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(US News)   Five secrets to getting the best healthcare. #6: Don't get sick   (health.usnews.com) divider line 37
    More: Obvious, permanent residency, screening tests, Archives of Internal Medicine, preventive care  
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9038 clicks; posted to Main » on 04 Jun 2012 at 2:19 AM (2 years ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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View Voting Results: Smartest and Funniest


Archived thread
2012-06-04 07:13:26 AM  
4 votes:

randomjsa: WhyteRaven74: Tell that to all the people whose jobs don't provide health insurance or provide bad insurance.

My job does not provide insurance. I purchase it privately.

YoungSwedishBlonde: Because all jobs provide health insurance and all cases of illness fall under periods of employment.

My job does not provide insurance. I purchase it privately and assuming one is unemployed or underemployed, a strong possibility with our current president, you may need to look in to other options. They do exist but they are not very good compared to private health insurance.

The point is that if you get sick, and by that I mean really sick, the best health care you can get is available right here in the the United States. The "best" health care is the kind that provides you with the most timely and effective care, not the system that you think is "fair" because more people have ready access to it.


You speak from a position of self righteous arrogance as well as ignorance.

Not everyone is as talented as you are. Just because you are strong enough to pull yourself up by your boot straps merely means that you are some sort of super man. Most of us aren't.

Secondly, it is both arrogant and ignorant to assume that the USA has the best health care in the world. Australia, Canada, the UK, Sweden, Norway and yes, even Cuba will give you a good run for your money. At little cost to the patient.

You see, in a civilized society it is considered a basic human right to have access to health care regardless of your level of super human productivity. In a dog eat dog economy on the other hand, it's a case of fark you Jack, I've got mine - now go away and die quietly.

The notion of living in a society rather than an economy seems to have lost traction in the United States over the last decade or so. It's now considered, gasp, dare I say the word, socialist. The horror of it!

You may be one of the strong ones now but maybe one day you won't be. Maybe you will become unemployed one day, then become mentally ill so that you are no longer employable. Too bad you can no longer afford your health insurance isn't it? You've just switched to the wrong side of the dog eat dog equation.

Finally, stating that the current economic disaster is Obama's fault is either disingenuous or ignorant - only you really know which applies. In some ways I almost wish that you and your type get President Romney next year. There's a good chance you will.
2012-06-04 08:36:52 AM  
3 votes:
I like the addition of the "smart" and "funny" buttons but we really need a "troll" button too.
2012-06-04 03:43:31 AM  
3 votes:
I have a friend who's having emergency cancer surgery Tuesday and I'm not getting a kick out if any of these replies.

She doesn't have insurance and basically had to sell all her personal possessions to pay for her recent doctor visits because she has a pre-existing condition: cancer. By giving all her net worth into the medical mill she can now apply for Medicare to cover her surgery next week now that she is rock bottom destitute.

USA! USA! USA!

This country is pathetic towards the sick and poor and young. You must be financially enslaved to doctors or universities so that Stockholm Syndrome is endemic.
2012-06-04 02:25:04 AM  
3 votes:
Don't be poor in the third world or in the USA.

Other than that you're probably getting pretty good health care.

/dnrtfa
2012-06-04 02:23:52 AM  
3 votes:
Don't live in the US.

/have awesome healthcare, still too terrified of bills racking up to see any doctors about ANYTHING.
//Still 20,000 in debt from my last emergency.
2012-06-04 01:09:50 AM  
3 votes:
#7 Move to Canada or Cuba
2012-06-04 08:43:35 AM  
2 votes:

Bungles: Flint Ironstag: cretinbob: #7 Move to Canada or Cuba

Or the UK. I've had several hospital treatments, including a few ER visits, and had excellent care. Reading these threads makes me really appreciate the fact that payment, money, bills etc never crosses my mind. If I'm sick I go to the doctor. If I'm really sick I go to the ER. At worst I will have to pay about $15 for a course of medicine.
How many people in the US need expensive treatment because they didn't go to the hospital until a small ailment got far worse? What could have been treated quickly had you had it treated early now needs far more costly and invasive treatment because you were too worried about the expense to go get treated.

As a bonus, the total healthcare cost per head of population is a fraction of the cost in the US. So not only is it free at point of service, it works out far cheaper even including the taxes you pay to fund it.

And what many people ignore is that you can buy private healthcare in the UK if you want, and it usually works out far cheaper than the US for that (mainly since they don't have to worry about paying for ambulances and ER treatments).
However, not many people bother since the NHS is generally so good.

BETTER DEAD THAN RED!


