any Co-funded insurance for health care. The lack of access to health care generally has a stronger correlation/causation with life expectancy.
About the time you need to have proper treatment, I would like to share personal experience in France. My mom had a lung cancer, really small. She went to several hospitals to check with surgeons what can be done, since it was so little at that time and they were not sure if it was really cancer. Some said she could wait but she prefered to have it removed quickly. She chose one of the best surgeons in Paris (Montsouris hospital) with a very modern technique not performed everywhere (non invasive surgery, a piece of 10 cm was removed in her lung and sent to labs to confirm it was a tumor). She went on Monday morning for the operation, went back home the next day because she was doing well. Everything was done between February for first investigations, April for operation and May at home for recovery. She went back to work in June.
just to clarify...in the EU you automatically pay health care from your salary + the company also automatically pays another share for you and you have state and private insurance and it's up to you which one you choose
Yep, and we still pay less. I just checked and was surprised that US budget spending almost the same money per capita for that as the Swiss budget. P.S. I'm from Poland and honestly both numbers looked ridiculous for me
I live in The Netherlands and we have a system of mandatory health insurance provided by commercial insurers. The government decides about the content of the insurance policy and the insurance companies decides about the monthly premium. Every year you can change insurance company to go to a cheaper one. Your current health insurer needs to offer you a new policy with the costs before December 15th. You’ll have to quit your current insurance policy before December 31st and contract a new insurance policy before February 1st. I’ve done that a few times, I pay about €140/month and next year I pay about €150/month, that’s including an additional insurance and a dental insurance. I have the minimum deductible of €385 to the maximum of €885 in order to pay a lower premium and I pay in one amount in January instead of monthly so I get another 3% deduction on the premium. I think the system works relatively good, but there are some hiccups like in every system, but we do have one of the cheapest systems in the EU. And if you are too poor to pay for the monthly premiums, you get a monthly subsidy from the government’s tax office to help you pay. Because it is a mandatory health insurance.
@@stannumowlDo not look at absolute numbers. Relative to gdp is the only thing that makes sense. Swiss have much higher salaries in general, so doctors + nurses etc. have much higher salaries, too. Relative to GDP: US 18.8%, Swiss 11.8%, EU 11.3%. Used to be different EU was much lower in the past in comparison (something like 8%?). But think, with Covid, they politician could no longer underfund things.
@@beyondEV I know, I choosed Switzerland on purpose. If I'll tell about Lithuania for example it would be obvious that they spent less money. So I choosed a country that is noticeably richer than the US to make everything obvious.
16:24 wait times are long for minor conditions which don't affect your life too much. if it is something serious that makes you unable to work and lose income, or is life-threatening, there's no wait time. Not to mention you can always switch to private if you don't want to wait, which are still cheaper than the US.
My Dad died of a brain tumor. During his attempt to fight his cancer he had multiple surgeries and was on medications and Chemotherapy where some of the shots he was receiving cost more than $10,000 a pop. If we did not live in a country with socialized medical care my Mom would have lost the farm trying to save Dad. Her final bill for Dad's care was $0 (they had no extra medical insurance coverage). Mom sold the farm for a good price, bought herself a nice house in a gated community and has savings to live on as an independent adult. None of this would have happened if my parents lived in the states. Thank-you Tommy Douglas (my Grandma worked on his election campaigns as a secretary and she worshiped at his church).
Triage is important. If you need care right away in Canada, you get it. If you can wait, you might have to. This is decided by medical professionals, not politicians or accountants.
About expertise: Finnish doctor Sakari Orava is the man whose phone rings when the world's top soccer players or track and field athletes are injured. David Beckham, Paul Pogba and Haile Gebreselassiek have landed on his operating table. Since the 80s, the world's top athletes have come to Finland for surgeries. It would be best to ask why?
Ryan, waiting times are usually a little longer for the non-life threating surgeries, but you will get straight in for emergency care when your life is on the line. Most countries have a level of health insurance to speed up the wait times, but life threatening surgeries and care is free and of the highest quality. What America does is monetize ALL the healthcare system, including those dying. FYI, in Australia, our Doctors providing the emergency care are funded by the Government and the elective side is privatized. There is the elective side of the Government services but these are usually where the waits are. FYI, top hospital cover + extras is about ~ $7500 AUD which is ~ $5000 USD per year. These can be paid weekly up to annually based on pay cycles, etc. Remember, this is the highest level of cover, most will be on a much lower level as the services won't be used, like child birth, etc.
In Britain, hospital doctors are employed by the NHS full-time or part-time. Some Consultants choose to work for the NHS four-ninths of the time, or seven-ninths of the time, and get paid by the NHS pro-rata. They may choose to practise privately for the rest of the time (or spend time on the golf course or go on weekends to Marbella).
The thing is the system in America is not broken. It is working the way it’s supposed to. The system in America is just not intended to benefit the patients.
In the past (30 years+) a lot of our entertainment cane from the US and there was this trope about babies born in taxies. Only recently I remembered that and quickly figured out why this only happened in movies from the USA. Because an ambulance costs so much and people rather drive themselves or call a taxi. In most other countries an ambulance costs little to nothing. if you need it, you get it. And I don't know in how many cases that saved lives or at least long-term health, because the people reached the hospital quickly enough.
Ryan, you question prevention. My Belgian doctor and considering my age, said I should have a scan made. So I did at a reasonable cost. The scan showed that I had serious restrictions in my artery and should urgently have stents placed. Which happened years ago and so I am still alive. That is called "prevention".
Out of all the the American reactors i watch, this man finds it the hardest to take the facts. He always has to try and defend his countrys short comings. We are a charitable country. Im not trying to be offensive, but face it, America is declining. It's not the country we thought it was in the 90s. I feel like America was good at deceiving us into believing it was better than it actually was
In Portugal the healthcare system are owned by the government, anti-profit, and our army produce meds that the world pharmaceutical industry refuse to produce for not being that much profitable. Our main hospital doctors can order to the army some meds that fit in the med goals but the industry dont produce. Our universal free health care system are paid by indirect taxes. Here foods and drinks that are not healthy have higher taxes, so we pay our treatment before we get sick from our bad diet. The world should learn from this tricks... Alchool, fat, sugar, salt, the government under doctors guidance define measures and healthy food and drinks pay or 5% of taxes or 23% of taxes... -,-,-.-,-,-.,-,.-.-,.
Some Americans argue about wait times in other countries like it's some blanket truth for every situation. The reality is that it operates using the triage system. If your condition requires immediate treatment, you get immediate treatment, if you have pain in your wrist, you might have to wait a little while. Some wait times need to be shorter but that's no reason to dismiss the whole system. It means we need to expand the system: more hospitals/doctors. No way I'd want US health care over Canadian.
I think countries that have a universal health care system will have prevention measures too. If in the USA you do not go to the doctor until you are very ill that will cause more serious conditions to treat. In the UK we have screening services for breast cancer, lung cancer and problems, bowel problems and you are encouraged to go to the doctor if you have any suspicion you may have a serious illness. By having regular eye tests the opthalmists work with the NHS as diseases may be seen in the eyes. Dentists can also refer to NHS if they find problems i.e. mouth cancers. Prevention is better than cure.
I watched a programme a while ago, and the medical systems from Europe provided a pro bona Health care pop up health check and treatment in some towns of America where there was virtually nothing was available to them
Hi Ryan, regarding the life expectancy graph, you must consider that the health of the person is not only due to the healthcare system, but also to other factors, such as quality of life, work style and conditions, etc.
I had an operation in Tijuana (Mex) and the hospital was full of Americans. One explained to me that the operation cost about 25 times more in his home city.
absolute nonsense! This statutory insurance introduced by Bismark was intended exclusively for unskilled workers in industry, i.e. around 10% of the population. My tip: detention for elementary school mathematics again...actually, compulsory health insurance was only introduced in the early 2000s by the then socialist government Schroeder. Back then there were hundreds of thousands WITHOUT health insurance
One final point, Ryan, is - I don't find our taxes to be excessively more than the average tax bill for Americans. Let me put it this way - our tax doesn't bankrupt us, while it seems your medical bills CAN. Our government wants to keep taxes low to encourage business investment, and spending affordability for working people. I DO use private healthcare as well, and that also doesn't come anywhere near bankrupting me.
The Triage system in most countries is based on need instead of wealth. If you need a life saving treatment, you will usually get access quickly if not immediately. Non essential or elective procedures tend to have longer wait times. A large bank account doesn't allow you to cut ahead of someone who needs more help than you.
In Germany 7,3 % of your salary is for healthcare. Your boss has to pay 7,3 % too. So: every month the insurance gets 14,6 % of your salary. The last 10 years I was 5 times at the hospital or a doctor. If I had to pay it directly it would be cheaper for me. But with my money they can help someone with real problems. You can say I care for others and others care for me with our system. But there are a lot things the insurance doesn’t pay... It’s a good system but not so fair for us citizens. It’s more fair for the pharmaceutical industry. Absolutely wrong is that hospitals have to make money.
Wow. I was not aware of that. That’s crazy. In Switzerland I pay 330 CHF per month and I’m in my 40ties. A other reason for Germans to move to Switzerland. 😉
@@SN-bl6xm I’m near Basel. I live in Freiburg ;) There is a private insurance too for ppl with a salary xxx and higher and for ppl with any business. I talked about the social system. Private insurance is a lot more individual
I disagree with your conclusions. This kind of system is fair as it's affordable to everyone (income-based) and those luky to be healthy pay for those not healthy. What many people do not realize: It's very likely that they won't stay healthy forever as they are also getting older I think that's one of the problems with private insurance: They calculate risk-based, so it's usually very cheap for younger people *but* it may turn extremly expensive for elderly people - so at the end a private system turns out more epensive.
only partially true: the contribution is capped above a monthly income of around €5000; i.e. e.g. that someone who makes €10,000 a month only pays 14.6%/2=7.3%. In addition, from this income you can leave the statutory health insurance and choose a private one. .In fact, around 15% are currently privately insured
this is actually true in reality; In theory, priced-in retirement provisions should compensate for the increase in age. Problem: the business model of private health insurance was destroyed with socialist paper money and the zero interest rate policy that has accompanied it, especially since the crash of 2008@@andreasprucha1451
Health care is essentially free in the Nordic countries and of very high quality. If we Norwegians go to the usa we need very good insurance so we can get back fast and safe.
My country, Spain, has been among the TOP 10 in healthcare for a long time now. Oscillating between first, second or, as at this moment, seventh position. Likewise, we are also among the countries with the highest life expectancy in the world. Last year (2022) Spain appeared in first position in the world with an average age of 85,74. It is also the first in blood donors and organ donors... for 27 years without interruption... The average healthcare expenditure GDP per capita in 2021 was 1,860 euros per inhabitant. I'm not going to say that Spain is the best in the world in health care... but I find the list of countries they have chosen to show in these examples quite curious...
