It is always interesting to hear about different people’s experiences. It seems that you have picked up on the high regard the NHS is held in the UK. I think that there may be some slight variations across the UK in the implementation of some procedures depending on whether you are in a big city or small village, but I am unsure. The few times I have visited hospitals I have found that they are always hot. As you said there are differences between the two systems, some seem to prefer one over the other but that is a personal preference. It does appear that the ‘headline’ tag is free and does not include the important bit ‘ at point of delivery’. Some years ago I believe that visitors were also treated as residents, but there was a scare about health tourists who came to the UK to obtain medical treatment with outh paying into the system which was seen as putting n additional strain on it, the solution was the additional charge on the visa to counter that. As you are now getting experience of both systems, are you in a position to understand why such terms as deductibles, copay, and network are quite alien concepts to us natives? I have been browsing through TH-cam and recently Quora and I am having difficulty getting my head around the fact that Americans are willing to put up with such a broken (to me) system. Am I missing something? A long time ago before the NHS there was individual initiatives from doctors to help poorer individuals to afford medication, but that was patchy to say the least. Glad to hear your news and that you willing to share your experiences with us, I hope all goes well and you do not get worried after deciphering the notes. From my experiences both the Dr and hospitals have my medical records available so I do not get to see them. for a pregnancy they may be a momentous in the future, or perhaps if you return to the States they could prove helpful there as they would not have records of the treatment you received here.
All pregnant women have a pregnancy record they carry with them during pregnancy. That way if something happens and your away from home the medical staff have a record of what's going on.
@Terry Mummery You might be interested to know that before the introduction of the NHS, the most common way people in the UK (and many other countries) paid for medical expenses was through a Friendly Society. Friendly Societies in the UK started in the 18th century as part of the Industrial Revolution and came about because of people moving for work from the country to towns. They were like a mini welfare state and you could join one through your church or through your trade union, and even through membership of some political parties. Members paid subscriptions to qualify for financial and social services, including medical treatment, funeral costs, even money if you became unemployed. In most countries Friendly Society members were protected by the same legislation as "for profit" insurance companies, but in the 19th century in the UK (actually it was Great Britain back then) Friendly Societies were given their own legal status as "non-profit" organisations which meant all the money collected could be used for the membership. Information from the many Friendly Societies was collected as part of the design process for the NHS. They were able to share specific details of what their members paid in subscriptions and what they received in return. This information helped to predict the costs of expanding the Welfare State and the introduction of the NHS. The information was also used to determine the rate of the new National Insurance deductions from wages. My first job in the late 70s was for the Department of Health and Social Security (DHSS) and I worked on the section that paid out sickness and maternity benefits. It was still quite common for us to send a copy of a claimant's sick note (medical certificate from their doctor) to their Friendly Society to get their state sickness benefit topped up with some extra money. How things change!
@@karenhawthorne9591 Thank you for the information, being male it is something I (luckily )do not have experience of :). but if you are allowed to keep the record after the birth, think of the blackmail potential as he/she grows up :)
@@wilmaknickersfit thank you for this very useful information, a long time ago I remember reading about something that some doctors (?) did similar to what you described but on a much smaller scale, I wonder if I mixed things up ? Thanks again for the clarification.
@@wilmaknickersfit Thanks for that reminiscence. I live in Crewe, which was basically built from scratch by the railway in the 19th century, and it was very much a railway town - as most people worked for the railway company it provided schools, churches, chapels, the hospital, the orphanage etc, and even at the time that I arrived to work for British Rail in 1979 the railway still ran a convalescent home in Dawlish, Devon, that railway staff could go to after a hospital stay. That didn't survive privatisation, of course. For as long as I was employed by the railways and their successors, until 2002, I had a small weekly contribution from my salary to the Hospital Contributory Scheme, which was very useful for paying out whenever I had a new pair of glasses or a course of treatment at the dentist.
A native Brit here. I love the NHS and would happily pay more tax to keep it going. Not having to worry about the cost at point of use is worth its weight in gold.
@@mikydees91 I've seen that lazy argument before. You and I both know I mean I would be happy for the tax rate to increase across the board for the NHS, including my tax. We also both know you are trying to win some kind of internet points here, which is a bit immature. You are right I don't voluntarily pay more. But I already pay 40% tax on most of my income and an effective rate of almost 60% on a small portion of it (still 40% direct tax but over a certain income level you start losing the lower end of your personal tax free allowance, which results in around a 60% effective tax rate on income in that band). Then national insurance on top of that of course. So I feel I pay a fair amount of my income as tax but would still be OK if it were increased across the board, including for me. But for the NHS only. Also for everyone currently paying tax (maybe with a threshold to prevent lower income earners being hit).
You can do the same in the US. Just purchase private medial insurance and you don't have to worry about the cost. Now I do have a question? Do you have a choice on where you have your procedures done? In the US hospitals compete for your business especially for maternity or major illness. Where you can visit various maternity hospitals or medial clinics and choose where you have your medial procedures done.
Former American here. Been living in the UK for nearly 20 years. Because of my experiences in both countries, I've come to the conclusion that the US is just a third world country with technology. Anyone disagreeing with me is entitled to do so, like I said, I'm talking about my own experiences, not every one else's. I love the NHS & haven't had to wait too long for any appointments I've had here. Longest wait was 45 minutes after the start of my appointment, but my gp surgery was very understaffed that time. Had all 3 of my children here & my hospital was a bit different than yours. I gave the receptionist the appointment paper & I'd be given my next appointment then & there. I even got to discuss appointment times. I was diabetic with all 3 pregnancies & was given such wonderful care. I love the NHS.
Hicky Hicky there is a problem with NHS underfunding, but it's nothing like the problem in the USA with half a million health system bankruptcies per YEAR and 30000 deaths due to lack of insurance. waiting a few months for a hip operation is nothing compared to the exorbitant fees in the USA.
@Hicky Hicky No you're wrong! I and my family have had excellent free service thanks to the NHS. From a kidney operation to major brain surgery on my mother in law, both had positive outcomes but what would of happened had it been in the US? We'd probably be bankrupt and homeless. This "Poorly delivered" doesn't ring true in our experience. We are truly thankful we live where we live where people's health/care doesn't have a price tag.
Hicky Hicky such arrangements are possible in the UK. i.e. private health insurance is available so that you can be treated in a private room in a private hospital without any waiting. BUPA is the most well known.
Hicky Hicky i don't know bernie's plans in full. it should be noted that BUPA is an additional health insurance. I think the main point about medicare for all and the NHS is that there is no opting out. just as you can't opt out of Police or Fire, even though you may employ your own security staff etc.
You mentioned that you felt that doctors didn't rush you and answered all your questions. This may be part of the reason the appointment times slip. Each patient is given the time needed for them. So although this may result in you waiting a bit longer for your appointment, you know that when you do see your doctor, they won't be clock watching and wanting to make sure you're out in a given time but your needs are catered for. Nice and balanced video.
The reason for the rush if doctors here in the US got to hussle. Some may do it to put more money in their pocket others it's to pay their bills and wages.
When I was visiting England at age 15, I became sick with bronchitis. The doctor who attended me intuitively knew more about my medical history than the one I was seeing back home!
Working in a busy NHS department myself I’d guess you get your appointment through the post because of you seeing two consultants together they would need to check when they are both free at the same time.
You’re right that the NHS sticker price of “free” is misleading, because we still pay for it through taxes. But it’s worth noting that because we have a progressive tax system there are plenty of low-paid people (plus children, pensioners, etc.) who do in fact get completely free healthcare. This is the best thing about the NHS, even compared to other developed countries with universal healthcare of one sort or another.
Grant O yep, if only everyone had to pay for their healthcare like in America, we wouldn’t have problems with obesity, diabetes, etc.. I hear they’ve eradicated obesity over there.
@@jaime8974 but you will never cover the cost of the treatment you will receive over your lifetime, via the tax you pay nor will ever need to worry about an unexpected health cost, I always feel that those of you who keep saying "but it's not free" must be dumb in some way to think that people in the UK don't know that they pay via their National Insurance system, currently only 12% or 2% over £8,500, though this may go up in April to start at £9,500. Businesses have to pay 13% of NI for each employee based on their salary.
@@Lisac11226 im not concernd with them, you could say the same about economic refugees, immigrants who have just come here, the people you refer to are a small minority as most of them are not on benfits through choice, i know some are, but all i know is that i have paid tax and stamp all my working life 40 odd yrs, Im a key worker, but i dont want or expect any thanks, just my salary, the nhs staff are not heroes they are doing their job, which most of us pay for, im not disrespecting them, i think they are doing a good job, but thats their chosen career, if they were volunteers they would be heroes
A friend of mine went to her GP and was consulting with him for nearly an hour. She got upset for wasting his time and people waiting. He told her not to worry, but if ever she was in the waiting room waiting past her appointment it was because their need was greater. I always feel grateful that I haven't had to walk for days to get medical assistance. I love the NHS.
im glad you love the NHS. most americans start foaming at the mouth and shouting commies! whenever you mention the NHS despite it being miles ahead of the american system
@Hicky Hicky nope its about the greater good. its about everyone chipping in. the war spirit. its about not being selfish and realising, that money isnt everything.
@Hicky Hicky smokers and drinkers contribute far more to the NHS coffers in tax than they cost it and also die younger so are less likely to burden the state in old age. Instead of being judgemental and sanctimonious you should be thanking these people for subsidising you.
Hicky Hicky so if you exclude people who drink or are overweight what about dangerous sports like skiing or biking or what about guys using a motorbike. If you start excluding people you can exclude everyone but this is the typical selfish American thinking.