It's funny that the very same Americans who are all "No socialist healthcare!" have no problem with the armed forces being socialist. The army, navy and airforce are all taxpayer funded for the benefit of everyone. Ditto police, schools, roads. So why not do the same with healthcare?
SH
2012-06-04 06:32:20 AM  
2 votes:
i.imgur.com
2012-06-04 05:54:49 AM  
2 votes:
randomjsaThe point is that if you get sick, and by that I mean really sick, the best health care you can get is available right here in the the United States. The "best" health care is the kind that provides you with the most timely and effective care, not the system that you think is "fair" because more people have ready access to it.

How do I know you know nothing about healthcare and other countries.......because the BS that you just put out is farking deep. Serious.....get a degree.....like medicine maybe, work in other countries in ...medicine even....then see the shiat that goes on in the US........

Parroting arshole is what you are....no original thought in your farikin head!

//protip...if you have to go to the ER and the line is like effin forever...they triage ya first.....if it is something other than a effin cold or a slight cut.........just tell them you are having chest pains, heaviness in the chest and voila...you are in the front babee! Pls do not do this with something bullshiat tho.......do not waste my colleagues time!!!!!
2012-06-04 04:12:29 AM  
2 votes:

EngineerAU: cretinbob: #7 Move to Canada or Cuba

Yep.

Even with what is suppose to be some of the best medical insurance on the market, sometimes I still find traveling to Costa Rica is cheaper. $350 roundtrip airfare and everything down there is pretty cheap makes it a better option than risking what bill will show up after having a procedure done in the US.


Seriously, the farking leach hospitals send a bill just about every time, regardless of what insurance has already paid. Call them about it, and it's "oh, that must have been sent in error, it's taken care of, don't worry about it."

Funny how every hospital seems to make the same kind of error every time just about anyone I know goes to the hospital. Bet they keep the farking money if you send it.

Single payer. Only thing that makes any goddamn sense unless you've got so much money you can afford to pay for this crap out of pocket.
2012-06-04 03:43:31 AM  
2 votes:
Live in the United States and actually be productive enough to afford health insurance.

Even that doesn't work too well. I work for one of the most powerful law firms in the world but still get screwed over by our insurance company. I have the same insurance as attorneys who bill at $1200/hr. It's pretty high end expensive insurance but they still try to screw you every chance they get. Recently I fell at an ice rink and busted my head open. The doctor on the scene called an ambulance which took me ten miles to the nearest hospital. The ambulance bill was close to $900 and the insurance company refuses to pay a penny saying I could have made it to the hospital on my own. I had a head injury, lost consciousness and was bleeding profusely but I was expected to drive myself to the hospital? Maybe I was expected to walk. Or maybe I should have put out competitive bids to taxi companies willing to let me bleed all over their cab. That's the captialist thing to do, right? There must be an 'I have a medical emergency and want to start my own services exchange' app, right?

At least they paid most of the ER bill, which was almost $8000, though the insurance company negotiated rate was around $5000. Could an individual negotiate $3000 off the bill before even being admitted? It was also weird that I received bills from five different legal entities instead of just one bill from the hospital. And the insurance company initially didn't want to pay for the MRI but I eventually argued and won on that one. Still can't get them to pay for the ambulance trip. It's a really messed up system.
2012-06-04 03:21:21 AM  
2 votes:
kisseswookies

Don't live in the US.

/have awesome healthcare, still too terrified of bills racking up to see any doctors about ANYTHING.
//Still 20,000 in debt from my last emergency.


EXACTLY!

The reports don't mention the vast amount of folks who will not see a physician or dentist until they're seriously ill because of the HUGE expense. In the case of the latter, you're pretty well f**ked because no social program covers dental and I don't know of any who take time payments.

Last time I went to the ER I was there about three hours. My bill was over $4000!! I talked to a dentist about removing my rotten teeth and getting plates and stopped listening when the price went over $8000. (Some will have to be surgically removed.)
I'm on disability, and it pays 80% of my medical bills, but pays absolutely nothing for dental.

When I had to go in for cataract surgery, it's a good thing I needed both eyes worked on. Medicare would pay for ONE or both at the same time. If I needed only one eye fixed, and later developed a cataract in the second eye -- tough shiat.

I found a great Dr. though. He accepted the 80% and charged me a whopping $4.00 'co-payment'.

If I wasn't on Med-D, I could not afford the pills I have to take. Even with medical insurance, my 85 yr old mother was being sucked dry by her pill co-payments and it took me 4 years of searching to discover a plan for the elderly where she pays very little or anything at all.

Yeah. DON'T get sick if you're in the lower 30%.