A government that has to pay for health care will seek to prevent illness. It will prioritise efficiency, as long as it is adequately effective. Note that if a working-age person is ill, they aren’t working to add to the GDP. So, having UHC is a good idea to maximise production, as well as health.
Bronchitis is considered a serious ilness in my country and one that would render me to weekly checkups at my GP for the remainder of the months. Each one of them would cost me about 2,4 euros in Belgium. That alone says enough.
I had a touch of pneumonia recently, was seeing my GP weekly (which is getting more expensive) weekly blood test (no cost), various x-rays (depends where you go, but mine were zero costs. Organising a CT scan which I believe will be no cost.
A health care system does not only consist of care providing and financing, it’s also about information, incentives and ability for people to be healthy. For example regulations preventing advertising unhealthy foods as healthy. Informing and encouraging the population about healthy habits. The prevention aspect is one of the biggest flaws of the US system. It has close to none. And prevention is generally orders of magnitude less expensive than late treatments.
I had a super healthcare in Switzerland. I payed 330 CHF per month (in my 40ties. The older you get the more you pay). Doctors appointments, ER visits, most medication, MRI pictures, Ambulance, operations, all is covered by your health insurance. I also and two operations of a total of 100k CHF: everything paid by my healthcare insurance. I moved to the USA recently and can’t afford healthcare insurance here. Medication here costs me between 5-20 times as much as what it would cost in Switzerland. I have heard of Americans who have a healthcare insurance and they still have to pay thousands of dollars on ER visits or operations. It’s crazy here in the USA. I’m now considering moving back to Europe where I can have good healthcare.
Sounds about right. Why did you move to the US in the first place? That the US spends 18.8% compared to the Swiss 11.8% of gdp on healthcare is actually kind of deceiving. That doesn't take into account, that in the US loads of healthcare isn't provided, so those costs never add up. In the US the overcharge massively for everything, then only give massive price cuts to the insurance companies. The insurance only pays maybe 2-3 times what it costs in switzerland.
I'm impressed with the British NHS. A relative has just had a ( possibly cancerous) neck tumor removed. It took 4 weeks from his first visit to his GP (Physician) to the operation. All paid for, from a life times National Insurances (a form of pay roll tax) contributions. My wife has had a hip replacement and her Chataracts done, while i have had emergency knee reconstructive surgery. In any other health system we might now be bankrupt.
"In any other health system we might now be bankrupt". Actually, no. In any other 'western' type of healthcare system OTHER THAN THAT OF THE US, you would not be bankrupt. There are many funding and payment models which provide what is often (mistakenly) described as 'free' healthcare; the British NHS system is not the only one, nor the first or 'best' one, although it has been used as a model for several other countries' healthcare funding and administration. I am a now-retired British medical professional who has worked in over a dozen countries, and in all of them there has been some form of universal health care provision for legal residents, in which - at the point of need - services, treatments etc are essentially free or incur no more than a token payment.
@Sine-gl9ly My comments were aimed at the American audience of this channel rather than the European audience. I think the channel covered the US 's profit based healthcare system's problems very well. Having worked previously in pharmaceutical research, I have seen how the US market distorts drug development.
@@johnparsons9620My comments were aimed at them, too - many Americans have a misconception that the funding model of the NHS is the only one out there which ensures universal coverage of a population, and that other than in a very few, NHS-model countries, high costs are to be generally expected, even if those costs are not as high as in the US. Before I retired, I came across fellow medics from the US who were surprised that, in the various different funding models for universal health care, costs for expensive, technologically-advanced procedures were routinely covered, and a few who appeared surprised that equipment, and skills, for such procedures exists outsode of the US and a couple of large international cities - usually anglophone ones! There seems to be little understanding or acceptance in the US of the fact that there are many, *many* ways in which 'affordable health care for all' can be, and is, funded throughout the 'western' world, and while I agree that the channel covered the US' healthcare funding problems both well, and pragmatically, I would like to see other reputable channels offering more informative material of this type.
15:54 Yes, that's true, in Spain we have to wait up to 70 days to get an appointment with the specialist, however, IT'S ALL "FREE", in Spain 94.07% of healthcare system costs come from taxes, you may think that's a lot but we think in a more collective way so everyone pays to have everything.➡If you think about think about costs = in 2021, public health spending in Spain was around 90 Billion Euros (Around $99 Billion) or 7.3% of 2021 Spanish GDP.✌
The US healthcare system spends on treating sick people. It makes more profit from keeping people alive when they’re sick it doesn’t make any money from preventing sickness. In the US, the percentage of people who die in hospital is a lot higher than in other parts of the world where they die at home. Also the US does double three times the amount of tests on people that would normally be considered at the end of their life because insurance and people make money on those tests
Ryan, some of your reactions have been very insightful, and others show what might be called, "an unwillingness to abandon preconceptions common to your society." Before asking, and answering this question, it is perhaps important to decide what you believe that system must (or should) provide, to whom, to what level, and at what cost (and paid how?). That those questions even need to be dissected suggests that more than one step back may be needed, in order to see the picture as it exists in your country. You have technically superb facilities and doctors in some areas, less so in others, In almost all cases, health care providers are a profit-driven business, and "two steps" may be needed, in order to ask "why?" Which is more important? The quarterly balance sheet, or the various statistics that measure how effective - and how cost-effective - the health care that is delivered is? It is a difficult question, because it touches on a very sensitive area, "greed vs. need." A model that operates on the premise of being a business that delivers the highest financial return to some may not be the same as a model that provides an agreed-upon level of primary and secondary, or emergency health care services. But that is one of the very stark issues, and the American people must decide which is the more important. Consider for a moment the model of public utilities that deliver power, drinking water, etc. During much of the 20th century, these things were often supplied by organizations that where community owned, whether municipal, regional or state. The costs vs the levels of service, and types of service, were not profit-driven. The costs of operation as well as capital costs and costs for upkeep or expansion were decided on the basis of what was agreed to be necessary and sufficient for most needs, most of the time. When public utilities were stripped away, and handed on a plate - sometimes for little or no cost - to companies that saw them as a profit making enterprise, priorities changed, as did services. In some cases, it was not a change for the better. If you de-politicize the health-care debate, at some point a similar question comes up. You, and many people, start from a set of ideas, or pre-conceptions, which may or may not be accurate. So it's then necessary to go back one more step, and decide the "ground rules" or "basic reequirements." This sounds simple but it is not. As others have said, there is a balancing act. None of the services are free, but most of the recipients do not have limitless wealth. Acknowledging that may be a place to start. Answers to questions are easier to find, once you've decided on what the questions are. That sounds simplistic, but every country mentioned as having some form of universal health care has to set some standards, and re-evaluate both the results, and changes that may be needed. It's not easy, but it's one point to start from.
so in switzerland the insurance companies are independent, but there is a "basic program" that is mandatory and the price is capped. so if you are unable to pay the basic mandatory version the state pays this basic version for you. this oly happens if you are unemployed or other reasons.
You measure 'prevention' by less people requiring treatment in the first place and a healthy population that can fight infections. Education is key. Vitamin D3 is key here as most people in the world are deficient in it and it plays a major role in many body systems including immunity! America ONLY treats disease, so it keeps happening and there's no change because it brings in money. Speaking as a former senior cardio-thoracic surgery HDU [and formely orthopaedic] nurse of 26 years.
How long does it take to see a specialist doctor in the US? The average wait for an appointment with a physician for new patients is 26 days, according to a 2022 survey of 15 metropolitan areas by the physician recruiting firm Merritt Hawkins. That's the longest it has been since the company began doing the survey in 2004.
NHS is in trouble because the government aren't funding it properly and are outsourcing work to the private sector. When the government funds it well, it is great!
Last summer we had to use US healthcare when on holiday there. My son ate a cookie made of peanuts but which had no labelling (we assumed that was compulsory as it is in Europe) and got severe anaphylaxis. An ambulance ride, care and a night in hospital came to nearly $30k (luckily insurance is picking it up). Luckily he completely recovered. Compared to the UK, the ambulance crew did not seem anywhere near as professional, the hospital was vast, new and largely deserted (complete opposite to ours in London!), staff were good but there was far less continuity of care- it was more like a production line. I would have far rather have been in the UK system despite its failings.
I read where the US is the only developed country where you can die from a treatable condition because you cannot afford the treatment. On another point, I recently had a serious medical episode while holidaying in New Zealand. I was flown to hospital by helicopter, spent 20 days in intensive care & 24 days all up in hospital. It did not cost me a cent as NZ has a reciprical agreement with Australia & other countries that have a Medicare health system.
Another great example. As an Aussie, I remember one of my early drips to the UK I needed a doctor, flashed my Medicare card and Passport, no charge under the reciprocal scheme.
Average life expectancy, France 82, Switzerland 83.1 Australia 83.2 USA 77.28 Infant mortality France 2.819 Switzerland 3.15 Australia 2.88 USA 5.4 take YOUR pick of what you would prefer.
All of the countries with the highest life expectancy have some sort of social democratic or socialist health system. Sadly the US is ranked 59 amongst the world in life expectancy. Even poverty stricken 3rd world countries like Sri Lanka have a higher life expectancy. The US system is like a lesson in what countries should avoid if they want better healthcare for their citizens.
2:58 sir, that is because the Red Cross was invented by a Swiss guy and he wasn’t very creative with designs, so he took our countries flag and swapped the colors. (Also why you can find Swiss flags in a lot of countries, they mix it up with the Red Cross)
I'm Norwegian and my health care is not the best. But the more I learn about the American system, the more I start to love my own country's take on health care.
it's always good to compare.
That learns us Europeans to be more grateful for what we do have.
Not THE best - but certainly among the best.
#1 Overall - commonwealth fund report. (US #11)
#4/4/5 (health, wait time, system) - Legatum/WHO
#7 Overall cancer survival - Concord (US #1)
etc. etc.
In some cases top 3, sometimes top 5 or top 10.
But much better than you probably think.
PS! Also Norwegian - and working in healthcare.
I'm also a Norwegian but currently live in Italy. Healthcare in Norway is shit, down in Italy you can actually get basic supplements you need without needing to go trough a doctor.
@@natibot hmm it kind of depends on what supplements you mean...
@@mr.v3061 Anything that aren't for mild symtomps basically.
Stuff like melatonin is prescription only (at least when I lived there in 2017)
The cost of the US system are not just high, they are profits. It's expensive because it's sold as product to consumers who are not in a position to say 'no'. So it's basically not a health care system but a business, that happens to do some health care in the process. It is at the heart of the matter.