Dana says- These days most doctor's offices will go over estimated cost of implementing your expected treatment plan for expensive things or things that will take several appointments (like needing several dental procedures, or labor & childbirth). They show/tell you what costs tend to be & what your particular insurance will cover, so you can budget & save, or just plan what costs you will need to pay. Some offer the option of paying the known costs in advance, or even making payments toward expected costs. Then if your care costs more than that, you would be expected to pay that portion. Or you can choose to pay it all after the procedure/appointment is done. It is what we in the US are used to doing. To us, that is like saying, "How can you enjoy your meal if you are worrying about paying for it afterwards?" Well, because it's normal to pay for a good or service after you receive it.
Robert Fidler As someone who has used both systems I can assure that the problem you highlighted does not exist. Why? In the US if you have to worry about money you have no healthcare. Support the NHS.
Frankly, in the US if you have to worry about the cost. You don't recover because you don't get treated. I remember being made to wait in the waiting room. Of an ER for several hours while I was having difficulty breathing and watching a woman come in who was bleeding everywhere get turned away because she didn't have health insurance. I was 8. Years later when I was in college I'd gone to a clinic for something and I remembered being on my knees talking a hyperventilating small child through the breathing exercises I'd learned as a child. It took 2 hours for them to see a child who was having trouble breathing in the "low cost clinics " our system is broken and its even worse if you are a minority
@@thomasrichards6245Very few people in the U.K. have meals that amount to thousands especially not for meals that are sprung on you out of nowhere! It’s no wonder there are so many stressed out people living so precariously and end up going on a shooting spree.
I think one of the best things to help recovery from a hospital visit/stay, is that you won't face a whacking great bill for your treatment, or even a visit to your GP..........:)
Simple fact is: Here it's free, no matter how rich or how poor? you get first world care delivered by wonderful people who are doing it because they care rather than it being about money/career. The NHS is one of the things that truly makes me proud to be British.
@sugatrspun4216 I agree with everything you say except it is not free we pay through national insurance and taxes, and visitors to this country are now suppose to pay , also refugees and illegal immigrants ,and failed allylum seekers not all get free treatment, they can be turned away, I worked in A/E and remember seeing people turned away as not being entitled to free treatment, I must add they were not seriously ill infact did not need a/e care even if they were entitled
The only other country i am aware of already doing this for a longer time would be Japan. In my Country (Germany) it's not really a thing, at least as far as i know. Other European countries, i only know Spain is trying to get there since like, about last year or something. Interestingly those two, the UK and Japan both are the lowest health expenditure per capita among the G7, why one wonders.
And it’s not just the Dr’s it’s ancillary services as well. When my mother was dying of cancer, she wanted to die in her own bed and the multi disciplinary team supported her wish. They leased with our GP, district nurses,a local charity, McMillian nurses and myself as I would be the one caring for her and they were all brilliant. My mother was able to pass away peacefully in my arms. I will forever be grateful to the NHS for that gift. Literally since 2011 I have had more than my monies worth. THANK YOU NHS AND ALL YOUR WONDERFUL STAFF 👏👏👏👏
I work as a receptionist in the maternity department in an NHS hospital and can probably clear up a few things. Most of my patients will bring a slip of paper out of appointments and we will make it there and then. My guess would be that your appointments were sent in the post so both of your doctors could sort it out on their schedules. Wait times will vary from hospital to hospital or department to department, but generally speaking obstetric appointments (and by extension obstetric clinics) are infamous for running very late. There's a few reasons for this: - With maternity care, because it is such a time-sensitive thing, you can't really defer or refuse appointments - they are demanded by either the midwife or the consultant, and as a receptionist all I can do is grin and bear it, even as my clinic gets more and more overbooked, to the point where it is blatantly obvious that we will all be staying late. I will say though, I have NEVER ever been in a clinic where a patient was not eventually seen, as long as they were able to wait. - We are very much limited by the staff and room availability, and theatre/complicated births are overseen by the same consultants running the clinics, meaning they will often arrive late to their own clinics or even have to leave in the middle of a clinic. This is great for continuity of care, because it means that you will usually get seen by the same doctor who you've discussed your birthing plan with, but it's obviously not ideal for the people attending routine check-ups. - Consultants/registrars want to give everyone the time they need and be as thorough as possible; as a rule, if your care is not midwife-led in the UK it is for a medical reason. Sometimes you'll simply get a few ladies in a row that just need that extra time, which, over the course of a few dozen patients, really begins to add up. It is very very common for the patients themselves to also accidentally hold the clinic up; I've seen everything from patients not booking themselves in and then complaining that they've been waiting hours, to people forgetting their hand-held records (which are used to record a significant portion of their obstetric care, including pretty much everything from the midwife appointments, to patients turning up to dating scans with empty bladders or being sent out of the clinic to go provide a urine sample. I have also found - and this will sound quite mean - but with the Coronavirus issue, that clinics have actually improved significantly; we have fewer people (mostly partners and children) in the waiting room and the entire environment is just quieter and calmer; unruly children and argumentative partners have a way of just testing the patience of everyone in the waiting room and making every minute feel like 10. - Specialty clinics (in my hospital we have them for gestational diabetes, mental health, anaesthetics and genetics) are great but they are difficult to schedule and are overbooked to all hell. The biggest culprit is gestational diabetes, with our diabetics consultant seeing over twice as many patients as any of our others, despite only having the same amount of time for the clinic.
The reason for hospitals being warm/hot is because the body has to use a large portion of it's resources to maintain it's correct temperature. By keeping the ambient temperature high it allows a patient to use far less energy to maintain body temperature allowing it to utilise the saved resources to fight infection and heal wounds. In addition because there is a lack of exercise circulation slows down slowing the healing process. Lack of simple exercise (which builds heat) means patients can actually get quite cold putting more strain on their systems. Have you never dozed off and woken cold? Also the elderly are not so active so find it hard to generate their own inner body heat, and you will find a lot of elderly in hospitals.
I have been in hospital four times since passing 55, the first time was in mid winter, so I took my winter pyjamas, and I ended up having to wear my pants, and an NHS backless gown because of the heat on the wards. Now I pack Summer weight night wear in my 'emergency' bag.
Congratulations! The idea behind the paper note system in pregnancy is to ensure that no matter where the mother is or which specialist she sees, the information is to hand. If you were away from your home town and went into labour or had another emergency you will have your notes available at once.
I always think that NHS waiting times are appropriate for the reason you are visiting. Like if you have chopped off a limb they obviously wont make you wait. But if you are waiting for a routine then a small wait time isn't detrimental to your health
Congratulations! Good video. Always wanted to hear about how the NHS works. Wish we had that here in the US. There's so much to learn about this from the Brits. So many Americans end up declaring bankruptcy because of medical bills - that's a crying shame.
Yeah, the American health care system over there is an absolute embarrassment. From our perspective here in Britain the healthcare in the US is practically criminal.
The NHS has saved my life numerous times, I have Addison’s disease so I can have a Addisons crisis at any point really, and it is a medical emergency, and every time the NHS has been amazing. Whether it’s the doctors, nurses, caretakers, or anyone who helps keep the hospitals and GPs surgeries running I owe them my life. The NHS is the best thing about the UK and it makes me proud to be british.
It’s so cool that both of your doctors can be in the same room for your appointment. I will say the waiting time to be seen when you’re already at the hospital (as opposed to the wait to book an appointment) might be longer in case there is an emergency with another patient, but in a GP practice (where there are no emergencies) you’re more likely to be seen on time. All of that being said, big congratulations on the new baby! 🥰
Yeah like when my partner had an appointment to see his stomach surgeon in outpatients, the surgeon got called away to. Theatre for an emergency so we had to sit and wait until he came back, has happened a few times but can't grumble if it means somebody's getting the help they need in surgery 😊
The Doctors in a GP practice can get called away on an emergency, it's rare but it happens, it's happened to me once. Doctors are very familiar with some ones health histroy, so if something happens to someone at home the GP can be called out, as they know the person history and it saves the time of another medical person having to look it up and maybe miss something.
Maximus Haughton that’s true! I more meant like in a hospital there’s a much bigger chance of it happening, whereas GP and nurse appointments are generally on time, or only a little bit late.
I was not saying that doctors in the US don't get called out, I was just trying to point out that a doctor at a GP practice can get called in an emergency out if needed.
Yes I agree, but as I said the family doctor will know the history, whereas a trauma, or Emergency medic don't know it. So insted of having to read all the files and maybe miss something they'll call in the GP who should know, eg the person could be algeric to one of the standard dugs they use, and that could be missed because they are trying to save a life.
The average cost of a birth in the US is $10,000, your NHS surcharge when on a visa is $850 per adult and $635 per child every year until you get settled status when it becomes free. There’s no comparison, especially when you consider that if things go wrong you’ll get the best available treatment, (the uk infant and maternal mortality rates are much better than the US equivalents), at no extra cost.
Ps, wherever you are from, don`t come to The United Kingdom and complain about The National Health Service - unless you pay tax here, as the lass does.
Idiots do that, don't they? As a nurse, I was able to visit an ER in Marseille and here about staffing and see the sanitation... The staffing was fine and almost no wait times and no filtering for insurance... and the sanitation was better than Panera (in the COVID time)... It also wasn't overdone, I will never forget seeing the DESIGNER/ARTISTIC carpet in the Barnes in St Louis, what a waste of money, who needs that?