More and more physicians are grouping together to keep costs manageable and to be able to afford a core group of lawyers needed to handle the never ending pile of malpractice suites.
2012-06-04 03:13:55 AM  
2 votes:
I am stuck in a psych hospital right now. It has costed me an arm and a leg in private health insurance (otherwise there is no inpatient care even in Australia) over the years. I was also left to fend for myself for 4 months whilst they waited for a bed to be free - no capacity even in the private system.

Get in here and find that 5 beds out of 50 are set aside for illegal immigrants.

Half of me says "I am glad they are getting treated". The other part says "WTF my own father cant get inpatient treatment.".
2012-06-04 02:48:53 AM  
2 votes:
In the US? Be rich.
2012-06-05 03:53:08 PM  
1 votes:

UnspokenVoice: A Terrible Human: Baker_Street_Irregular: Go to the ER. I'm just back to work today after brochotitis. It won't get better on its own.

I know that but I'm waiting because I don't want to be hounded by collection agencies or treated like shiat by another ER doctor.

Clinic or your PCP.

/this is one of the reasons WHY ER care is so expensive
//people go there for a toenail infection after the toe rots off
/they could have spent $100 at their clinic a month earlier

Side note: People do the same with their car all the time. I don't really get it.


I assume that's one of the reasons why the UK's healthcare, and indeed almost every other first world country in the world, costs less than half per capita the US cost. People don't wait for things to "get better by themselves" or "hope they'll go away." They go get them treated at the start when things are far easier, cheaper and more effective to treat.

I tore the ligament in my ankle a few months ago. The ER visit, the X-ray, the consultation and the follow up visit to my doctor a few weeks later cost me...... One dollar. And that was for the cup of coffee I bought in the ER.
2012-06-05 12:04:50 AM  
1 votes:

Nexzus: 4) My son born last October. Labour wasn't going well. Nothing life threatening, just worrying, but a C-section was recommended. The time from agreeing to the C-section to being in the OR was 5 minutes.


My daughter was born the same way last June. we also got into the OR immediately. She had meconium inhalation (she breathed in poo) and had to spend a couple days in the NICU. With our insurance we then had $1500 for anesthesia, $2500 for the NICU stay, which we paid, followed by an $18,000 bill which we received 6 months later for the C-section itself. We are currently going round and round with the hospital and the insurance company about how an emergency C-section is not covered. but if they end up not figuring it out we will just declare bankruptcy. My wife is Canadian and doesn't quite understand why we should stay in this retarded country.
2012-06-04 07:12:22 PM  
1 votes:

Coelacanth: Nexzus: Holy christ, some of these anecdotes are depressing. Canadian healthcare may not be the shining beacon for socialized healthcare, but goddamn, waiting to see if bronchitis will clear on its own? Thousands of dollars for an ER visit? Having even great health insurance and still stuck with huge bills? Holy fark.

I was in the hospital for four days last year with an infected leg. No health insurance. Total bill: Almost $100,000. No way to pay it because it fell on me to pay for other family members' catastrophic illnesses. I'm unemployed and with my credit rating in the toilet, I can't get another job. If it wasn't for my brother here, I'd be on a traffic island panhandling drivers at stops.

My leg is still in pretty bad shape. It's damn near impossible to get my medications at the free clinic because the illegals keep cutting in line ahead of me and I can't stay awake for more than thirty hours. And debt collectors are all over the place.

I've had enough of Best America. Can I come to Canada, please?


I feel for ya, and you're always welcome to apply. The thing about Canadian immigration is to get in quick (and become a Canadian), you have to be either really, really rich, or really, really poor (like actually eating dirt poor, and your last dirt meal was 3 weeks ago). A regular dude wanting to become Canadian, with all its benefits and responsibilities, can take up to about 5 years.

I'll also add, from what I've seen, luxury health care in the US is top notch. Cancer clinics and birth centres that are like 5 star resorts, etc., and the care and medical expertise is top notch. If I had the means and the circumstances, I would certainly go for it. When my mom was undergoing chemo treatments, yes, she got it timely and for free, but she was in a room with about 5 other people also undergoing treaments, some looking pretty rough. That can't be good for one's mental recovery.
2012-06-04 05:23:39 PM  
1 votes:
The fact that someone even thinks you need 5 lame assed "tips" to get decent health care in America tells you what a shiat pile of a system we have here. We're 35th in the world in life expectancy, and falling.
2012-06-04 03:39:17 PM  
1 votes:
Holy christ, some of these anecdotes are depressing. Canadian healthcare may not be the shining beacon for socialized healthcare, but goddamn, waiting to see if bronchitis will clear on its own? Thousandes of dollars for an ER visit? Having even great health insurance and still stuck with huge bills? Holy fark.