If government decides to provide health care for everybody, there is a bill to be paid of course. But that's an entirely different setup.
I think you're right. Also America has no real incentive for example, on trying to keep an healthy society, because since it's a business, the more sick they get the better the profits are, that's why they have such a morbidly greasy population. Where France for example, has by LAW food nutritional values displayed in every package, and they have tons of restrictions on junk foods too. America has a lot of things going right for them, sadly their healthcare system isn't one of them. Happy to live in Europe...
Ryan my best advise . MOVE
Everywhere else uses their taxes to fund their healthcare but America uses the taxes generated from it's healthcare to fund its military.
@@neilcampbell3981 Absolutely. If it,s a question between you and your famiily,s health, no contest.
"The cost of the US system are not just high, they are profits "
pure bullshit. in europe we pay 12-15% of ur salary as healthcare tax. if u pay same amount in the use as insurace u will get better service and also u will get "free" helatcare for ur whole family.
A lot of Americans are under the impression that because they pay so much for health care that it must be the best !!
I know right? 😂 There are equally if not better options out there for a fraction of the price
That and a lot of my fellow Americans just assume we are the best at everything.
@@hshaughnessy17 ... while even the ex president admitted that they are not the best and greatest. or if they were the best and greatest, how could he have success with the slogan *_"make america great AGAIN"_*
@@Anson_AKB Did I say all of my fellow Americans? All you have to do is ask people. Many Americans are clueless about the rest of the world and just assume we are the best at everything.
Yeah, with the cost in America you should be chauffeur driven home in a Rolls Royce everytime.
My wife worked in the US hospital system. Told me of patients being bankrupted. We are in Australia and next month I will have open heart surgery by a top notch surgeon in the biggest cardio hospital in the southern hemisphere. Have had to wait 4 months because I have no insurance. Cost $0.
Life expectancy in Spain: 83.18
Life expectancy in the USA: 76.33
Why they think to be the greatest nation on the Earth I've no idea.
The Americans are being brainwashed into thinking the USA is the greatest, best, richest country on this planet. But the rest of the world knows that it’s not true. I lived in Europe for 42 years, then move to the USA. Here in the USA I have the feeling I’m living in a 3rd world country with uncivilized, uneducated people.
I think other factors also contribute to lower life expectancy (e.g. loving to play around with guns, or social injustice and pressure leading to more drug problems) but I guess health care is a huge part of the problem as it's less accessable to those with more health problems.
@@andreasprucha1451 Yes, healthcare. But also the quality of food. Europe has a very strict food regulation and food laws. Most in the USA processed foods are illegal to sell in Europe, because of all the unhealthy and almost poison ingredients.
In Portugal the healthcare system are owned by the government, anti-profit, and our army produce meds that the world pharmaceutical industry refuse to produce for not being that much profitable. Our main hospital doctors can order to the army some meds that fit in the med goals but the industry dont produce.
Our universal free health care system are paid by indirect taxes. Here foods and drinks that are not healthy have higher taxes, so we pay our treatment before we get sick from our bad diet. The world should learn from this tricks... Alchool, fat, sugar, salt, the government under doctors guidance define measures and healthy food and drinks pay or 5% of taxes or 23% of taxes...
-.,-.,-.,-.,-,.,-,.-.
You misunderstood. "Life expectancy beyond pension age is bad. Really bad. All those old people really hamper you're economic growth. The second the stop slaving for the billionaire donors, they really hurt the country. almost treason, living past your active work life, you're helping china catch up." Unofficial Policy of the US government. The two parties and the elections are only a smoke screen. Of course the always pretend otherwise, blame each other, etc. (Yes, even the think tanks don't actually write it like that. But they do make lobbying / policy for that objective).
My Aunt in the USA got cancer. They had to sold there house, to effort the treatment.
I am schocked about the US Healthcare System!
Arent you shocked about the USA in general?
In Portugal the healthcare system are owned by the government, anti-profit, and our army produce meds that the world pharmaceutical industry refuse to produce for not being that much profitable. Our main hospital doctors can order to the army some meds that fit in the med goals but the industry dont produce.
Our universal free health care system are paid by indirect taxes. Here foods and drinks that are not healthy have higher taxes, so we pay our treatment before we get sick from our bad diet. The world should learn from this tricks... Alchool, fat, sugar, salt, the government under doctors guidance define measures and healthy food and drinks pay or 5% of taxes or 23% of taxes...
-.,--.,-,.-,-.,.-,,
That’s just not right. In Australia, if you need cancer treatment, it’s zero dollars (The Australian Government provides financial support for cancer treatments under Medicare and PBS). And you also get prioritised if it’s urgent.
How awful to get cancer and have to worry how to pay for treatment. I am a cancer survivor thanks to the NHS. Ten days after diagnosis I had my surgery. Can’t complain. The NHS may have long waiting lists for routine appointments but you can’t beat it for urgent care
@@k.vn.k And it even works this way with private insurences - We Germans actually have a public compulsory insurance for most people, wich is hardly regulated by the Fed...
It basicly works out pretty good as well. We're not the best in life span, but I guess, that problem is more based on a too late retirement age =D
The disconnection you mentioned in min 9 has to do with social justice being different from charity. One has to pay one’s fair share of tax so all society can function properly. Moreover, companies can never be considered a citizen. Companies must serve society, not the other way around. Cheers, Rayan.
Ronald mcdonald homes are chartity😂😂😂
@@jennienoppers210 And huge marketing campaign, spending money to get goodwill.
@@jennienoppers210 Paid by customers. Charity associations ensure that citizens have nothing to say about how it works, who is helped, etc. Charities are therefore funded a) by small donations and the thousands of people have nothing to say b) by big donors who follow their whims and people have nothing to say. On the contrary, social services are controlled by elected people. Therefore the responsibility comes from the voters. This is very difficult for Americans to understand. There are many reasons for that.
Agree. IMO: Charity is important - but the need for charity always signals a failure in public social security. IOW: Charity is needed to fix failures of the government.
About "Companies must serve society".... well: That sounds great, but I think it's far away from reality as their primary goal is to serve their owners. I think when we are more realistic about that politcs also turns better: Companies are here to serve their owners, not their employees, not their customers and not the society. I think when we realize that politics becomes better as we do not expect unrealistic things anymore.
Charity concept is the opposite of "social justice" - there's no justice in it anyway -. Charity is voluntary by some people, "social justice" is compulsive by the government that has unlimited legal force use. This video rolls into a fallacy. Assumes that just showing a ranking of healthcare by country without explain evaluation basis, and taking the WP as trusted.
It's not only a problem of cost that make you not go to hospital but the fear to lose your job because sick days are not unlimited.
😭 breaks my hears that people have to live like this
1 like 1 prayer
We are allowed 13 weeks approximately it will go over most companies may not sack you if you have a medical reason. They will let you go but you still have support from the state.
@@kdenyer1it's funny how you think that is anywhere near a positive thing! Most countries outside of the US would have PAID sick leave!
What??? Why would you limit sick days?
Like people choose when to be sick... Who had that awfull idea?
You're dead last of the OECD countries. Both in outcomes and availability.
Be careful with OCDE interpretation of data.
In Portugal the healthcare system are owned by the government, anti-profit, and our army produce meds that the world pharmaceutical industry refuse to produce for not being that much profitable. Our main hospital doctors can order to the army some meds that fit in the med goals but the industry dont produce.
Our universal free health care system are paid by indirect taxes. Here foods and drinks that are not healthy have higher taxes, so we pay our treatment before we get sick from our bad diet. The world should learn from this tricks... Alchool, fat, sugar, salt, the government under doctors guidance define measures and healthy food and drinks pay or 5% of taxes or 23% of taxes...
-,-.,-,-,.-,-,-.,-,.-
@@ricardoxavier827 With the exception of the military producing medicines it's exactly like the Norwegian system. Paid for by taxes, free when used, half the price of the US system, twice as effective.
@@dadaistaingegniereWell, I used the OECD data, not OCDE ;) And those datas are in agreement with other datas from other sources like the UN and WHO. Just because some datas doesn't fit your narrative, doesn't mean they are not correct.
@@Valfodr_jr It's not data itself, it's just the arrangement of it which OECD sometimes gets funny. I'm not interested on "narratives". They put up rankings and other conclusions without clear metodology.
You’re a really considerate healthy thinking man Ryan, I enormously appreciate you and your willingness to have an open mind to these issues
I'm a 66-year old retired Canadian who has minimally utilized our healthcare system ... till 2-years ago ... when my body developed a fairly rare blood disorder. At that time, I walked into an emergency department in a small mountain town of 8,000 citizens and since then ... a medical team ranging up to 10 professionals has/was assigned to me. During the past 2-years I have had: monthly bloodwork, monthly primary caregiver meetings, 2 ultrasounds, 1 EKG, 1 ECG, 2 x-ray imaging sessions, 1 nuclear medicine session, and 2 CaT Scan sessions. In addition to these tests I have been assessed by specialists including an ENT, a Rheumatologist, a Dermatologist, a Doctor of Internal Medicine, and most recently an Ophthalmologist. Now in this coming month, January, I am scheduled for an MRI, an Electromyography (EMG), and a Dilated Eye Exam. I am sure I've left out a few events but you get the idea of the kind of healthcare I am receiving. Now, here is the kicker ... I have no idea what this cost as I will never receive a bill ... for world class healthcare provided by exceptional care givers. Canada provides one of the best healthcare systems to its citizens because we as a nation believe healthcare is a right ... not a privilege.
Please stay in Canada.
@@billkraemer4710 I don't know if he needs you to tell him that.
Canada is known to have good healthcare, it’s more or less like in Europe.
Also sounds like your case is rar enough that they still can learn something from your treatment.
I'm in Canada also, and have gone through a lot of the same things. I have a rare neuromuscular autoimmune disease with comorbidities. I've been in and out of hospital since 2006, more tests than I can even count, several done over and over again to track disease progression, I worked until I was 33, paying into my social security and now live on Canada Pension Disability I come, which is considered below the poverty level, but i still receive the best care from a team of doctors, that even includes a psychologist & psychiatrist, because being so sick with the possibility of dying, really messes with your mind. I've seen all kinds of doctors over the years. Opthalmologist, nephrologist, urologist, cardiologist, internal medicine doctor specializing in autoimmune diseases, psychiatrist & psychologist, neurologist, dietitian, occupational therapist, dental specialist, have had more test like CT scan, MRI, tons of x-rays, endoscopy, colonoscopy, EMG, EEG, EKG, PFT, ultrasounds, cystoscopy, I have IVIg treatments every 8 weeks, labs once a month, a port surgery, port flushed on the off 4 weeks I don't have IVIg (because they have to be flushed every 4 weeks), and medications up the wazoo. All I ever have to pay for is 37 dollars a month for one of my prescriptions for a medications that is for seizures but because I use it for off label use (gabapentin for nerve pain) it's not covered under the NLPDP. All my other medications are paid for. This is all from a mixture of provincial health care (MCP, NLPDP) and federal (Canada Pension Plan Disability benefits). 37 dollars a month. So for those who think our health care system is a joke, think again. Yes, we pay very little more on taxes. But what people don't realize is we also get a lot of help from the taxes, and not just medical. We have the child tax benefit monthly, GST rebates every 3 months, lower cost for childcare, government programs for almost every person you can think of, even a new climate action incentive plan that we get a rebate for every 3 months. Canada has its issues, SOMETIMES we have longer waiting periods, but if you're waiting longer, it's usually because you're not as I'll as someone else who needs to get that procedure or test done sooner. I'll take all that any day over what would be happening to me if I were in america. In face, I'd most likely be dead by now.