As a British person, its always very sweet meeting ex pat Americans who are often kind enough to explain our rules to us, especially regarding the NHS. It's as if what they're really saying is "DON'T CHANGE ANYTHING !!!!"
NO WE DON'T WE DONT LIKE THE FACT THAT IF WE ARE IN EUROPE AND GO TO HOSPITAL THAT COUNTRY BILL THE NHS BUT THE NHS WILL NOT BILL EUROPEAN COUNTRY FOR THERE CITIZENS TREATMENT AND THE DR SAY THEY WILL REFUSE TO CHARGE OVERSEAS PATIENTS COSTING THE UK TAX PAYER AND THEN THEY MOAN THERE UNDERFUNDED AND GO ON STRIKE AND PEOPLE LIKE ME HAVE THERE OPERATIONS CANCELLED DOCTORS AND NURSES SHOULD BE DRAFTED IN TO THE MILITARY MAKING IT ILLEGAL TO STRIKE VETERAN 21 YEAR BRITISH ARMY
@@danielspillett5393 The NHS has mental health services as well . The problems the NHS has are caused by deliberate and brutal underfunding not occasional kindness to foreigners . Atavistic dislike of others may be treatable , in your case I certainly hope so .
@@danielspillett5393 what a load of rubbish! I can only assume you were in the army (because it's ALWAYS those in the army), because you lacked the braincells to do anything else.
Heidi - You’re a pathetic cretin for mocking someone’s lack of education. Instead of belittling him from your hierarchical educational pedestal, provide a counter argument to his points.
Well done Danielle, really good to see that you appreciate what we have here. A study published in the American Journal of Public Health in 2019 found that 66.5% of bankruptcies in the U.S. were due to medical expenses. In the UK that simply does not happen. On the subject of pregnancy and childbirth the US has much higher rates of infant and maternal mortality than most other developed countries and lags way behind Europe. Its bizzare that such a developed country, with the strongest economy treats health care as a business and does not look after its citizens in the same way as they do here and in most other developed countries.
Hi Danielle, as with other comments congratulations to both of you. Nice to hear an honest non biased opinion of your experiences. Thank you also for laying to rest the xenophobic attitude of some people who believe all foreigners do not pay for treatment (health tourists). Bear in mind that as you age you will visit your doctor more and in the uk your cost will only be relative to your earnings. This will mean if you lose your job, take a lower paid job etc you will not have to worry about your familys health cover (even between jobs). I hope everything goes well for you and your growing family. I personally would prefer to wait an hour longer than to get express treatment and leave with a Bill.
So many congratulations to you, Matthew and your daughter! 🎉🎉🎉. You do great videos and thank you for sharing your experiences, I've enjoyed all that I've watched. I hope you all continue to enjoy your time living here in the UK. Best wishes and good luck 🍀🍀🍀
Congratulations on the wonderful news! I'm so glad you've had a great experience with the NHS so far and yeah, living in the USA, so many people have some jaundiced view about the NHS that they've based on a stereotype they heard. Thanks for debunking those myths! :)
Possibly the biggest difference is yet to come, after the birth of your baby. You'll receive home visits from a nurse to check on the general health and wellbeing of both you and your new born bundle of love! Lots of mums find this an invaluable service, and it's a great excuse to put the kettle on and have a good chat, too. All the best to you and your family.
Congratulations Danielle to you and your family on your news. I think Danielle's representation of the NHS is fair and balanced. From what I've heard from US media, the NHS is portrayed negatively and is viewed negatively by the US public. However, I suspect that much of that is down to lobbying by the medical insurance companies etc. The important difference in my view is that 100% of the British public have healthcare coverage for life, whereas 28 million in the US have no medical coverage. It's important to say that the NHS is not free - we pay National Insurance contributions directly from our pay, however, whether you are a homeless person or the Prime Minister, you get healthcare. The contribution is 12% of your pay, however, that gets you healthcare (including subsidised dental care), a state pension (in addition to your occupational pension) and other benefits if you're unemployed etc. Whilst you have to pay this contribution you don't have to use the NHS as private medical insurance and hospitals are available - so best of both worlds if you have the money. Through everyone throwing money into the pot, I feel we have a fair and good quality system where no-one has to suffer.
Being british i can tell you from birth to working age all healthcare in uk is free,once we become a working adult we pay tax and national insurance,towards our nhs Disabled and unemployed who dont pay into our system still recieve the same level of care. I love our nhs,nobody is going to get left behind or die from diseases,because of lack of money,
free dental care if you arer unemployed or self employed - (self employed for the first year od self employment its free then as you still sign on to universal credit)
Congratulations to you and Matthew, I'm happy for you both. Whilst the NHS might have flaws (mostly due to underfunding) I feel that it does care of pregnancy particularly well. In my wife's experience it is especially good when you have existing medical conditions that complicate things.
I’ve worked in the NHS and have multiple medical conditions, so know both sides of the story. The problem with the funding of the NHS is not the medical side, it’s the management side; the NHS has far more managers than it needs (you could get rid of two-thirds of them and not actually miss them) and the salaries they receive is eye watering.
Congratulations! I've never thought that the care for those who have it is any less than excellent in the US. (I'm English.) The two systems are absolutely on a par in terms of the actual clinical treatment - although the US government spends more per head than ours does. The real difference comes into play in what you do if you can't afford a big bill. Here, you get treated, and you don't worry, because there isn't one. Even if you don't pay tax, for whatever reason. In the US, as you say, you get treated, but then how to pay that bill. Incidentally - sometimes with the NHS, sliding appointment times can be a good sign. It often means your consultants / doctors are talking to each patient and making sure their needs are met, and treating that as more important than strictly keeping to appointment lengths.
I work in hospital records, your obs notes are known as "hand held notes", in our hos[ital when you give birth these notes are scanned into our in house e records system which is available for any medical specialist to view at the touch of a keyboard
Congratulations on the new Schaefer addition. Feelng ill is bad enough but when you have to worry about paying for treatment must be terrifying and depressing. Our NHS has been through a bit of a neglected period due to certain government leaders, of late, but it is still very good. I hope, given time, this will improve. I welcome your views on our NHS in comparison to the US, it is interesting.
good for you. @@robertwilson738 I find being British, especially English is very embarrassing. The country that voted for Brexit and Boris Johnson. Just rubbish.
Hi, Danielle and Matthew, congratulations on your great news, I'm sure you're both very excited. A really interesting video as well. Names are always a problem, I would suggest starting with a different letter to your daughter's name, so they don't both have the same initial. Do you know if it's a boy or girl? A surprise is always nice, wait until he / she arrives. Looking forward to your next video soon.
The long waiting times usually only refer to A&E (4 hours+) if it's not a life threatening emergency. Usually scheduled appointments are on time or a little over. Unfortunately I had to attend hospital quite a lot last year and found that if I arrived early I was seen early and never had to wait longer than 10 minutes over. Can't speak for all hospitals but the hospital I attend has been fantastic - from the Consultants to the porters.
A&E has careful systems of triage so that the more seriously injured or ill are seen first. If that means that you have to wait for a few hours for a doctor to see you, so be it. It's only fair. Not that some people think it is and will moan and moan about it. I had an operation cancelled at half an hour's notice a few years back because there had been a bad road accident locally with many people needing serious treatment in the operating theatre. So I was in a bit of discomfort, but had to wait a few more weeks. I didn't mind, really, but some would moan about that too. In my experience as well, outpatients clinics are very punctual these days. and we have a state-of the-art brand new (2019 ) NHS hospital locally, so we are are pretty lucky.
I'm interested to know: when you say the surcharge is comparable to the cost of giving birth in a US hospital does that include antenatal appointments and medications? Does the surcharge cover your medication for your thyroid? I'm curious as I'm a Brit and although I knew there was a surcharge I'm not entirely sure what it covers. Regarding patient notes it is true that the NHS allows pregnant women to carry their own notes to appointments which is especially useful if you're visiting a different NHS trust from your usual one for a pregnancy-related issue as the staff in the A&E and subsequently the relevant specialists will have access to your pregnancy history and any issues that may be contributing to the acute presentation. For other patients (non-maternity) patients generally do not get to take their notes home but they have the right to request to see their notes or obtain copies and this tends to be done in writing. There is a small administrative cost for this. You don't generally need to state a reason except if you are seeking to commence legal proceedings. (Access can be denied if there is a belief that the information contained within the notes could cause serious harm to the patient or someone else and details about third-parties will likely be redacted.) Medicine in the UK has a multi-disciplinary focus and this is particularly evident in (but not limited to) maternity, paediatric, stroke, geriatric/elderly care, and critical care services. It's extremely useful because it tends to mean everyone is on the same page regarding medical and social issues. It's not uncommon for the social care sector to be involved in the discharge of some paediatric, vulnerable, and elderly patients too. Waiting times do vary from hospital to hospital. Most doctors do try to run on-time but obviously sometimes complicated issues come up in appointments, patients are late, staffing levels are unexpectedly depleted due to illness or rota vacancies, and emergencies occur and all of these contribute to running late. I also think that as obstetrics and gynaecology is likely the biggest medico-legal minefield in UK healthcare, doctors and medical staff do their best to obtain as much relevant information as possible, liaise promptly with any speciality that may be required, make sure patients are properly informed, address patient concerns, and ensure patient safety, all of which take time. I'm not saying other doctors don't do this, but I think it is more immediately evident to the patient in a maternity setting whereas in other settings a lot of this work is done behind the scenes.