I know the US right wing media rails against our health care, but here's four anecdotes against that:

1) Broke my ankle playing roller hockey. From the time I broke it to when I was back home with a temporary splint was three hours.

2) Girlfriend had an ectopic pregnancy. She was in surgery three hours after the diagnosis

3) My mom was diagnosed with breast cancer in the fall of 2010. She was told on a Thursday, and started treatment the following Monday.

4) My son born last October. Labour wasn't going well. Nothing life threatening, just worrying, but a C-section was recommended. The time from agreeing to the C-section to being in the OR was 5 minutes.

The kicker to these anecdotes - the total cost was $0. Well, parking when my son was born was $15 per day, and I had to pay the cab from the hospital to home when I broke my ankle.

In my experience, if you require medical care, you're going to get it.

What doesn't work out well really is quality of life stuff. My girlfriend tore some cartilage in her shoulder during a fall a while back, and she had very limited use of that arm. We had to wait about 4 months for the MRI to determine what needed to be done, and another 4 for the surgery.
2012-06-04 11:48:32 AM  
1 votes:

Marcintosh: Republican health care system-
[www.hearse.com image 604x300]
Can't believe I'm in first-must be monday


I thought it looked more like this:

californiawatch.org
2012-06-04 08:33:45 AM  
1 votes:

Trapper439: randomjsa: Live in the United States and actually be productive enough to afford health insurance.

*points and laughs at clueless right-wing American douchebag troll*


Definitely Poe's Law here. Lots of smug people like him in the US who have no clue how close they are to disaster with this. Shiat can happen to the bootstrappy too. Also being productive is no guarantee that you are getting paid adequately in today's economy.

/dog eat dog capitalism sucks
//and works as well in the long run as communism
2012-06-04 08:23:21 AM  
1 votes:

cretinbob: #7 Move to Canada or Cuba


Or the UK. I've had several hospital treatments, including a few ER visits, and had excellent care. Reading these threads makes me really appreciate the fact that payment, money, bills etc never crosses my mind. If I'm sick I go to the doctor. If I'm really sick I go to the ER. At worst I will have to pay about $15 for a course of medicine.
How many people in the US need expensive treatment because they didn't go to the hospital until a small ailment got far worse? What could have been treated quickly had you had it treated early now needs far more costly and invasive treatment because you were too worried about the expense to go get treated.

As a bonus, the total healthcare cost per head of population is a fraction of the cost in the US. So not only is it free at point of service, it works out far cheaper even including the taxes you pay to fund it.

And what many people ignore is that you can buy private healthcare in the UK if you want, and it usually works out far cheaper than the US for that (mainly since they don't have to worry about paying for ambulances and ER treatments).
However, not many people bother since the NHS is generally so good.
2012-06-04 07:57:40 AM  
1 votes:

EatTheWorld: wait? is the argument against US health care is that it is not free?? WTF? If it's free to the end user, who pays the doctor, the hospital, the nurses? Government? Ok. who pays the government?

...wait.. u damn mooches! Buy your own doctor!



Most places in the developed world think the priority when someone is coughing up blood and fitting shouldn't be where their wallet is.
2012-06-04 07:14:23 AM  
1 votes:
That list was terrible. So the secret to great healthcare is suspect everything your doctor tells you and do research yourself? Sounds like a recipe to start putting tinfoil hats on, avoiding shots and trying to proselytize all your friends about how fluoride is a government trick to give your children disease and how "natural cures" are so much more effective than actual medicine. When you search online you will find 500 all out crazy sites for every 1 or 2 credible ones.
2012-06-04 06:55:08 AM  
1 votes:

randomjsa: WhyteRaven74: Tell that to all the people whose jobs don't provide health insurance or provide bad insurance.

The "best" health care is the kind that provides you with the most timely and effective care, not the system that you think is "fair" because more people have ready access to it.




By that idiotic logic, the "best healthcare" in the world on your Top 10 is probably entirely made up of Arab dictators and their families.

Of course, every major metric that measures healthcare quality across the globe, measures most timely and effective care *across the entire population*.

Simply choosing to ignore that because it reveals how backward the US system is kind of shows that you already know that.
SH
2012-06-04 06:38:32 AM  
1 votes:
2012-06-04 06:06:04 AM  
1 votes:

SweetDickens: protip...if you have to go to the ER and the line is like effin forever...they triage ya first.....if it is something other than a effin cold or a slight cut.........just tell them you are having chest pains, heaviness in the chest and voila...you are in the front babee!


No, you're not.