Spanish woman here. When I and my family moved to the US 8 years ago, there were some cultural shocks, which is normal. The biggest one, was how people were perceived more as potencial customers than just people. It also caught my attention how many “go fund me” I saw and how quick and well normal people responded to them. In my Spanish mentality an alarm said: “But that is the duty of the government, state or federal, to care for their citizens and use part of the taxes to do it.” Wrong! I’ve learnt that most of Americans accept it as a way of how America do things differently, and if you pay for something it makes it better. It’s the same with the cost of high education, unaffordable for too many. No surprise that so many Americans that move to other countries get stunned by their effective Healthcare system, transportation, education and quality of living, among others.
Even before the NHS, the hospitals in Britain were run by charities, rather than businesses out to maximise their profits.
Yeah our local hospital in Truro was created by subscription gifts from wealthy mine owners and local land owners.
Yeah, this might be a thing - Hospitals in Europe were mostly run by the churches a long time and no one would have accepted commercial hospitals.
Germany tried this, but even the strong reactionary Bismarck had to introduce a semi-public and basicly social-democratic health system, where no one does have to fear not to be able to pay if he becomes sick...
Born and raised in Sweden, I can only shake my head at the American system.
In Sweden every time you go see a doctor you pay $25 and when reaching $130 you don't pay anything more for the rest of the year - the rule is maximum $130 for public health care during 12 months. Same with medication - when you reach $250 you don't pay anything more for your medication for the rest of the year.
Staying at a hospital is $12 per day. So yes, one doesn't need to worry about being ill in Sweden and I am so thankful for this - definitely makes it worth paying the taxes!
A year ago I broke my toe during my hollidays in USA. I called my travel insurance and they gave me an appointment the next day. The first thing they did was ask me my insurance number and my credit card. I had to argue with them about it because I had a total covered visit. They weren't very helpful because I had to call the travel insurance and made them talk to each other to visit me.
They took X-ray and told me that I had a broken toe. I knew it!!! I wanted it splint and something for the pain.
They didn't splint it, they didn't gave me anything for the pain (I took the paracetamol I brought in my travel first aid kit and the paracetamol that my friends had with them) or told me how to take care of it and they gave me an orthopedic shoe that was incorrect for my injury and too big. The doctor wasn't very helpful at all because he didn't gave me instruccions of how to take care of my broken toe. The total cost was 490 dollars. For nothing helpful!!! I asked the USA doctor that they gave me the X-ray plaque (I paid for it) and he watched me like I was an alien for asking about the report of a procedure that I was brought under. They gave me a CD (a CD!!! that it's not usable in anywhere because who has CD readers now?) but they didn't give me a medica report. Here in Spain, when I pay for a private medical visit, the doctor give me all the results in writing and the x-ray, ecos... in a suitable support to present to other doctors.
When I came to Spain the first thing I did was going to the doctor (emergency room of my family doctor) with the travel bag and without my national medical card. I gave them my passport to indentificate me and waited 35 minuts. The doctor said to me that I had a broken toe like I was aware of and she asked me why I hadn't it splint. She splinted it, gave me instructions to take care of it and to take care of the pain and said to me the aproximate time it was going to be sore. Exactly the same injury but different aproach. Much more helpful the Spanish one because she told me what to do and how to do it.
The Spanish Healt System is not perfect, we have to wait a lot for small treatments or illness and to talk with your first care doctor but for important things they are very speedy. My mother has an important illness and they put her in tons of medical tests and had like eleven doctor or nurse apointments in a month. She only had to pay 0,65 € for a pair of boxes of pills one of them that need now and other that has a possibility of needing but they asked her to have at home. I prefer the Spanish system because if you don't have money, you can be treated. I and the rest of the Spaniards pay for the treatments of people with less money or we pay for future costly treatments for us or family members.
These are all facts. The issue with American health are that so far (not finished the video) these experts talk about is, that it is more problems than just the price. Healthcare in America is literally first and foremost, a business. What you got with your broken toe was the cookie cutter of medical diagnosis. If they don't think it's something they can be sued over, they don't care. A copy of the x ray shouldn't even be a thing, fact they couldn't give a splint you asked for, is two fold, they didn't give what you asked for, and you knew the thing you needed more. It's a joke
Exactly why I dread falling ill in the US on holiday. I got ill from a hotdog in NY (I know I know, I should've known better but I was in NYC hotdog from a vendor had to be done! 😂) I had fully comped Travel insurance , the platinum of platinum plans and it was still a nightmare at the hospital. They kept pushing for card details, like you I ended up calling the insurance company to speak directly to them. Admittedly I was given something to stop the vomitting and diarrhea and a drip for dehydration but by god it was an uphill battle all the way.
Hey, I'm a guy from Poland, here at home we laugh at our healthcare system, at how slow it is etc. etc. but I learned a bit about system in the US and I saw one thing about this topic that infuriates me in this WP video that you watched. They say about cost and life expectancy, but what does that mean for people. They are still talking about this from the business standpoint and the problem is that public healthcare is not a business in Europe it's service just like police, fire department or military. They talk about finding a way out from the system that from the get go is cancerous in nature. If your government don't reform entire system from ground zero, abolishing healthcare as a business route it will never reform into a healthy organization that will not suck your blood like a bloody vampire. They talked a lot of BS about nothing and nothing will change bc you government is and still will be in the pocket of the wealthy bc your entire country is constructed as a colony for the corporations and not a place for living, breathing people. Yes we have in Europe healthcare businesses, but even if you are a member of this private healthcare organization you can still use public healthcare benefits and even private services are way, way cheaper than in the US bc your system is constructed into sucking dry entire society. It's a soulless machine created by greedy people who doesn't give a damn about anybody except their accountant and even that may be wrong.
Edit: There is also one thing. Here in Poland we are a bit more blunt with our words. If we see a problem we call this problem by it's name. We can say that it's sad that such a problem happend, but we try to fix this problem. You in the US are going in the very roundabout way about stuff but that born patologies like "+size" movement and other stuff that you should call by it's name and kill with fire in the origin, but you were taught differently. Being open about certain topics don't mean being rude, it means that you care.
Sorry for interpunction mistakes if there are any (and I think there are).
Combination of NFZ and private sector works pretty good.
P.S. ESL is a good execuse for our mistakes :)
@@stannumowl that's true, when you are really in need you don't have to worry about money or going bankrupt. You can pay to make certain things faster, but it's not a crazy money, at least until they don't have to open you bc that may be costly even for us to quicken the procedures.
I heard that you have to pay when the fire dept is called in the US. Is it all over the country or just certain states?
Currently, 12 million Americans have been thrown off Medicaid (health insurance for poverty wage earners) since the beginning of 2023. This savage budget cut was to make way for record military spending. These low income earners are being tossed to the wolves of the private market. If you live in the US you've undoubtedly seen the deceptive commercials offering bare-bones policies to these newly uninsured. These people (the bottom 20%) will likely live ten to fifteen years less than high income earners who can afford nutritious food and quality healthcare.
Interesting vlog! Just thought I would share: I am a septuagenarian living in a Canadian province, who has had a number of medical issues over the past 4+ years, including COPD, (flare-ups of which have put me in emergency rooms on a NUMBER of occasions), gallstones and an aortic embolism, ALL of have been expertly treated and which have cost me ZERO dollars - aside from the required medications. WRT the latter, (as an example), as a senior citizen I have complete coverage for meds (at ZERO cost) for which I pay the bare minimum: I need a medicine for my COPD - an inhaler taken every day - which for 90 days costs me approx and which, without government coverage, would cost me !!!!!!!! The US needs a government with the cojones to spend what is needed to start looking after ALL of its people, not just those that can afford to be cared for - THAT is true democracy.
In the US the word "social" just triggers this communism-bite-reflex of some... while in deed its core meaning is people care about each other.
@@ThorDyrden Here lies a central problem. The truth that no one wants to speak out loud in the U.S., I am afraid, is that the people do not believe that everyone is worth the same care, rights or concern. That comes from a lifetime in ministry, talking to people about these kinds of issues, and unhappily seeing a widening gap between the idea of self-promotion and caring for one another. I personally think this is tied to our religious belief in Capitalism. While we could be a society that agrees to take care of each other, where everyone is entitled to the same and equal rights, and still practicing modified capitalism, we choose to be hard-line capitalists accepting all of the harsh outcomes for those at the bottom. We are a winner-takes-all, kind of people, it appears.
As a Canadian who recently cared for his senior mother in his house as she was in the final stages of pancreatic cancer, I learned to appreciate our system in a whole new way. Not only were her medical care and medications covered, but so were daily home visits by nurses and PSWs, all necessary medical devices and mobility aids and even a few small quality-of-life home improvements were covered 100% through the palliative care program. She didn't want to spend her final days in a hospital and because of our palliative home care system, she could spend them with me in my home, and it didn't cost me or her a penny. I can't express how grateful I am that I live in a system that made that possible.
Living in the Netherlands, it's kind of crazy to me to see that you have bronchitis yet don't want to go to the doctor
Jep, in België, remgeld huisarts is... 4 euro..
Eigenlijk geen idee hoeveel in NL 😅, maar niet zo groot verschil wss?
@@JeroenJA een huisarts bezoeken is gratis. De voornaamste reden daarvoor is om het bezoek aan een arts zo eenvoudig mogelijk te maken en ernstige ziekten tenminste snel herkennen.
@@spvdijk tja, ik betaal in belgie.. 4 euro remgeld denk ik?
dat ze nogal druk bezet zijn remt veel meer af.. online afspraak maken lukt vaak maar 2 a 3 dagen later, en als 't dringend is kan je bellen voor gaatjes die ze vrij houden..
in NL genoeg huisartsen om wel heel vlot dag zelf nog te kunnen gaan dan?
tandarts nog erger.. afspraak maken voor volgende jaarlijkse of halfjaarlijkse controle = ah, binnen 3 maanden kan het nog eens.; allemaal sinds corona, maar wachtlijsten lijken maar deels te blijven..
kwetsbare, van sociaal tarief enzo krijgen denk ik zonder remgeld, maar als 4 euro je tegenhoud als werkende..