I really don't know where she's getting that from. The NHS surcharge is £624 a year for adults and £470 for children. That's way, way less than the average cost of a pregnancy in the US which according to the American Journal of Managed Care, was nearly $14,000 dollars in 2017. Even if you have insurance that covers that there's still around $2,000 out-of-pocket expenses, depending on the state. That's still nearly 3 times what the surcharge costs.
Thank you for explaining how the NHS works,from a UK citizen . And you have explained most of it regarding antenatal correctly, my experience is second hand in regards to someone with a ongoing heart and vascular condition, but you have explained correctly especially the notes section. So basically the US, and the UK generally work but the US medical system needs changing in the way people can access it.
Congratulations on your pregnancy and thanks for sharing your positive thoughts in regard of your ‘NHS Experience’ so far. It’s not perfect and as you say it is not ‘Free’ in the true sense of the word, but, it’s the next best thing. It’s largely funded from general taxation, with a small amount being contributed by National Insurance payments and from other fees. However, considering how some of our taxes are spent, or wasted, the NHS is good value for money, as we are looked after, from the cradle to the grave as they say. You said that during your appointments you didn’t feel rushed and that you had informed discussions with those seeing you. Taking this into account, if other patients are receiving the same attention, especially those with more serious cases, we have to make allowances for when appointment times overrun. I hope you continue to give us regular updates as your pregnancy advances and your exposure to the NHS increases.
The NHS kept my mum alive with incurable cancer for 17 years. She received every single new drug or treatment available. At one point the cancer spread to the lining of her brain but because she was scanned so often and the NHS were so on top of it, she received treatment on this quickly and got 5 more years than she was predicted to have. The facilities at many hospitals are incredible. Joined to the amazing NHS cancer hospital my mum attended was a beautifully designed wellness centre with floor to ceiling windows and serene decor - here, patients could have everything from Mental health support, specialised cancer friendly massages, pedicures, wigs fitted to thai chi and yoga classes. Sometimes I think people in the US think of overcrowded hospitals falling apart at the seems - something I haven't ever experienced. Also, I've never had a problem getting appointments or being seen. Also, they would literally never let someone "die in the waiting room" 😂😂 priority cases are of course seen sooner. For example, if one person had a suspected broken arm and other had suspected appendicitis - the person with appendicitis will be seen first.
Talking as an American, America doesn't really have a healthcare system per se, but thousands of different healthcare chains, CHI, Memorial Health, Kaiser, Kelysey, etc. Each has its own approach to care along with its own pricing which when you do not have health insurance poses a potential to have lifelong debt. Thanks for the review, always great to listen to a different perspective.
Aneurin Bevan one of the greatest British politicians that ever lived, I cannot understand why we were never taught anything about the conception of the NHS during my school years. 😷🍯 UK
Because people may then realise how much opposition there was from a certain quarter and then properly look at how much of the NHS has quietly become dependent on private sector provision.
Nothing unusual. It's because it's only just becoming "history". It was news/current affairs to my parents' generation, common knowledge to mine, but is something that needs to be taught to the next. A first sign you're getting old is when the knowledge you take for granted just in daily life becomes something they need to teach (or which starts to appear as 'difficult' questions in TV quizzes!). 🧓
The great thing about healthcare in the U.K. is you can get private care too and the private hospitals have access to all of the notes. I’ve had the same surgeon multiple times both like he saw me in an NHS hospital and in a BMI hospital
The thing is, our National Health Service is AMAZING and there is no getting away from that fact! The part that I severely disagree with are those that use the service, when, they either don't need it or could have avoided the need for the use of it in the first place. -- To be more specific for you; • You usually can't have breast implants on the NHS but the way of getting around that is to say that it is causing you anxiety, then for some reason, you get it for free at our cost! • At least 95% of all abortions carried out in the UK are done so with public money, yet all contraception in the UK is also handed out for free and yet the IUD is the most common form of contraception for women under the age of 30 (and that costs $1,300)... Do you get that at all?! • If you go into any hospitals A&E within the UK then there will be many people under the influence of drink and/or drugs, of whom are in A&E as a direct result of them consuming these incapacitants. • Diseases caused by excessive consumption of drink, drugs, or alcohol are also treated under the NHS, all of these scenarios have something in common. They're no one else's fault but your own! What I am saying is that if you are using the services of the NHS for something that you could have avoided then that's unfortunate but you're clearly making bad decisions in life and need a reality check. And I know that sounds harsh but it's true. -- Don't get me wrong, the NHS is phenomenal and everyone in the UK takes it for granted. But when people like me who have diseases (like Cancer) through no fault of their own, then I have a problem when our NHS is being used and abused repeatedly by those who aren't as responsible. If you were charged for the aforementioned scenarios then hopefully more people would become more responsible and take accountability for their own actions. It boils my piss when I see drunks and drug users getting carted off in ambulances, when I needed one when I had Sepsis it didn't arrive at all, we had to make our own way to the hospital for me to be placed into an isolation unit after it was confirmed that it was Neutropenic Sepsis that I ended up having. Of a weekend you'll see loads of ambulances most likely going to pick up someone elses drunken mess, I don't think the NHS deserves that. And it's ridiculous that people out there are saying that our new Prime Minister Boris Johnson is going to fully privatise the NHS is ridiculous. He knows that this system is phenomenal and he damn well knows that if he takes it away then people will not only turn on him but also on the Conservative party forever (and potentially cause mass riots).
Whenever I have had to wait longer to be seen is because the doctors have been called away on an emergency. The NHS tried some years ago to set up a computerised system at an enormous expense but they couldn't iron out the bugs and it was abandoned. Good luck and I am told the second is easier.
A very fair review, Danielle. I have been lucky enough to be a very healthy UK citizen and haven't been to see a GP for years, but recently experienced the NHS when I had a procedure as a day patient. Wow, I was impressed from start to finish. Not what I expected after the relentless negative stories churned out in the press. The staff are committed, kind and efficient. The equipment was state of the art and pristine, as was the hospital generally. I sent a thank you card afterward. Yes, our NHS is very special, free (but patients pay for it with our own taxes) at the point of use means you do not have the fear or worry about paying. The USA system is fine if you have adequate health insurance but seems very expensive overall.
I don’t use doctors or hospitals very often but when I do despite the wait, it’s NHS all the time. I’m not dead yet so they must be doing something right.
One question! Here in Germany we have had the "Mutterpass" for decades. A small blue exercise book in which everything is entered. Every blood test, every ultrasound, weight, blood pressure, everything. The women are encouraged to keep the book with them at all times so that in an emergency, every doctor knows immediately. Is there such a thing in the USA?
Never apologise for sharing your experience of the NHS. It is a much loved and respected public service here. But you would do the NHS a disservice by being less than honest in reporting your experiences.
Really nice video to watch and the lady presenting this has a wonderful and engaging charm. I have used hospitals in the USA and the UK and both were great. Different systems for paying but first class professional care in both countries.
So what happens next year do you still have to pay another bill for the year? Can’t you register for a national insurance number and pay national insurance from your wages? I don’t know how it works for people living here from overseas.
@Stardust I thought that policy is for people who visit the UK? I didn't think it's for people from overseas living here. If she gets a national insurance number it should be taken out in national insurance from her employer, if she's self-employed she pays it herself to HMRC's website monthly or yearly. She needs to get an insurance number and she'll probably pay less. www.litrg.org.uk/tax-guides/migrants/national-insurance-migrants
It's not yearly, well not directly, it's upfront for the length of the visa but it's based on a yearly figure. It's actually just doubled in price. If I recall correctly, from £500 to £1000 (based on a 2yr visa per person).
@Stardust Wow, even further?! The immigration fees are already ludicrous (my wife immigrated on a spousal visa about 8yrs ago & got her ILR & naturalised 3yrs ago)
🎊🎇🎉CONGRATULATIONS to you both - FAB news! 💥🎉🍾 This was an interesting and informative video - I'm glad you mentioned that you have to pay a lump sum for each of you to cover any treatment thereafter - there are an awful lot of ignorant people here who think that immigrants pay nothing towards their healthcare in the UK. 🙄 I'm also always surprised by how hot it is in our hospitals, but patients' hospital gowns are really thin! Of course, waiting times for A&E and Outpatients appts are legendary, but we accept this because we know healthcare, free for all at the point of delivery, is priceless. Funnily enough, I had an Outpatient appt 2 weeks ago which I arrived for 20mins early and was promptly seen 10mins early - you couldn't make it up! 😮 Anyway, I sincerely hope your pregnancy progresses well and you have a healthy baby girl or boy - my name suggestions for each are "Ava" and "Luke". All the very best. 😀
Interesting to watch. However you said that the healthcare surcharge is comparable to the cost of giving birth in the US, or did I hear wrong? The heathcare surcharge is around £500 for 2.5 years. I would think it costs more than 500 pound to give birth in the US, no?
@SmallManBigWorld I wondered about the amounts as well because I thought it was £400 per year per person, although it's a bit cheaper if you're a student so maybe a child might be cheaper too. Definitely didn't think it was anything like the cost of having a baby in the US. Hopefully someone will clarify this for us.
The surcharge is paid yearly and depends a bit depending on the type of Visa you get. We weren't comparing the actual cost of delivering a baby, which we weren't very clear on, but the cost that we would actually have to pay (our deductable in the USA, or the actual cost to us). Hope that clears things up a bit.
Congratulations you two. The baby is lucky to have such fab parents. I'm with you on the hospitals being way too warm, almost the ideal temperature to spread germs but most of the patients are elderly and need the heat I guess. Everyone means well in the NHS but it is badly managed and inefficient. Shame because most of the front end staff do the best they can
The paper medical notes are just for pregnancy and just after the first 2 weeks of baby life, then your given a red book where they chart baby and add some notes on the development. Had my baby number 2 April last year. Congratulations on the newest addition.