You get an EKG very quickly while in triage, and then you're sent back to the back of the line when the EKG comes back stone cold normal.

I know we've only spent years in school and years working in the ED, so we're pretty much the red-headed stepchildren of the medical world, but we're not complete idiots. We've actually thought of some of these things, and we plan for them.
2012-06-04 05:58:00 AM  
1 votes:

A Terrible Human: I'm basically waiting for something really bad to start with my lungs before I go to the ER with what I think is bronchitis.


Call your PCP and tell them you're sick. They'll get you in, see you, and treat you for the cost of your copay.

PCPs exist for a reason, people. Don't wait until you're on death's door and then decide to go to an ER. That's just stupid.
2012-06-04 05:53:05 AM  
1 votes:
KrispyKritter: i like how you blame your stupidity on the hospital, that's a good twist there. next time wait three days.

How is that stupidity? Most people don't know you're not going to get rushed to surgery in an ER unless you have a time critical or life-threatening illness or injury. You're either going to get treated to the point you're well enough to go home and follow up with a clinic or your family doctor or get admitted for continuing treatment.

The Emergency Room is not a family doctor, and is not an urgent care center.
2012-06-04 05:23:50 AM  
1 votes:
The planet's primary superpower has health care on par with the third world.

And most people are perfectly alright with this.

[my_mind_is_full_of_fark.jpg]
2012-06-04 05:05:23 AM  
1 votes:

KrispyKritter: kisseswookies: DarthBart: kisseswookies: Don't live in the US.

/have awesome healthcare, still too terrified of bills racking up to see any doctors about ANYTHING.
//Still 20,000 in debt from my last emergency.

This. I passed an 8mm kidney stone last week with nothing more than Aleve for a pain killer. I couldn't even think about hitting the ER for anything stronger.

Damn. That's some brass balls on you. I had a cyst rupture on my ovary. Took me 2 days to agree to go to the hospital, and all I got from there was a bill and a handful of pain meds and a good luck. Farking assholes.

i like how you blame your stupidity on the hospital, that's a good twist there. next time wait three days.


Why? She followed the responsible, conservative healthcare plan. Wait a few days to see if it clears up on its own before you bankrupt yourself going to the hospital.
2012-06-04 04:10:42 AM  
1 votes:
The 'no-nothing' health care plan.

1. Don't be born with any congenital conditions, have a naturally healthy and robust body and immune system.
2. Get vaccinated
3. Exercise early and often, in a variety of climates.
4. Enjoy a good, balanced, nutritious diet
5. Play some kind of sport regularly in HS
6. Exercise and take part in intramural sports in college and your career.
7. Don't smoke
8. Don't drink to excess (meaning more than 3 drinks a week) ever.
9. Fidelity - be faithful, avoid STDs.
10. Don't ever have anything bad happen to you. No slips, no falls, no accidential exposures to chemicals.
11. Die suddenly.

See? It's mostly proactive stuff, so you can totally be moralized if you fall down on 1,10, and 11.
2012-06-04 03:48:27 AM  
1 votes:
Decent health care out of the question (and the budget)? Maybe we should invade Canada next. They have health care. And oil. And Muslims.
2012-06-04 02:55:54 AM  
1 votes:

WhyteRaven74: Tell that to all the people whose jobs don't provide health insurance or provide bad insurance.


My job does not provide insurance. I purchase it privately.

YoungSwedishBlonde: Because all jobs provide health insurance and all cases of illness fall under periods of employment.


My job does not provide insurance. I purchase it privately and assuming one is unemployed or underemployed, a strong possibility with our current president, you may need to look in to other options. They do exist but they are not very good compared to private health insurance.

The point is that if you get sick, and by that I mean really sick, the best health care you can get is available right here in the the United States. The "best" health care is the kind that provides you with the most timely and effective care, not the system that you think is "fair" because more people have ready access to it.
2012-06-04 02:49:20 AM  
1 votes:

cretinbob: #7 Move to Canada or Cuba


That was kind of, sort of, the advice the only halfway decent doctor I ever met here in Las Vegas gave me. She had moved her practice here from the east coast so she could take care of her dad, who was retired and sick. She met doctors who never heard of email, nothing was stored electronically, some of the labs had equipment was older than I was.

I'm trying very hard to get out of Nevada for my own good.
2012-06-04 02:46:43 AM  
1 votes:

randomjsa: Live in the United States and actually be productive enough to afford health insurance.


Tell that to all the people whose jobs don't provide health insurance or provide bad insurance.
2012-06-04 02:42:42 AM  
1 votes:
Live in the United States and actually be productive enough to afford health insurance.
 
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