I think if you discount the cost and just look at the quality/outcome of healthcare the US still comes out pretty low in any list of developed countries.
yeah. some numbers like infant mortality are shocking.
I heard one of the researches say " America comes in dead last" of any country in the world.
@@coolvidz1763 I think that was taking cost into account.
@@coolvidz1763 He was referring to all the developed countries.
But lots of profit for healthcare providers which are funding political campaigns...
The issue in the end is not healthcare system.
At the root of it all it s about corruption and how politics are financed.
Corruption rots the healthcare systèm, but not only. It also ruins the education, the construction, infrastructures, research etc... Things aren t done for the general interest, but for the earnings of a few.
PREVENTION: If You catch cancer in an early stage You live longer and better, if high blood pressure is detected early, You live longer, if You know You have diabetes You live longer.
AND
Healthcare is a right, not a charity
So true and why NHS Scotland has shifted priorities to prevention/early diagnosis as opposed to reactive treatment
who grants these rights; Karl Marx, the socialist party?
In Germany it was Bismark, (one of the most conservativ politician of his time)
Thanks, left-wing know-it-all. Bismark had NOT granted statutory health insurance as a right of the population, but as a defensive tactic against socialist unions. Secondly, this only affected a small minority of around 10% of the population@@mscheuer1977
@@h.becker2129 Common sense, and it is cheaper to have 10000 tests, instead of one operation. The person in question lives longer whilst in US life expectancy declines
Healthcare should be free of charge for people with a low income. In Spain, healthcare is free and there are very modern hospitals. In the Netherlands, it is mandatory to be insured for healthcare. If you are poor, then the government gives you an allowance to pay for the insurance. When in Europe, someone wants to criticize healthcare, people talk about 'American situations', which means as worse as it can be. Healthcare has to be accessible for everybody, not just for ones, who can afford it.
Here in France I had an hernia which demanded invasive surgery. Whilst waiting for the operation I had to have emergency heart surgery and was also diagnosed with leukemia. Hardly ever been ill in my life then was hit with this all at the same time. Treatment was superb, integrated and cost me nothing above what I paid on a monthly basis. I have a friend who lives in New Jersey. He had COVID, has insurance, wasn't hospitalised but still received a bill for $12 000. Work it out.
I grew up in Switzerland, but unfortunately moved to the USA a few years ago. I had to have antibiotics, what would of cost me in Switzerland approx 40 CHF. In the USA the same antibiotics costed me 800 USD.
And yet many Americans will tell you that they have the best health system in the world because they are the best country in the world, the most free country in the world, the .........God bless America!
@@brianbarcroft9167
The US the best country in the world ? What a joke. They lose that ”self given title” a long time ago. 😂😂
@@cathyb1273In fairness America has many attributes. It's just that it also has many failings as well!
@@brianbarcroft9167
Too many failings for me. It wasn’t always like this for me, but as time goes by.... 🤷♀️
Just to mention about that “Red Cross” flag. It’s a tribute to Switzerland who was very advanced in healthcare. The Red Cross flag is the Swiss flag reversed.
I believe it is because the guy who funded Red Cross
(Henry Dunant in 1863) was from Switzerland. (?)
@@DanMarksman Guillaume Henri Dufour suggested it. He’s also from that era and also from Switzerland
I miss my home country Switzerland 🥲🇨🇭❤️
@@DanMarksmanYou're right. Henri Dunant was from Geneva Switzerland and funded the International Red Cross. In Italy he assisted at the bloody battle of Solferino. He witnessed that all injured soldiers from the both sides were abandoned and let to die. He also saw that civilians, common Italian people try their best to help them. Here's the roots of the International Red Cross.(still in Geneva)
@@SN-bl6xm It is such a beutyfull country,
and your flag is a big plus.
I can go to doctors / hospital with out going bankrupt. I pay a % out of my weekly wage. This covers me and anyone in the Uk 🇬🇧. A member of the family had hart attack. Before I new anything about it they had 4 stint and was in recovery it did not cost us a penny. As the big saying is free at the point of need.😊🇬🇧🇬🇧🇬🇧🇬🇧
A system that does not invest in health prevention policies, and has a super expensive healthcare system, is in fact a money-making machine.
Went to the opticians (Thursday). Diagnosis- Potential stroke. Sent to A&E (Emergency room) immediately. Bloods, ECG done etc.. Dtr. referred me to the stroke clinic today. ultra sound done on neck… Brain consultant happy it definitely wasn’t a stroke & referred me back to the options for an ‘Eye problem’. The NHS was fantastic!!! I’m celebrating with a festive glass O vino tonight!!… I’m Irish btw… I pay Uk taxes.
Opticians lads.. Typing error.
@simonman3042. Pleased to hear it wasn't a stroke. I agree about the NHS. It annoys me when people moan about it when it could be like US system. Enjoy your glass of wine.✌🍷
My 88 year old father spent 4 hours waiting in NHS hospital…and he had an appointment. My mother had to wait 5 months to see a knee specialist because she can hardly walk and is in excruciating pain, eventually when she saw the specialist he told her the problem was with her back and there was nothing he can do. Now she is waiting again for a consultation while in severe pain. NHS is free and shit.
I am so sorry Paul. Our experience is the polar opposite! I sincerely, wish your parents, love. Keep the faith mate,& don’t fucking give up! Sorry, Irish express themselves in unusual ways. God bless you, Ma & Pa xxx
@@pauli2169 Well, you know who to blame, don't you!
Here in Australia, I would rather wait for elective surgery for a few months then go bankrupt trying to stay alive.
Emergency or life threatening injuries/surgery is a priority here in Australia...
Here we DO go to the Dr if we need to, not ignore our health until we die because we cant afford to get health care to save our life!
Its all perspective - free health care with a waiting list or just dont go to the Dr and die or go bankrupt!!
Take care and stay safe.
Merry Christmas/Happy Silly Season from Australia - Cheers. 🙂
9:24 The answer to your question, 'how many people support the system?' lies in the election results, in the last decade one party tried to change your system and lost the next election to the orange man.
I believe it is much more nuanced than only election results.
- There are lots of reason why the orange man won from the b*tch. During the campaign, Obamacare was certainly not the major issue .
- The orange man tried to drastically change Obamacare but Congress (with a Republican majority) only approved a watered down version of his original proposal.
- Polling has regularly shown the vast majority of Americans to be in favor of universal healthcare.
It seems to me they want it but are not yet able to come up with an acceptable compromise. It does not help either that both political parties are too busy with fighting and dividing.
And you can also find enough US American negative comments in the comment sections of the videos with the topic, such as: "I don't want to pay for others", "The taxes are then way too high", etc.
However, if you try to explain that the American system also pays for others or that you should add the costs of health insurance and schooling to your tax expenses, you will often be insulted rudely.
And some also forget that the (targeted) donations
in other countries are lower for the donor because a large part is already regulated there by the “state-organized donation distribution” (taxes/social expenses). ;)
In Portugal the healthcare system are owned by the government, anti-profit, and our army produce meds that the world pharmaceutical industry refuse to produce for not being that much profitable. Our main hospital doctors can order to the army some meds that fit in the med goals but the industry dont produce.
Our universal free health care system are paid by indirect taxes. Here foods and drinks that are not healthy have higher taxes, so we pay our treatment before we get sick from our bad diet. The world should learn from this tricks... Alchool, fat, sugar, salt, the government under doctors guidance define measures and healthy food and drinks pay or 5% of taxes or 23% of taxes...
-.,-.,-.,-.,-.,-.,-,.
@@ricardoxavier827 No Brasil temos o SUS que é basicamente similar e creio até melhor que o NHS
And the other US party has done what in the last 4 years? Made it worse.
But in the Australian system, where people can take out insurance, you can go on the public system and wait in line, or you can go privately and get a much shorter wait time. And you can ‘go public’ even if you’re insured, and pay nothing - if you’re not in a hurry. If something is urgent, you’re treated immediately, no matter what.
Food and exercise are also important for human health. So those should also be considered in healthcare.
In Germany it is. Health insurances pay up to 80% I think If people join a socalled prevention sports class eg Nordic walking, Yoga, courses for making the back Stranger and nutricion courses if obese or having (risk) of diabetis.
The US have talented Doctors, Nurses, good Clinics and medical proceders. All this dont matter when most people cant afford it.
I live in Australia. My partner needed both hips replaced a few years ago (chronic arthritis). We went through the public system so there was some wait but nothing ridiculous. Top of the line implants installed by excellent surgeons. This upgrade cost us nothing. In the US, total surgery cost without insurance runs at about $45k each.
But you can also cost in the hospital stay, they medications, the physiotherapy costs, the x-rays, etc and their medical costs are way higher. I'd be surprised they'd see much change from $250 000.
@@utha2665 true.
You are absolutly right. In US you have one of the best hospitals and threatments in the world but the problem is the price and how they monetize Healthcare.
People in US complain that they dont want to pay for other people healthcare and insted pay for insurances (or companies does). But if half of that money were paid in taxes (insted to Insurance companies) the govenrment would be able to give free healthcare for everyone. And no, thats not some socialism/communist bullshit Americans claim to be. Most of developed countries in the world have freee healthcare for their population and they are not communist regimes.
An insurance (even in the US) is nothing else than spreading the cost and risk to many people. You can't pay yourself for your medical treatment if you are not rich (then you don't need insurance) and with these high costs in the US. Even there the remaining of the cost is divided onto other insured people who don't get sick. You alway pay for others if you are not sick. Otherwise the system wouldn't work. The gamble of the insurance will only work with enough participants.
But in the US they are just private businesses who want to make profit. And anybody else, too, which leads to completely irrational prices (maybe $100 for an aspirin at a hospital). In other countries these profits are limited or it gets organized completely by the state. And the costs of treatment are limited and negotiated on a large base.
Disagree with this. Because your hospitals are run by private companies they run at a profit , how can it be better , to hospitals where the tax payers have full control .
It's baffeling how many people are voting against their own interest in the US. Why do they think the Republican party will make their lives better!
No it has nothing to do with communism. It has to do with the parable of the Good Samaritan told by Jesus in the Gospel of Luke. (Luke 10:25-29)
@@eucitizen78 For the non religious or non christians.. it has to do whit a misunderstanding of how it works in other countries ( they think its communist) They also think they pay a lot less in insurance than we do in taxes.. which is not true.