Danielle, congratulations on your second child (certainly arrived by now). Can I ask, do you think with Britain leaving the EU, that we may be more in cooperation with America and we may potentially be facing an insurance based system soon? It worries me
@@MElaughs Don’t worry. Farage can open his mouth as much as he wants. Most of us here in the UK ignore him. There is no chance of him getting into Number 10. The NHS is safe. Any government that even tries to turn it into an insurance based system will have riots all over the country. All of the main parties know it would be political suicide to get rid of it. It’s probably the only thing that most of the people agree on right now.
I Wish you so well with your pregnancy 😊. I genuinely think we have the best of all pregnancy and post pregnancy care. Just wait til you get your daily home visits after the birth 😍
In my Health Centre, we re-schedule appointments straight away and later communication (reminders etc) are done by mobile phone texts or they will call me directly. Also, I've never had to wait more than 30 minutes beyond my appointment time (it is usually 10 to 15 mins). So I suppose it depends on what part of the country you live in.
Re the medical records, in the UK you can register with your GP to get online services, where you can access your entire medical record online, including all your GPs notes.
I am american liveing in Australia and have done so for many years the Medicare system here is good, anytime I have had medical problems no problem go see the gp, a year or so ago I almost sight in my right eye if not for Medicare, note to Americans health care for all will not bring the end of America or something like a communist Stalinist state
Perhaps someone from the USA can explain with typical examples what are premiums, deductibles, copays, out of pocket. In a few years how much would you be charged in each category and why . In the uk, i have retired, i paid into the system while i was working now everything is free including prescriptions
Just watched this, hence my late comment. Very interesting and thanks for uploading. Thinking about this a bit though, isn't this more the differences between the UK and a privately insured American in the US? The UK side is pretty accurate for the NHS which covers 100% of the population (outside of any private insurance or hospitals some may choose to use), but the US side really only looked at less than half the population which has private insurance with pregnancy coverage. I wonder what this video would have looked like for the other half that has no private insurance? Would be interesting to see.
Congratulations!!! Have you thought about a possible home birth ? Hey at least you're all nice and warm in February, I was 8 months pregnant in the hottest August ! I'd go to the shopping centres (Mall) just for the aircon!! 😊
Having lived and worked in both Countries - I do think that the NHS provides HealthCARE whilst in the US I found it to be more of a health service. The speed and quality of service in the US is better than the NHS, but I would swap the US heath system with the NHS in a heartbeat. But my company pays for private healthcare also, which most employers for my industry here offer their employees (even as an expat), so I can choose the level of my healthcare in the UK - no waiting times, better equipment etc (much like the US system). Also walk-in centres are all over London, so there is a diversity of choice if you wish.
Our hospitals are far too warm that I agree with you on there! After recently spending time in the cardiac ward I can’t fault it the staff were so hard working but so stretched they were run ragged! My aftercare has also been spot on! Yes all appointments are sent out through the post. Some appointments are on time, some slightly over and some really over lol 😆
First of all a huge congratulations on your pregnancy! You have to remember I have paid into the NHS all my life for me any my family through the taxes I pay as hard as the down payment may seem....... Nothing is free but this is the best system you can have. proper or prince the treatment is the same.... free at the point of care and open to anyone who needs it.
how about if you already have 2 surgerys in the firts and second child, and here in uk, if you got pregnant, they make you have the bb naturaly, and no asistence ? this is true? i wish i can have another bb but i don't do it for this, and thinking if the case come like this i gonna got a big bill , which i can not affort now
Sadly no, we do not have birthright citizenship in the UK. To be a British national one of the parents must be a British citizen. There are also grandfather rights with some countries citizens as well however these tend to be commonwealth countries! Of course if the parents have become or do become UK citizens that does change things!
Aw Danielle you're rocking the bump! So glad (other than the occasional wait) that you're having a positive experience of the healthcare team around you. A lot of us (me included) moan about a lot of waiting lists, grumpy GPs, reduction in services (in recent years - the full spectrum of treatments on offer has reduced under the NHS because so many services have been cut back hard) BUT... I am so thankful for how it has provided for me and my family. I have benefited from so much free of charge since I was diagnosed a Coeliac. I have seen Rheumatologist consultants, Gastroenterologists, Dieticians...had bone scans, blood tests, free flu jabs (and constant reminders for free flu jabs!) Our family has benefited from multiple free life-saving operations, physio, psychiatric care and admissions, paediatric care... for free. It is something many of us have taken for granted. We are able to go home and heal / work through all the other hard stuff that often comes with needing care - but we don't have the financial burdens on top! X
I hope you do one for your labour because I know there is some big differences. As someone who has to spend a lot of time in hospital for multiple medical needs... I'm under at least 8 different doctors & I've been under 6 different hospitals in England... I find if you go to certain consultant for whatever need you have they are really good dont get me wrong ive had to experience a lot of terrible doctors especially if you have a rare disorder that isnt understood. But I have seen plenty of amazing consultants. The waiting times can be a nightmare but sometimes it cant be helped eg when I have to see my vascular consultant I've waited for 2 hours because he was called for an emergency (saving someones life). They do let you know if things will be delayed and they tell you why. A lot of the consultant's do ward rounds before they start their clinic hence why they could be delays especially in the morning. I've always have had problems with a&e doctors especially how serious my rare condition can be it's not taken seriously especially when they know my age. BUT when my dad was rushed into hospital back in 2015 they treated him so well... especially that his blood pressure was so low they couldnt understand why he was still alive but he did go into shock... when they transferred him to Intensive care as he was so ill & we were told anything could happen they were amazing. Then when he was discharged from ICU they have to go onto a medical ward first before getting the clear... he had to wait 4 hours in a waiting room for a bed bare in mind he just came off ICU.. my mom got angry that he was still there at 11.30pm... it was because no one told the cleaners to come and clean the room before he went in hence why there was a wait... the nurses were terrible that my mom literally took him home a few days later cause they were not looking after him & they didnt even know! There were plenty of nurses about too. When he had his asthma attack & septic arthritis they were amazing though. When I've had my operations because I'm high risk im meant to get checked on more regularly... I needed the toilet I pressed the button to alert a nurse they came in and told me I had to wait... I had to wait 2 hours to go to the toilet unfortunately by then I wet myself as I dont have bladder control. It's all touch & go... there are plenty of amazing consultants/doctors but at same time there are terrible ones. With IVF over here also if you cant conceive & you dont have any children you get the first lot of IVF free if they cant find a reason... if they cant find a reason for not conceiving eg PCOS like myself you can get up to 3 lots of IVF free... but you have to have no biological kids before hand. There is things that need to be improved on especially if you are on a ward... my mom use to be a nurse many years ago there was no standing around even if you have attended to all your patients you would have the clean the toilets etc. Now they can talk & even watch TV. Our system isnt perfect but better than most. I hope you do a birth review between both countries as I know there are some big differences especially when it comes to giving epidurals out... I know NHS dont like giving it out I dont know if its changed. I have some american friends that I usually see every year & the one conversation we had was health care. But yea I would love to hear the differences between an american birth vs an english. I know a fair few but sometimes you dont know if its fully true even if you've seen a few people go through it.
Our NHS is amazingly. Love it and worth every penny and more. Happy to pay more because its helped my family so happy to help others families BTW - its far more online and faster these days
Paying a lump sum is imho fair and if you needed emergency treatment that costed much more than your annual payment the NHS would not bill you for the difference so it is a form of insurance even for us who pay though tax . But it's not used as a cash cow .
