[quote]Spartiates wrote:
[quote]orion wrote:
In our system our government tells you what you pay and what you get and unless you have quite a bit of money, that is what you will get. That is a whole different ballgame.
[/quote]
I’m really curious about this. So you have a single-payer system, but private industry still exists? Or the rich leave the country?
If there’s just a private system that’s expensive, that doesn’t really seem any different that what we have in the US right now. Getting sick bankrupts people all the time.
I’m curious what you consider “quite a bit of money”, because with that, you can get good care anywhere. I wonder if the people in my country or your country, who don’t have “quite a bit of money”, get better care.
I think at some point practicality has to take precedent over ideology. If indeed single-payer (and go ahead and layer a private healthcare system for the ultra-wealthy on top) is shown to be the most cost effective way to deal with healthcare, getting, on average the best quality of healthcare, to the largest population, it seems all the free-marketeers should just hold their noses and deal with it.
I’ve gotten to the point where I think the only real effective solutions are either single-payer, or total deregulation + ban on insurance, so everyone MUST price-hunt and pay cash. That would really drive prices down, but would be an extremely messy transition. And I don’t hear anyone on the right even thinking about advocating that.[/quote]
Ok, our system works something like this:
We do not have a “single payer system” but mandatory insurance. This mandatory insurance however must be provided by “companies” that are run by the state. You are in the insurance company designated to you, when you are employed in Vienna f.E you automatically are part of the “Wiener Gebietskrankenkasse”.
Theoretically this companies would save money in bad times, in real life the government takes these monies if it needs it and the payroll taxes are raised in bad times.
However, on top of that there is private insurance which will get you better treatment. And this insurance really is on top of that, your basic insurance is still mandatory. This private insurance will get you better doctors, better rooms, and staff that actually gives a shit.
From my personal experience I can only say I over 30 when I found out that “doctors” actually listen to what your problems are instead of trying to get rid of you in 5-10 minutes or less because that is when I decided to no longer go for “free” healthcare but to pay for doctors that actually work for me instead of working for the government.
That makes a difference that you would not believe not only when it comes to results, but also cost wise, because when you factor in the pain and suffering our private doctos are actually much cheaper.
However, living in a country where most people cannot afford ( in the 7th richest country in the world!) those private doctors because the government tales away the means to do so, in part to provide “free healthcare” for everyone, most people do not know the difference because they have never seen a decent doctor in their lifes.
I also know some guys who study medicine and they work like mad to either leave the country or to open a private business that does not depend on public monies. Those that do not make it will operate on you for 2000-3000 EUR after direct taxes in a public hospital.