Thailand makes billions of dollars per year via medical tourism. They have modern hospitals and technology, and the price is way below that of America. And for many medicines a prescription is not needed. It is possible for Americans to take a holiday there and combine it with medical treatment, buy a supply of medicine to take home, and save money. Thai dental treatment is also also very popular with tourists.
Thats another problem US has, theres no such thing as holidays. In Europe people have +20 days per year of vacation, i dont think US citizens have that right. Everytime i think about how US citizens could live if they had Europen rights, would definly the best countrie in the world to live.
This price drop can be found all over the world. In Europe dental treatment in the eastern states (Hungary...) is much cheaper. You find advertising for the trip and treatment all over. The wife of a friend needed a lot to be done and took that route.
except that relevant meds cant be carried this way, am pretty sure because I have seen a brazilian comrade getting fukt @ usa airport for bringing our crystalia 10mg methadone tablets
@@ricardorolho7810they get 2 weeks a year holidays
Ho yes... Sorry it's a poor proposal. How many Americans can afford it? Not the people who desperately need help, the poorest. Btw if you have cancer... Don't work...
Fixing the potholes of healthcare with charity is a concept of monarchies and dictatorships. Having healthcare provided to everybody is a sign of a functioning democracy.
The concept of solidarity got lost totaly in the US.
The Red Cross was founded in Switzerland, and the flag is intentionally the same. The founder just inverted the colors.
It’s not that simple. Some sources say that Guillaume Henri Dufour suggested the flag
@@christophg.6241Dufour was Swiss, from Canton of Geneva... Friend with Dunant (Same country, same Canton). It was intentional...
One thing to bear in mind is that in the UK everyone is covered by the NHS, but there's nothing to stop those with the means from "going private" to pay for their own health care, either with private health insurance (eg BUPA) or paying one-off costs for private operations, etc. They still pay for the NHS through taxation, and they can still access it, but if they want to jump with the waiting lists or have a nicer room to themselves whilst they stay in hospital they can. I view this as a good thing, as those people are removing themselves from the NHS waiting lists but still supporting the nationalised health system for those that need it (which may include them if their circumstances change as they sometimes do in life).
In the USA you have access to the best healthcare in the world. Just like I have access to my local Jaguar dealership. Having access to something is pretty pointless if it takes a shit-ton of money to get it.
Good comparison!
I've seen and tried several European health systems over the years. They were overall efficient, relatively fast, quite competent and very cheap if you went through the correct process when registering. I am especially grateful I am French. There might be some problems , but the national system is still fantastically good in my own experience - that goes for my kids as students or my parents at the end of their days, or very sick friends or relatives with life threatening pathologies. Giving birth was a joyful, stressless experience both times , I trusted the system and loved the different choices I had with next to zero cost. Neddless to say, when we plan a trip to the US we take no chances, and subscribe to a special insurance, just in case we have a health problem. I've heard of so many horrifying stories of people not seeing a doctor when they should, because of the cost, to the point of dying from lack of basic care.
There is another American UA-camr (can‘t remember her name) how lived and worked in Germany but comes from Florida. In one video she said: when she’s feeling sick it‘s cheaper for her in FL to take a taxis to the next airport, take a business class seat, fly to Munich and take a taxi to the next hospital with her German health care ID. And the treatment is not worse. Somehow I saved this analogy in my mind. I think this describes the „problem“ with the US health care quite good. On the other hand there are a lot of top experts working in the US. But where is the benefit if only a fraction can afford them?
Haley by any chance?
Yeah, the US Hospitals are not better in average. They do have some pretty good specialized stuff, you might find in Israel perhaps, not that much in Europe - I would argue, that in most cases, the European treatments are actually better than the US, but they might not be as good in the high-end.
think so @@MydieLy
@@bugfisch7012 here we have some specialized centers but not as many as in the US. Im my neighborhood we have a little boy with some serious disabilities. There was a crowdfunding to send him to the US for a specialized treatment. So it seems there is no one available here in Germany.
I suffer with Parkinsons and in the UK prescription cost £9.65 per item . I need 5 different medications a month £579. yearly. instead i purchase a Prescription prepayment certificate for £111. The NHS is not brilliant but at least we have something that people can go to when they are sick and not worry about how much it will cost
I really think it needs to be pointed out that if your health situation becomes an emergency you're seen immediately. Waiting List or no waiting list. When my gal bladder acted up very badly and I was constantly throwing up and in so much pain I was in tears to the nurse on the phone Saw a local doctor who gave me enough pain relief so I could cope with getting to the hospital. Was kept in and examined and had my gall bladder removed through a laparoscopic surgery a few days later, then had a few more days in hospital afterwards to recover enough before I was sent home. Bill I had to pay £0. I had excellent care. I'm from Scotland
Yes the wait lines are longer in other systems, but they are elective procedures emergency procedures are fast tracked to the front of the line
An insurance is a way to split the cost for future expenses with other people. The more people who pay for the insurance the lower the cost.
If the government is the insurance company the whole population is splitting the cost.
And - the bigger leverage they have in purchasing, particularly with multi-national pharma companies.
That’s why costs in Switzerland and Germany are highest in Europe
And a government is in a stronger position to negotiate with healthcare providers to keep care cost effective and stop profiteering.
You did it again, this time too you touched on an obvious truth starting from an assumption of ignorance :) The international red cross is a medical institution founded by a Swiss philanthropist, the logo that made it recognizable was the Swiss flag with reversed colors . Over the course of a century, the red cross has become synonymous with healthcare in the collective public imagination.
the red cross is an inversed swiss flag, and if I'm not mistaken games inverse the red cross due to legal reasons
This was taught in Primary School here in the UK, it's also why medical kits have a white cross on a green background, green because that's an emergency medical colour. For example here in the UK, BASICS Doctors that respond to Emergencies, and Hospital Mobile Trauma Teams use green lights, uniforms, equipment, etc.
All new games you will never find the red cross logo on med packs because the Red Cross is extremely trigger happy and will sue any company using their logo without authorization, and they have never given permission to a videogame company.
There you go again making assumptions based on wilful ignorance just your average clueless American.
@@noseboop4354 .
That is why, after Tomb Raider 1, medi packs stopped having the red cross.
I'm Canadian, and most of us are assigned a family doctor. I never had to wait long for anything. If I have a problem, I would call my family doctor's clinic for an appointment. If it's an emergency, another doctor will take me instead of my family doctor. I never go directly to a Hospital emergency where you can end up waiting for hours. Such a piece of mind to be a Canadian.
I live in the UK and words cannot convey how grateful I am for the NHS. I've been in hospital 4 times in the last 10 years, and had 3 operations. The fact that it's all taken care of is just amazing. I got a taste of what Americans go through when I was in Switzerland and wounded my leg, snowboarding, it cost £750 to have an x-ray, and 28 stitches put in. Ouch. I'll also add that, we don't have to wait for anything that is critical. However, when I had my hernia operation, I had to wait 3 months. For comparison, when I severed my tendons in my hand, they were fixed within 3 hours. ❤
Exactly. I went to the GP at 5pm and was in hospital by 6pm. Appendix removed 9am next morning. 😊
Are you serious?! First of all the Swiss earn more than you brits and pay less taxes. (I’m a German but live in Switzerland.) Second, you do not have insurance in Switzerland. In most countries you pay more than if you’d be a resident. In Switzerland you’d have paid 1/10 or nothing of what you paid, depending on insurance and hospital
Many hernias can be conservatively managed so a 3 month wait may have been appropriate depending on your particular case. NHS will sort you quick if you need to be sorted quick. The problem is must people have no idea what actual urgent cases are.
£750 for an x-ray is outrageous and I'm guessing must have included other costs as well. Here in the UK £750 is around what a complex MRI costs the NHS.
@shorey66 - you’re right, it did include other costs, like ambulance and meds. Those living in Switzerland would pay 10-20% of that out of pocket (because they have insurance, and depending on insurance plan). The swiss also earn more than the British (as seen in rankings) and pay less taxes. In my home country Germany the NHS is represented as “being in shambles”….
@@ManuelSteiner it definitely isn't at its best right now. However that's less a product of the system itself, more of 13 years of deliberate underfunding
The reason why the Swiss flag looks like health symbol is because Henri Dunant, the founder of the Red Cross was swiss and he just inverted the colours of the Swiss flag as the logo of his organisation.
2:52 - Herni Dunant, the co-founder of the International Red Cross, based the Red Cross logo on the Swiss flag, with just the colors inverted.
I'm French. My take on healthcare is the same as the majority of people in the country. If I can pay a little of my salary every month so the children are healthy, my fellow citizens are healthy and the elderly who paid for me when I was younger are taken care of, hell yeah I am happy to do it. Our values are Liberty, Equality, Fraternity and we are pretty proud of it. If I'm not using the healthcare system myself that's great, it means I am healthy. But when I need to, I am feeling taken care of by the entire nation. And it is great because even if I am vulnerable, I feel safe. I don't know what it would be in the US, being sick and vulnerable but also stressing over the cost of healthcare.
according to the waiting lines being long... you gotta differ between what issue you're having. if you need a knee surgery after an accident or something like that, its NOT the case that you have to wait 8 weeks for an appointment (speaking out of germany here btw). but if you want to see a specialist just for a routine like checkup (like an oculist that you should see every few years to get your eyes checked) it could take a few weeks until you get that appointment because in cities those specialists are kinda rare, so that the patient vs available doctor ratio is so one sided that it automatically leads into longer waiting times.
but as i said before, any kind of emergency or imminent issues that require you to see a (specialist) doctor or a hospital usually dont take you too long to get into.
16:00 "The wait lines are very long!" But rarely longer than wait lines in the US.
There's a life expectancy gap of 8.5 years between Americans with and without a four-year college degree, according to a Princeton study in 2023. (A college degree is proxy for socioeconomic position, i.e: wealth.) This gap was just 2.5 years in 1992. Those who have obtained a higher education can expect to live to 83.3 years of age. The two-thirds of Americans without a bachelor’s degree will see, on average, life end at 74.8. *Summary: life expectancy in the US is most strongly correlated to wealth.*
😂😂😂 so you're saying a famous university is making a study about life expectancy and somehow the results are magically showing if you have a degree you're likely to live longer 😂😂😂 great marketing tool!
@@BP-of5cp Please read for a second time what I wrote. This time pay closer attention to this sentence:
(A college degree is proxy for socioeconomic position, i.e: wealth.)
@@cygnusx-3217 it's still hilarious 😂😂 and spin in whichever way you want... your healthcare system is still crap! 😂
@@cygnusx-3217 and please pay closer attention to this part
😂😂😂😂
That little face there indicates someone having a bit of a laugh.
Wow that degree didn't certainly help you...
We know that education does have a relationship with wealth. With wealth people have better access to health care. Those on the poverty line or just above May not have access to any Co-funded insurance for health care. The lack of access to health care generally has a stronger correlation/causation with life expectancy.