i disagree, id call it more akin to a peppercorn rent, that is where you would pay a pound to rent something and you just pay a token amount so you can say you are renting it. i had 750 thousand opounds worth of treatment last year) based on what i would pay in the usa) and last year i paid 50 quid in national insurance all year. which is pennies. literally pennies
@@cyberash3000 When as you put it, renting. Are you not paying for a tangible item Your NI as its says is insurance for just in case and not a definite item I'm sure you had plenty of years when you had zero treatment. But either way Id rather have our UK system how ever you interpret it We all support each-other in times of need which for me is the civilised way
whjen i was a baby i had no parents and no family so i was kept in hospital by the NHS for 3 mionths cos i had a muscle wrapped around my stomach so couldnt take milk as it came strauight back, so i was a weak baby. then my penis forskin closed up, so i had to have that removed. then hwen i eventually got adopted, they found the doctors because i was parentless they didnt bother running checks on me, back in the 80s, so they found i had twisted legs, and i had a speech impediment through primary school so i had the NHS teach me how to talk properly. i had this speech impediment because i couldnt hear, as i have always haqd problems with fluid in my ears so i had to have gromits. i also suffered from childhood fits, the last i had at 14, which actually happened when i was watching 14 year old girls changing through a peep hole inm the locker room centre parcs. dont judge me, i was 14, i then collapsed and had my last fit there. then in primary school it was discovered i had collapsed arches so had to have special treatment for that and insteps/ . at secondary school i had a of issues with shin splints because of my twisted legs growing which was back and forth. then when i left school college i was mor e or less fine before uni i got biten by a mozzy which triggered an auto immune disorder, which made my body not able to control its temperature and made break out in hives, and i had to sit in a cold bath. aso back and foirth to hospital with that, and meds lots of meds and bromide. then i finished uni well not finished i left the day before the exam on both my degrees due to mental health issues, so i got so bad i was arrested, then i admitted i neede mental heralth help, so then i had a counciller which called the police on me, and it was decided to boot me up the chain of command to the head of psycatry for the area. so i had trewatment for him for around a year and a half, before leaving that just before it finished. also before that 8 i started suffering with alopecia. so i had to see a specialist ffor that, injections with cortizone and cream to rub into it, eventually it grew back but white, then that fell out, then thin wispy back hair then that fell out then finally grew back THEn i startted wit ha rare form of psoraisis called pustular psoraisis which is wet like excema (i also started with excema too) so i was riddled with that to the point i would stick with blood and pus to anything i touched. it was worse at night, and cos i worried my auto immune disorder flared up so i had hives, sweating sticking to everything and had to change my clothes often and was itchy like spiders under my skin 24/7. so i then got PUVB treatment and chemotherapy. which also made me sick requirring more tablets ontop of the puva CHEMO odf 8 tablets. . i then developed asthma, too which i had to have an inhalor for and panic+anxiety attacks. i also dropped a keg on my foot breaking 3 toes and fracturing my foot, then a few days later managed to drop a bowling ball on it. whic hwas agony and to this day im back and forward as my feet randomly balloon to the point i cant put my shoes on but noone seems to know why they have run all the checks heart liver kidneys b all sorts and found nothing. i also am a pluerisy sufferer which is agony, i had to have treatment for that. i also have a bad back and my knees pop out tohe sockets somethimes aso i cant run. im also overweight so the doctor has me in for check ups on my wieght, but ui cannot join the gym cos insurance wont cover me. i havwe recently started to get psoritic arthritus too. i will never pay back even a tenth of what treatment ive had,. i wouldnt live if i was in the uk., i would have just killed myself. and had done with it. the nhs tgave me a home in a hospital bed as a baby for the firs 3 months until they found a foster home for me. and ive a drawer full of meds. i also have tenrnitis in my left big toe. most my life icve had treatments every year tbh. its easier to say the feww years ive not had treatment of some form loli think my total nhs contributions over my hole life is about 1000 pounds. from when i started work at 15 to now. (i went to uni as a mature student.)
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It is always interesting to hear about different people’s experiences. It seems that you have picked up on the high regard the NHS is held in the UK. I think that there may be some slight variations across the UK in the implementation of some procedures depending on whether you are in a big city or small village, but I am unsure. The few times I have visited hospitals I have found that they are always hot.
As you said there are differences between the two systems, some seem to prefer one over the other but that is a personal preference.
It does appear that the ‘headline’ tag is free and does not include the important bit ‘ at point of delivery’. Some years ago I believe that visitors were also treated as residents, but there was a scare about health tourists who came to the UK to obtain medical treatment with outh paying into the system which was seen as putting n additional strain on it, the solution was the additional charge on the visa to counter that.
As you are now getting experience of both systems, are you in a position to understand why such terms as deductibles, copay, and network are quite alien concepts to us natives?
I have been browsing through TH-cam and recently Quora and I am having difficulty getting my head around the fact that Americans are willing to put up with such a broken (to me) system. Am I missing something?
A long time ago before the NHS there was individual initiatives from doctors to help poorer individuals to afford medication, but that was patchy to say the least.
Glad to hear your news and that you willing to share your experiences with us, I hope all goes well and you do not get worried after deciphering the notes.
From my experiences both the Dr and hospitals have my medical records available so I do not get to see them. for a pregnancy they may be a momentous in the future, or perhaps if you return to the States they could prove helpful there as they would not have records of the treatment you received here.
All pregnant women have a pregnancy record they carry with them during pregnancy. That way if something happens and your away from home the medical staff have a record of what's going on.
@Terry Mummery You might be interested to know that before the introduction of the NHS, the most common way people in the UK (and many other countries) paid for medical expenses was through a Friendly Society. Friendly Societies in the UK started in the 18th century as part of the Industrial Revolution and came about because of people moving for work from the country to towns. They were like a mini welfare state and you could join one through your church or through your trade union, and even through membership of some political parties. Members paid subscriptions to qualify for financial and social services, including medical treatment, funeral costs, even money if you became unemployed.
In most countries Friendly Society members were protected by the same legislation as "for profit" insurance companies, but in the 19th century in the UK (actually it was Great Britain back then) Friendly Societies were given their own legal status as "non-profit" organisations which meant all the money collected could be used for the membership.
Information from the many Friendly Societies was collected as part of the design process for the NHS. They were able to share specific details of what their members paid in subscriptions and what they received in return. This information helped to predict the costs of expanding the Welfare State and the introduction of the NHS. The information was also used to determine the rate of the new National Insurance deductions from wages.
My first job in the late 70s was for the Department of Health and Social Security (DHSS) and I worked on the section that paid out sickness and maternity benefits. It was still quite common for us to send a copy of a claimant's sick note (medical certificate from their doctor) to their Friendly Society to get their state sickness benefit topped up with some extra money. How things change!
@@karenhawthorne9591 Thank you for the information, being male it is something I (luckily )do not have experience of :). but if you are allowed to keep the record after the birth, think of the blackmail potential as he/she grows up :)
@@wilmaknickersfit thank you for this very useful information, a long time ago I remember reading about something that some doctors (?) did similar to what you described but on a much smaller scale, I wonder if I mixed things up ? Thanks again for the clarification.
@@wilmaknickersfit Thanks for that reminiscence. I live in Crewe, which was basically built from scratch by the railway in the 19th century, and it was very much a railway town - as most people worked for the railway company it provided schools, churches, chapels, the hospital, the orphanage etc, and even at the time that I arrived to work for British Rail in 1979 the railway still ran a convalescent home in Dawlish, Devon, that railway staff could go to after a hospital stay. That didn't survive privatisation, of course. For as long as I was employed by the railways and their successors, until 2002, I had a small weekly contribution from my salary to the Hospital Contributory Scheme, which was very useful for paying out whenever I had a new pair of glasses or a course of treatment at the dentist.
A native Brit here. I love the NHS and would happily pay more tax to keep it going. Not having to worry about the cost at point of use is worth its weight in gold.
I agree!
tnetroP igo on then , you can volunteer to pay as much tax as u want on uk gov website, bet you don’t , you mean you want others to pay tax
Home One what’s stopping you ? U can pay more tax on the government website ?
@@mikydees91 I've seen that lazy argument before. You and I both know I mean I would be happy for the tax rate to increase across the board for the NHS, including my tax. We also both know you are trying to win some kind of internet points here, which is a bit immature.
You are right I don't voluntarily pay more. But I already pay 40% tax on most of my income and an effective rate of almost 60% on a small portion of it (still 40% direct tax but over a certain income level you start losing the lower end of your personal tax free allowance, which results in around a 60% effective tax rate on income in that band). Then national insurance on top of that of course. So I feel I pay a fair amount of my income as tax but would still be OK if it were increased across the board, including for me. But for the NHS only. Also for everyone currently paying tax (maybe with a threshold to prevent lower income earners being hit).
You can do the same in the US. Just purchase private medial insurance and you don't have to worry about the cost. Now I do have a question? Do you have a choice on where you have your procedures done? In the US hospitals compete for your business especially for maternity or major illness. Where you can visit various maternity hospitals or medial clinics and choose where you have your medial procedures done.
Former American here. Been living in the UK for nearly 20 years. Because of my experiences in both countries, I've come to the conclusion that the US is just a third world country with technology. Anyone disagreeing with me is entitled to do so, like I said, I'm talking about my own experiences, not every one else's.
I love the NHS & haven't had to wait too long for any appointments I've had here. Longest wait was 45 minutes after the start of my appointment, but my gp surgery was very understaffed that time.
Had all 3 of my children here & my hospital was a bit different than yours. I gave the receptionist the appointment paper & I'd be given my next appointment then & there. I even got to discuss appointment times. I was diabetic with all 3 pregnancies & was given such wonderful care.
I love the NHS.
America doesn't have a healthcare system. It has a collection of service providers. The NHS has been designed to deliver healthcare needs.
@Hicky Hicky why do you say that? I lived most of my adult life in the UK and always was treated well. As was my family.
Hicky Hicky there is a problem with NHS underfunding, but it's nothing like the problem in the USA with half a million health system bankruptcies per YEAR and 30000 deaths due to lack of insurance. waiting a few months for a hip operation is nothing compared to the exorbitant fees in the USA.
@Hicky Hicky No you're wrong!
I and my family have had excellent free service thanks to the NHS. From a kidney operation to major brain surgery on my mother in law, both had positive outcomes but what would of happened had it been in the US? We'd probably be bankrupt and homeless. This "Poorly delivered" doesn't ring true in our experience. We are truly thankful we live where we live where people's health/care doesn't have a price tag.
Hicky Hicky such arrangements are possible in the UK. i.e. private health insurance is available so that you can be treated in a private room in a private hospital without any waiting. BUPA is the most well known.
Hicky Hicky i don't know bernie's plans in full. it should be noted that BUPA is an additional health insurance. I think the main point about medicare for all and the NHS is that there is no opting out. just as you can't opt out of Police or Fire, even though you may employ your own security staff etc.
NHS is worth its weight in gold
@KILLER DIAMONDIt is worth its weight in gold.
That's a lot of gold
@@RamsFan93 it is worth it and more.
@@toforgetisagem8145 I 100% agree with you.
It's damn heavy though.
The NHS is like having a community take care of you as opposed to profit driven business
You mentioned that you felt that doctors didn't rush you and answered all your questions. This may be part of the reason the appointment times slip. Each patient is given the time needed for them. So although this may result in you waiting a bit longer for your appointment, you know that when you do see your doctor, they won't be clock watching and wanting to make sure you're out in a given time but your needs are catered for. Nice and balanced video.
Yes, like standing up and going to the door!
The reason for the rush if doctors here in the US got to hussle. Some may do it to put more money in their pocket others it's to pay their bills and wages.
sometimes the NHS doctor has been reminded that its 8 min per patient that's all their allowed, that's why the last appointment is late
Probably because they don't have to think about billing by the minute.
When I was visiting England at age 15, I became sick with bronchitis. The doctor who attended me intuitively knew more about my medical history than the one I was seeing back home!
Working in a busy NHS department myself I’d guess you get your appointment through the post because of you seeing two consultants together they would need to check when they are both free at the same time.
No I get mine a week after my regular appointment and a copy goes to my doctor too
Most hospitals in the UK with maternity services run joint endocrinology/diabetes clinic so that pregnant women do not have to attend 2 appointments
You’re right that the NHS sticker price of “free” is misleading, because we still pay for it through taxes. But it’s worth noting that because we have a progressive tax system there are plenty of low-paid people (plus children, pensioners, etc.) who do in fact get completely free healthcare. This is the best thing about the NHS, even compared to other developed countries with universal healthcare of one sort or another.
if you are not working its free
Grant O yep, if only everyone had to pay for their healthcare like in America, we wouldn’t have problems with obesity, diabetes, etc.. I hear they’ve eradicated obesity over there.
@@phueal 😂
@@jaime8974 Yes if you are unemployed etc you don't pay anything.
@@jaime8974 but you will never cover the cost of the treatment you will receive over your lifetime, via the tax you pay nor will ever need to worry about an unexpected health cost, I always feel that those of you who keep saying "but it's not free" must be dumb in some way to think that people in the UK don't know that they pay via their National Insurance system, currently only 12% or 2% over £8,500, though this may go up in April to start at £9,500. Businesses have to pay 13% of NI for each employee based on their salary.
Oh and let's not forget the NHS is FREE at the point of delivery.
The nhs is not free, I and millions like me, pay for it every month, I've been paying for the last 40yrs
@@paulliddon You don't seem to understand "point of delivery".
Paul Liddon what about those people on benefits who don’t work and therefore have no tax to pay?
@@Lisac11226 im not concernd with them, you could say the same about economic refugees, immigrants who have just come here, the people you refer to are a small minority as most of them are not on benfits through choice, i know some are, but all i know is that i have paid tax and stamp all my working life 40 odd yrs,
Im a key worker, but i dont want or expect any thanks, just my salary, the nhs staff are not heroes they are doing their job, which most of us pay for, im not disrespecting them, i think they are doing a good job, but thats their chosen career, if they were volunteers they would be heroes
Paul Liddon but it’s still free at point of service isn’t it? I have never had a bill after many of my operations or hospital stays.
You lady are an absolute star!
Thankyou for recognising the difference between England and the rest of the UK.
A friend of mine went to her GP and was consulting with him for nearly an hour. She got upset for wasting his time and people waiting.
He told her not to worry, but if ever she was in the waiting room waiting past her appointment it was because their need was greater.
I always feel grateful that I haven't had to walk for days to get medical assistance.
I love the NHS.
im glad you love the NHS. most americans start foaming at the mouth and shouting commies! whenever you mention the NHS despite it being miles ahead of the american system
@Hicky Hicky here it matters only that you are human.
@Hicky Hicky nope its about the greater good. its about everyone chipping in. the war spirit. its about not being selfish and realising, that money isnt everything.
@@gruunt4064 no we wouldnt
@Hicky Hicky smokers and drinkers contribute far more to the NHS coffers in tax than they cost it and also die younger so are less likely to burden the state in old age. Instead of being judgemental and sanctimonious you should be thanking these people for subsidising you.
Hicky Hicky so if you exclude people who drink or are overweight what about dangerous sports like skiing or biking or what about guys using a motorbike. If you start excluding people you can exclude everyone but this is the typical selfish American thinking.
How on earth can you recover from your condition(whatever it is) if you are worrying about how much it may cost you!
Dana says- These days most doctor's offices will go over estimated cost of implementing your expected treatment plan for expensive things or things that will take several appointments (like needing several dental procedures, or labor & childbirth). They show/tell you what costs tend to be & what your particular insurance will cover, so you can budget & save, or just plan what costs you will need to pay. Some offer the option of paying the known costs in advance, or even making payments toward expected costs. Then if your care costs more than that, you would be expected to pay that portion. Or you can choose to pay it all after the procedure/appointment is done. It is what we in the US are used to doing. To us, that is like saying, "How can you enjoy your meal if you are worrying about paying for it afterwards?" Well, because it's normal to pay for a good or service after you receive it.
Robert Fidler As someone who has used both systems I can assure that the problem you highlighted does not exist. Why? In the US if you have to worry about money you have no healthcare. Support the NHS.
Frankly, in the US if you have to worry about the cost. You don't recover because you don't get treated. I remember being made to wait in the waiting room. Of an ER for several hours while I was having difficulty breathing and watching a woman come in who was bleeding everywhere get turned away because she didn't have health insurance. I was 8. Years later when I was in college I'd gone to a clinic for something and I remembered being on my knees talking a hyperventilating small child through the breathing exercises I'd learned as a child. It took 2 hours for them to see a child who was having trouble breathing in the "low cost clinics " our system is broken and its even worse if you are a minority
@@thomasrichards6245Very few people in the U.K. have meals that amount to thousands especially not for meals that are sprung on you out of nowhere! It’s no wonder there are so many stressed out people living so precariously and end up going on a shooting spree.
I think one of the best things to help recovery from a hospital visit/stay, is that you won't face a whacking great bill for your treatment, or even a visit to your GP..........:)
True, nobody likes a big health bill coming in the mail.
Simple fact is: Here it's free, no matter how rich or how poor? you get first world care delivered by wonderful people who are doing it because they care rather than it being about money/career. The NHS is one of the things that truly makes me proud to be British.
as former hospital porter thank you
@sugatrspun4216 I agree with everything you say except it is not free we pay through national insurance and taxes, and visitors to this country are now suppose to pay , also refugees and illegal immigrants ,and failed allylum seekers not all get free treatment, they can be turned away, I worked in A/E and remember seeing people turned away as not being entitled to free treatment, I must add they were not seriously ill infact did not need a/e care even if they were entitled
I lived in the UK for many years. Loved the NHS. Grew up in Canada and we revere our system. Hope you are getting the same great care as we did.
Overpopulation is a problem. Maybe not in Canada but it is here.
@@AJ-cv9zf nonsense. You delusional
Congrats on the baby. We do have private hospitals if you want to pay and not wait. Most of them are staffed by NHS doctors.
Multidisciplinary teams are quite common in NHS consultations. Didn't occur to me that wasn't necessarily the case in other countries.
The only other country i am aware of already doing this for a longer time would be Japan. In my Country (Germany) it's not really a thing, at least as far as i know. Other European countries, i only know Spain is trying to get there since like, about last year or something. Interestingly those two, the UK and Japan both are the lowest health expenditure per capita among the G7, why one wonders.
Common in the Netherlands
And it’s not just the Dr’s it’s ancillary services as well. When my mother was dying of cancer, she wanted to die in her own bed and the multi disciplinary team supported her wish. They leased with our GP, district nurses,a local charity, McMillian nurses and myself as I would be the one caring for her and they were all brilliant. My mother was able to pass away peacefully in my arms. I will forever be grateful to the NHS for that gift. Literally since 2011 I have had more than my monies worth. THANK YOU NHS AND ALL YOUR WONDERFUL STAFF 👏👏👏👏
I work as a receptionist in the maternity department in an NHS hospital and can probably clear up a few things.
Most of my patients will bring a slip of paper out of appointments and we will make it there and then. My guess would be that your appointments were sent in the post so both of your doctors could sort it out on their schedules.
Wait times will vary from hospital to hospital or department to department, but generally speaking obstetric appointments (and by extension obstetric clinics) are infamous for running very late. There's a few reasons for this:
- With maternity care, because it is such a time-sensitive thing, you can't really defer or refuse appointments - they are demanded by either the midwife or the consultant, and as a receptionist all I can do is grin and bear it, even as my clinic gets more and more overbooked, to the point where it is blatantly obvious that we will all be staying late. I will say though, I have NEVER ever been in a clinic where a patient was not eventually seen, as long as they were able to wait.
- We are very much limited by the staff and room availability, and theatre/complicated births are overseen by the same consultants running the clinics, meaning they will often arrive late to their own clinics or even have to leave in the middle of a clinic. This is great for continuity of care, because it means that you will usually get seen by the same doctor who you've discussed your birthing plan with, but it's obviously not ideal for the people attending routine check-ups.
- Consultants/registrars want to give everyone the time they need and be as thorough as possible; as a rule, if your care is not midwife-led in the UK it is for a medical reason. Sometimes you'll simply get a few ladies in a row that just need that extra time, which, over the course of a few dozen patients, really begins to add up. It is very very common for the patients themselves to also accidentally hold the clinic up; I've seen everything from patients not booking themselves in and then complaining that they've been waiting hours, to people forgetting their hand-held records (which are used to record a significant portion of their obstetric care, including pretty much everything from the midwife appointments, to patients turning up to dating scans with empty bladders or being sent out of the clinic to go provide a urine sample. I have also found - and this will sound quite mean - but with the Coronavirus issue, that clinics have actually improved significantly; we have fewer people (mostly partners and children) in the waiting room and the entire environment is just quieter and calmer; unruly children and argumentative partners have a way of just testing the patience of everyone in the waiting room and making every minute feel like 10.