About the time you need to have proper treatment, I would like to share personal experience in France. My mom had a lung cancer, really small. She went to several hospitals to check with surgeons what can be done, since it was so little at that time and they were not sure if it was really cancer. Some said she could wait but she prefered to have it removed quickly. She chose one of the best surgeons in Paris (Montsouris hospital) with a very modern technique not performed everywhere (non invasive surgery, a piece of 10 cm was removed in her lung and sent to labs to confirm it was a tumor). She went on Monday morning for the operation, went back home the next day because she was doing well. Everything was done between February for first investigations, April for operation and May at home for recovery. She went back to work in June.
just to clarify...in the EU you automatically pay health care from your salary + the company also automatically pays another share for you and you have state and private insurance and it's up to you which one you choose
Yep, and we still pay less. I just checked and was surprised that US budget spending almost the same money per capita for that as the Swiss budget.
P.S. I'm from Poland and honestly both numbers looked ridiculous for me
I live in The Netherlands and we have a system of mandatory health insurance provided by commercial insurers. The government decides about the content of the insurance policy and the insurance companies decides about the monthly premium. Every year you can change insurance company to go to a cheaper one. Your current health insurer needs to offer you a new policy with the costs before December 15th. You’ll have to quit your current insurance policy before December 31st and contract a new insurance policy before February 1st. I’ve done that a few times, I pay about €140/month and next year I pay about €150/month, that’s including an additional insurance and a dental insurance. I have the minimum deductible of €385 to the maximum of €885 in order to pay a lower premium and I pay in one amount in January instead of monthly so I get another 3% deduction on the premium. I think the system works relatively good, but there are some hiccups like in every system, but we do have one of the cheapest systems in the EU. And if you are too poor to pay for the monthly premiums, you get a monthly subsidy from the government’s tax office to help you pay. Because it is a mandatory health insurance.
@@stannumowlDo not look at absolute numbers. Relative to gdp is the only thing that makes sense. Swiss have much higher salaries in general, so doctors + nurses etc. have much higher salaries, too. Relative to GDP: US 18.8%, Swiss 11.8%, EU 11.3%. Used to be different EU was much lower in the past in comparison (something like 8%?). But think, with Covid, they politician could no longer underfund things.
@@beyondEV I know, I choosed Switzerland on purpose. If I'll tell about Lithuania for example it would be obvious that they spent less money. So I choosed a country that is noticeably richer than the US to make everything obvious.
16:24 wait times are long for minor conditions which don't affect your life too much. if it is something serious that makes you unable to work and lose income, or is life-threatening, there's no wait time. Not to mention you can always switch to private if you don't want to wait, which are still cheaper than the US.
My Dad died of a brain tumor. During his attempt to fight his cancer he had multiple surgeries and was on medications and Chemotherapy where some of the shots he was receiving cost more than $10,000 a pop.
If we did not live in a country with socialized medical care my Mom would have lost the farm trying to save Dad. Her final bill for Dad's care was $0 (they had no extra medical insurance coverage). Mom sold the farm for a good price, bought herself a nice house in a gated community and has savings to live on as an independent adult. None of this would have happened if my parents lived in the states.
Thank-you Tommy Douglas (my Grandma worked on his election campaigns as a secretary and she worshiped at his church).
Triage is important. If you need care right away in Canada, you get it. If you can wait, you might have to. This is decided by medical professionals, not politicians or accountants.
About expertise: Finnish doctor Sakari Orava is the man whose phone rings when the world's top soccer players or track and field athletes are injured. David Beckham, Paul Pogba and Haile Gebreselassiek have landed on his operating table. Since the 80s, the world's top athletes have come to Finland for surgeries. It would be best to ask why?
I'm pretty sure Dr Zach Squirrel is retired
Ryan, waiting times are usually a little longer for the non-life threating surgeries, but you will get straight in for emergency care when your life is on the line. Most countries have a level of health insurance to speed up the wait times, but life threatening surgeries and care is free and of the highest quality. What America does is monetize ALL the healthcare system, including those dying.
FYI, in Australia, our Doctors providing the emergency care are funded by the Government and the elective side is privatized. There is the elective side of the Government services but these are usually where the waits are. FYI, top hospital cover + extras is about ~ $7500 AUD which is ~ $5000 USD per year. These can be paid weekly up to annually based on pay cycles, etc. Remember, this is the highest level of cover, most will be on a much lower level as the services won't be used, like child birth, etc.
In Britain, hospital doctors are employed by the NHS full-time or part-time. Some Consultants choose to work for the NHS four-ninths of the time, or seven-ninths of the time, and get paid by the NHS pro-rata. They may choose to practise privately for the rest of the time (or spend time on the golf course or go on weekends to Marbella).
The thing is the system in America is not broken. It is working the way it’s supposed to. The system in America is just not intended to benefit the patients.
In the past (30 years+) a lot of our entertainment cane from the US and there was this trope about babies born in taxies. Only recently I remembered that and quickly figured out why this only happened in movies from the USA. Because an ambulance costs so much and people rather drive themselves or call a taxi. In most other countries an ambulance costs little to nothing. if you need it, you get it. And I don't know in how many cases that saved lives or at least long-term health, because the people reached the hospital quickly enough.
Ryan, you question prevention. My Belgian doctor and considering my age, said I should have a scan made. So I did at a reasonable cost. The scan showed that I had serious restrictions in my artery and should urgently have stents placed. Which happened years ago and so I am still alive. That is called "prevention".
Yes, and neither you nor your government had to pay the more expensive costs of treating the heart attack and bypass surgery those stents prevented.
Out of all the the American reactors i watch, this man finds it the hardest to take the facts. He always has to try and defend his countrys short comings. We are a charitable country.
Im not trying to be offensive, but face it, America is declining. It's not the country we thought it was in the 90s. I feel like America was good at deceiving us into believing it was better than it actually was
Watch his twin brother, Tyler. He doesn't even bother listening, or learning. Ryan is on a journey and is learning.
absolutely mate
@wessexdruid7598 That's not Tyler's twin brother for real, is it ? 🤣
In Portugal the healthcare system are owned by the government, anti-profit, and our army produce meds that the world pharmaceutical industry refuse to produce for not being that much profitable. Our main hospital doctors can order to the army some meds that fit in the med goals but the industry dont produce.
Our universal free health care system are paid by indirect taxes. Here foods and drinks that are not healthy have higher taxes, so we pay our treatment before we get sick from our bad diet. The world should learn from this tricks... Alchool, fat, sugar, salt, the government under doctors guidance define measures and healthy food and drinks pay or 5% of taxes or 23% of taxes...
-,-,-.-,-,-.,-,.-.-,.
Some Americans argue about wait times in other countries like it's some blanket truth for every situation. The reality is that it operates using the triage system. If your condition requires immediate treatment, you get immediate treatment, if you have pain in your wrist, you might have to wait a little while. Some wait times need to be shorter but that's no reason to dismiss the whole system. It means we need to expand the system: more hospitals/doctors. No way I'd want US health care over Canadian.
I'll think you'll find that the top healthcare systems are controlled by government, not private companies that put profits above health.
I think countries that have a universal health care system will have prevention measures too. If in the USA you do not go to the doctor until you are very ill that will cause more serious conditions to treat. In the UK we have screening services for breast cancer, lung cancer and problems, bowel problems and you are encouraged to go to the doctor if you have any suspicion you may have a serious illness. By having regular eye tests the opthalmists work with the NHS as diseases may be seen in the eyes. Dentists can also refer to NHS if they find problems i.e. mouth cancers.
Prevention is better than cure.
I watched a programme a while ago, and the medical systems from Europe provided a pro bona Health care pop up health check and treatment in some towns of America where there was virtually nothing was available to them
Hi Ryan, regarding the life expectancy graph, you must consider that the health of the person is not only due to the healthcare system, but also to other factors, such as quality of life, work style and conditions, etc.
I had an operation in Tijuana (Mex) and the hospital was full of Americans. One explained to me that the operation cost about 25 times more in his home city.
You do read the comments!!! 😀I'm the one that mentioned France in the WHO rankings. Great video - it does depend on how the rankings are constructed.
Germany has had statutory health insurance since the year 1883!!!
When I'm ill, I don't want to think about the costs.😀
absolute nonsense! This statutory insurance introduced by Bismark was intended exclusively for unskilled workers in industry, i.e. around 10% of the population. My tip: detention for elementary school mathematics again...actually, compulsory health insurance was only introduced in the early 2000s by the then socialist government Schroeder. Back then there were hundreds of thousands WITHOUT health insurance
One final point, Ryan, is - I don't find our taxes to be excessively more than the average tax bill for Americans.
Let me put it this way - our tax doesn't bankrupt us, while it seems your medical bills CAN.
Our government wants to keep taxes low to encourage business investment, and spending affordability for working people.
I DO use private healthcare as well, and that also doesn't come anywhere near bankrupting me.
4:29
Actually, the treatment is also so-so in the US.
The Triage system in most countries is based on need instead of wealth. If you need a life saving treatment, you will usually get access quickly if not immediately. Non essential or elective procedures tend to have longer wait times. A large bank account doesn't allow you to cut ahead of someone who needs more help than you.
In Germany 7,3 % of your salary is for healthcare. Your boss has to pay 7,3 % too.
So: every month the insurance gets 14,6 % of your salary.
The last 10 years I was 5 times at the hospital or a doctor. If I had to pay it directly it would be cheaper for me. But with my money they can help someone with real problems. You can say I care for others and others care for me with our system.
But there are a lot things the insurance doesn’t pay...
It’s a good system but not so fair for us citizens. It’s more fair for the pharmaceutical industry.
Absolutely wrong is that hospitals have to make money.
Wow. I was not aware of that. That’s crazy. In Switzerland I pay 330 CHF per month and I’m in my 40ties. A other reason for Germans to move to Switzerland. 😉
@@SN-bl6xm I’m near Basel. I live in Freiburg ;)
There is a private insurance too for ppl with a salary xxx and higher and for ppl with any business.
I talked about the social system. Private insurance is a lot more individual
I disagree with your conclusions. This kind of system is fair as it's affordable to everyone (income-based) and those luky to be healthy pay for those not healthy. What many people do not realize: It's very likely that they won't stay healthy forever as they are also getting older
I think that's one of the problems with private insurance: They calculate risk-based, so it's usually very cheap for younger people *but* it may turn extremly expensive for elderly people - so at the end a private system turns out more epensive.
only partially true: the contribution is capped above a monthly income of around €5000; i.e. e.g. that someone who makes €10,000 a month only pays 14.6%/2=7.3%. In addition, from this income you can leave the statutory health insurance and choose a private one. .In fact, around 15% are currently privately insured
this is actually true in reality; In theory, priced-in retirement provisions should compensate for the increase in age. Problem: the business model of private health insurance was destroyed with socialist paper money and the zero interest rate policy that has accompanied it, especially since the crash of 2008@@andreasprucha1451
Health care is essentially free in the Nordic countries and of very high quality. If we Norwegians go to the usa we need very good insurance so we can get back fast and safe.
My country, Spain, has been among the TOP 10 in healthcare for a long time now. Oscillating between first, second or, as at this moment, seventh position.
Likewise, we are also among the countries with the highest life expectancy in the world. Last year (2022) Spain appeared in first position in the world with an average age of 85,74.
It is also the first in blood donors and organ donors... for 27 years without interruption...
The average healthcare expenditure GDP per capita in 2021 was 1,860 euros per inhabitant.
I'm not going to say that Spain is the best in the world in health care... but I find the list of countries they have chosen to show in these examples quite curious...
Which country specifically do you find curious/surprised you on the list?
A government that has to pay for health care will seek to prevent illness. It will prioritise efficiency, as long as it is adequately effective. Note that if a working-age person is ill, they aren’t working to add to the GDP. So, having UHC is a good idea to maximise production, as well as health.
Bronchitis is considered a serious ilness in my country and one that would render me to weekly checkups at my GP for the remainder of the months. Each one of them would cost me about 2,4 euros in Belgium. That alone says enough.
I had a touch of pneumonia recently, was seeing my GP weekly (which is getting more expensive) weekly blood test (no cost), various x-rays (depends where you go, but mine were zero costs. Organising a CT scan which I believe will be no cost.
America has no Healthcare system but a Healthcare business
America also has massive waiting lists, the eclectic beard talked about his experiences of this in one of his healthcare reactions.
In the states health care is a bisiness mean profit where as other countries its a public service.
A health care system does not only consist of care providing and financing, it’s also about information, incentives and ability for people to be healthy. For example regulations preventing advertising unhealthy foods as healthy. Informing and encouraging the population about healthy habits. The prevention aspect is one of the biggest flaws of the US system. It has close to none. And prevention is generally orders of magnitude less expensive than late treatments.
I had a super healthcare in Switzerland. I payed 330 CHF per month (in my 40ties. The older you get the more you pay). Doctors appointments, ER visits, most medication, MRI pictures, Ambulance, operations, all is covered by your health insurance. I also and two operations of a total of 100k CHF: everything paid by my healthcare insurance. I moved to the USA recently and can’t afford healthcare insurance here. Medication here costs me between 5-20 times as much as what it would cost in Switzerland. I have heard of Americans who have a healthcare insurance and they still have to pay thousands of dollars on ER visits or operations. It’s crazy here in the USA. I’m now considering moving back to Europe where I can have good healthcare.
Sounds about right. Why did you move to the US in the first place?
That the US spends 18.8% compared to the Swiss 11.8% of gdp on healthcare is actually kind of deceiving. That doesn't take into account, that in the US loads of healthcare isn't provided, so those costs never add up. In the US the overcharge massively for everything, then only give massive price cuts to the insurance companies. The insurance only pays maybe 2-3 times what it costs in switzerland.
I'm impressed with the British NHS.
A relative has just had a ( possibly cancerous) neck tumor removed. It took 4 weeks from his first visit to his GP (Physician) to the operation. All paid for, from a life times National Insurances (a form of pay roll tax) contributions.
My wife has had a hip replacement and her Chataracts done, while i have had emergency knee reconstructive surgery.
In any other health system we might now be bankrupt.
"In any other health system we might now be bankrupt".
Actually, no.
In any other 'western' type of healthcare system OTHER THAN THAT OF THE US, you would not be bankrupt. There are many funding and payment models which provide what is often (mistakenly) described as 'free' healthcare; the British NHS system is not the only one, nor the first or 'best' one, although it has been used as a model for several other countries' healthcare funding and administration.
I am a now-retired British medical professional who has worked in over a dozen countries, and in all of them there has been some form of universal health care provision for legal residents, in which - at the point of need - services, treatments etc are essentially free or incur no more than a token payment.
@Sine-gl9ly My comments were aimed at the American audience of this channel rather than the European audience.
I think the channel covered the US 's profit based healthcare system's problems very well.
Having worked previously in pharmaceutical research, I have seen how the US market distorts drug development.
@@johnparsons9620My comments were aimed at them, too - many Americans have a misconception that the funding model of the NHS is the only one out there which ensures universal coverage of a population, and that other than in a very few, NHS-model countries, high costs are to be generally expected, even if those costs are not as high as in the US.
Before I retired, I came across fellow medics from the US who were surprised that, in the various different funding models for universal health care, costs for expensive, technologically-advanced procedures were routinely covered, and a few who appeared surprised that equipment, and skills, for such procedures exists outsode of the US and a couple of large international cities - usually anglophone ones!
There seems to be little understanding or acceptance in the US of the fact that there are many, *many* ways in which 'affordable health care for all' can be, and is, funded throughout the 'western' world, and while I agree that the channel covered the US' healthcare funding problems both well, and pragmatically, I would like to see other reputable channels offering more informative material of this type.
15:54 Yes, that's true, in Spain we have to wait up to 70 days to get an appointment with the specialist, however, IT'S ALL "FREE", in Spain 94.07% of healthcare system costs come from taxes, you may think that's a lot but we think in a more collective way so everyone pays to have everything.➡If you think about think about costs = in 2021, public health spending in Spain was around 90 Billion Euros (Around $99 Billion) or 7.3% of 2021 Spanish GDP.✌
The US healthcare system spends on treating sick people. It makes more profit from keeping people alive when they’re sick it doesn’t make any money from preventing sickness. In the US, the percentage of people who die in hospital is a lot higher than in other parts of the world where they die at home. Also the US does double three times the amount of tests on people that would normally be considered at the end of their life because insurance and people make money on those tests
PS… please excuse any typos, I’m using Siri
Ryan, some of your reactions have been very insightful, and others show what might be called, "an unwillingness to abandon preconceptions common to your society." Before asking, and answering this question, it is perhaps important to decide what you believe that system must (or should) provide, to whom, to what level, and at what cost (and paid how?). That those questions even need to be dissected suggests that more than one step back may be needed, in order to see the picture as it exists in your country. You have technically superb facilities and doctors in some areas, less so in others, In almost all cases, health care providers are a profit-driven business, and "two steps" may be needed, in order to ask "why?" Which is more important? The quarterly balance sheet, or the various statistics that measure how effective - and how cost-effective - the health care that is delivered is? It is a difficult question, because it touches on a very sensitive area, "greed vs. need." A model that operates on the premise of being a business that delivers the highest financial return to some may not be the same as a model that provides an agreed-upon level of primary and secondary, or emergency health care services. But that is one of the very stark issues, and the American people must decide which is the more important.
Consider for a moment the model of public utilities that deliver power, drinking water, etc. During much of the 20th century, these things were often supplied by organizations that where community owned, whether municipal, regional or state. The costs vs the levels of service, and types of service, were not profit-driven. The costs of operation as well as capital costs and costs for upkeep or expansion were decided on the basis of what was agreed to be necessary and sufficient for most needs, most of the time. When public utilities were stripped away, and handed on a plate - sometimes for little or no cost - to companies that saw them as a profit making enterprise, priorities changed, as did services. In some cases, it was not a change for the better.
If you de-politicize the health-care debate, at some point a similar question comes up. You, and many people, start from a set of ideas, or pre-conceptions, which may or may not be accurate. So it's then necessary to go back one more step, and decide the "ground rules" or "basic reequirements." This sounds simple but it is not. As others have said, there is a balancing act. None of the services are free, but most of the recipients do not have limitless wealth. Acknowledging that may be a place to start. Answers to questions are easier to find, once you've decided on what the questions are. That sounds simplistic, but every country mentioned as having some form of universal health care has to set some standards, and re-evaluate both the results, and changes that may be needed. It's not easy, but it's one point to start from.
so in switzerland the insurance companies are independent, but there is a "basic program" that is mandatory and the price is capped. so if you are unable to pay the basic mandatory version the state pays this basic version for you. this oly happens if you are unemployed or other reasons.
You measure 'prevention' by less people requiring treatment in the first place and a healthy population that can fight infections. Education is key.
Vitamin D3 is key here as most people in the world are deficient in it and it plays a major role in many body systems including immunity!
America ONLY treats disease, so it keeps happening and there's no change because it brings in money.
Speaking as a former senior cardio-thoracic surgery HDU [and formely orthopaedic] nurse of 26 years.
How long does it take to see a specialist doctor in the US?
The average wait for an appointment with a physician for new patients is 26 days, according to a 2022 survey of 15 metropolitan areas by the physician recruiting firm Merritt Hawkins. That's the longest it has been since the company began doing the survey in 2004.
NHS is in trouble because the government aren't funding it properly and are outsourcing work to the private sector. When the government funds it well, it is great!
Last summer we had to use US healthcare when on holiday there. My son ate a cookie made of peanuts but which had no labelling (we assumed that was compulsory as it is in Europe) and got severe anaphylaxis. An ambulance ride, care and a night in hospital came to nearly $30k (luckily insurance is picking it up). Luckily he completely recovered. Compared to the UK, the ambulance crew did not seem anywhere near as professional, the hospital was vast, new and largely deserted (complete opposite to ours in London!), staff were good but there was far less continuity of care- it was more like a production line. I would have far rather have been in the UK system despite its failings.
I read where the US is the only developed country where you can die from a treatable condition because you cannot afford the treatment. On another point, I recently had a serious medical episode while holidaying in New Zealand. I was flown to hospital by helicopter, spent 20 days in intensive care & 24 days all up in hospital. It did not cost me a cent as NZ has a reciprical agreement with Australia & other countries that have a Medicare health system.
Another great example. As an Aussie, I remember one of my early drips to the UK I needed a doctor, flashed my Medicare card and Passport, no charge under the reciprocal scheme.
Average life expectancy, France 82, Switzerland 83.1 Australia 83.2 USA 77.28 Infant mortality France 2.819 Switzerland 3.15 Australia 2.88 USA 5.4 take YOUR pick of what you would prefer.
All of the countries with the highest life expectancy have some sort of social democratic or socialist health system. Sadly the US is ranked 59 amongst the world in life expectancy. Even poverty stricken 3rd world countries like Sri Lanka have a higher life expectancy. The US system is like a lesson in what countries should avoid if they want better healthcare for their citizens.
2:58 sir, that is because the Red Cross was invented by a Swiss guy and he wasn’t very creative with designs, so he took our countries flag and swapped the colors. (Also why you can find Swiss flags in a lot of countries, they mix it up with the Red Cross)