- Specialty clinics (in my hospital we have them for gestational diabetes, mental health, anaesthetics and genetics) are great but they are difficult to schedule and are overbooked to all hell. The biggest culprit is gestational diabetes, with our diabetics consultant seeing over twice as many patients as any of our others, despite only having the same amount of time for the clinic.
The reason for hospitals being warm/hot is because the body has to use a large portion of it's resources to maintain it's correct temperature. By keeping the ambient temperature high it allows a patient to use far less energy to maintain body temperature allowing it to utilise the saved resources to fight infection and heal wounds.
In addition because there is a lack of exercise circulation slows down slowing the healing process. Lack of simple exercise (which builds heat) means patients can actually get quite cold putting more strain on their systems. Have you never dozed off and woken cold? Also the elderly are not so active so find it hard to generate their own inner body heat, and you will find a lot of elderly in hospitals.
I have been in hospital four times since passing 55, the first time was in mid winter, so I took my winter pyjamas, and I ended up having to wear my pants, and an NHS backless gown because of the heat on the wards. Now I pack Summer weight night wear in my 'emergency' bag.
I know where I’d choose to live, that’s the U.K. anytime over the USA it’s great health system.
Congratulations! The idea behind the paper note system in pregnancy is to ensure that no matter where the mother is or which specialist she sees, the information is to hand. If you were away from your home town and went into labour or had another emergency you will have your notes available at once.
I always think that NHS waiting times are appropriate for the reason you are visiting. Like if you have chopped off a limb they obviously wont make you wait. But if you are waiting for a routine then a small wait time isn't detrimental to your health
Congratulations! Good video. Always wanted to hear about how the NHS works. Wish we had that here in the US. There's so much to learn about this from the Brits. So many Americans end up declaring bankruptcy because of medical bills - that's a crying shame.
@back of the net Yes, America is so divided we can't seem to get much accomplished these days. I have faith this will improve after the next election.
Yeah, the American health care system over there is an absolute embarrassment. From our perspective here in Britain the healthcare in the US is practically criminal.
Hicky Hicky I don’t think anyone’s envious of republicans or America as a whole
@Hicky Hicky Biden won, Trump lost, sucks for you.
The NHS has saved my life numerous times, I have Addison’s disease so I can have a Addisons crisis at any point really, and it is a medical emergency, and every time the NHS has been amazing. Whether it’s the doctors, nurses, caretakers, or anyone who helps keep the hospitals and GPs surgeries running I owe them my life. The NHS is the best thing about the UK and it makes me proud to be british.
It’s so cool that both of your doctors can be in the same room for your appointment. I will say the waiting time to be seen when you’re already at the hospital (as opposed to the wait to book an appointment) might be longer in case there is an emergency with another patient, but in a GP practice (where there are no emergencies) you’re more likely to be seen on time. All of that being said, big congratulations on the new baby! 🥰
Yeah like when my partner had an appointment to see his stomach surgeon in outpatients, the surgeon got called away to. Theatre for an emergency so we had to sit and wait until he came back, has happened a few times but can't grumble if it means somebody's getting the help they need in surgery 😊
The Doctors in a GP practice can get called away on an emergency, it's rare but it happens, it's happened to me once. Doctors are very familiar with some ones health histroy, so if something happens to someone at home the GP can be called out, as they know the person history and it saves the time of another medical person having to look it up and maybe miss something.
Maximus Haughton that’s true! I more meant like in a hospital there’s a much bigger chance of it happening, whereas GP and nurse appointments are generally on time, or only a little bit late.
I was not saying that doctors in the US don't get called out, I was just trying to point out that a doctor at a GP practice can get called in an emergency out if needed.
Yes I agree, but as I said the family doctor will know the history, whereas a trauma, or Emergency medic don't know it. So insted of having to read all the files and maybe miss something they'll call in the GP who should know, eg the person could be algeric to one of the standard dugs they use, and that could be missed because they are trying to save a life.
Proud British here and love our NHS 😍
I hope you stay safe here in the UK while we are dealing with COVID 19.
The average cost of a birth in the US is $10,000, your NHS surcharge when on a visa is $850 per adult and $635 per child every year until you get settled status when it becomes free. There’s no comparison, especially when you consider that if things go wrong you’ll get the best available treatment, (the uk infant and maternal mortality rates are much better than the US equivalents), at no extra cost.
Ps, wherever you are from, don`t come to The United Kingdom and complain about The National Health Service - unless you pay tax here, as the lass does.
Idiots do that, don't they? As a nurse, I was able to visit an ER in Marseille and here about staffing and see the sanitation... The staffing was fine and almost no wait times and no filtering for insurance... and the sanitation was better than Panera (in the COVID time)... It also wasn't overdone, I will never forget seeing the DESIGNER/ARTISTIC carpet in the Barnes in St Louis, what a waste of money, who needs that?
As a British person, its always very sweet meeting ex pat Americans who are often kind enough to explain our rules to us, especially regarding the NHS. It's as if what they're really saying is "DON'T CHANGE ANYTHING !!!!"
please dont change anything
Congratulations! We often complain about the NHS in this country but as you've found it's a fantastic service for most people most of the time.
NO WE DON'T WE DONT LIKE THE FACT THAT IF WE ARE IN EUROPE AND GO TO HOSPITAL THAT COUNTRY BILL THE NHS BUT THE NHS WILL NOT BILL EUROPEAN COUNTRY FOR THERE CITIZENS TREATMENT AND THE DR SAY THEY WILL REFUSE TO CHARGE OVERSEAS PATIENTS COSTING THE UK TAX PAYER AND THEN THEY MOAN THERE UNDERFUNDED AND GO ON STRIKE AND PEOPLE LIKE ME HAVE THERE OPERATIONS CANCELLED DOCTORS AND NURSES SHOULD BE DRAFTED IN TO THE MILITARY MAKING IT ILLEGAL TO STRIKE VETERAN 21 YEAR BRITISH ARMY
@@danielspillett5393 The NHS has mental health services as well . The problems the NHS has are caused by deliberate and brutal underfunding not occasional kindness to foreigners . Atavistic dislike of others may be treatable , in your case I certainly hope so .
@@danielspillett5393 what a load of rubbish! I can only assume you were in the army (because it's ALWAYS those in the army), because you lacked the braincells to do anything else.
Heidi - You’re a pathetic cretin for mocking someone’s lack of education. Instead of belittling him from your hierarchical educational pedestal, provide a counter argument to his points.
Well done Danielle, really good to see that you appreciate what we have here. A study published in the American Journal of Public Health in 2019 found that 66.5% of bankruptcies in the U.S. were due to medical expenses. In the UK that simply does not happen. On the subject of pregnancy and childbirth the US has much higher rates of infant and maternal mortality than most other developed countries and lags way behind Europe. Its bizzare that such a developed country, with the strongest economy treats health care as a business and does not look after its citizens in the same way as they do here and in most other developed countries.
Hi Danielle, as with other comments congratulations to both of you. Nice to hear an honest non biased opinion of your experiences. Thank you also for laying to rest the xenophobic attitude of some people who believe all foreigners do not pay for treatment (health tourists). Bear in mind that as you age you will visit your doctor more and in the uk your cost will only be relative to your earnings. This will mean if you lose your job, take a lower paid job etc you will not have to worry about your familys health cover (even between jobs). I hope everything goes well for you and your growing family.
I personally would prefer to wait an hour longer than to get express treatment and leave with a Bill.
So many congratulations to you, Matthew and your daughter! 🎉🎉🎉. You do great videos and thank you for sharing your experiences, I've enjoyed all that I've watched. I hope you all continue to enjoy your time living here in the UK. Best wishes and good luck 🍀🍀🍀
Congratulations on the wonderful news! I'm so glad you've had a great experience with the NHS so far and yeah, living in the USA, so many people have some jaundiced view about the NHS that they've based on a stereotype they heard. Thanks for debunking those myths! :)
Possibly the biggest difference is yet to come, after the birth of your baby. You'll receive home visits from a nurse to check on the general health and wellbeing of both you and your new born bundle of love! Lots of mums find this an invaluable service, and it's a great excuse to put the kettle on and have a good chat, too.
All the best to you and your family.
Congratulations Danielle to you and your family on your news. I think Danielle's representation of the NHS is fair and balanced. From what I've heard from US media, the NHS is portrayed negatively and is viewed negatively by the US public. However, I suspect that much of that is down to lobbying by the medical insurance companies etc. The important difference in my view is that 100% of the British public have healthcare coverage for life, whereas 28 million in the US have no medical coverage. It's important to say that the NHS is not free - we pay National Insurance contributions directly from our pay, however, whether you are a homeless person or the Prime Minister, you get healthcare. The contribution is 12% of your pay, however, that gets you healthcare (including subsidised dental care), a state pension (in addition to your occupational pension) and other benefits if you're unemployed etc. Whilst you have to pay this contribution you don't have to use the NHS as private medical insurance and hospitals are available - so best of both worlds if you have the money. Through everyone throwing money into the pot, I feel we have a fair and good quality system where no-one has to suffer.
Being british i can tell you from birth to working age all healthcare in uk is free,once we become a working adult we pay tax and national insurance,towards our nhs
Disabled and unemployed who dont pay into our system still recieve the same level of care.
I love our nhs,nobody is going to get left behind or die from diseases,because of lack of money,
free dental care if you arer unemployed or self employed - (self employed for the first year od self employment its free then as you still sign on to universal credit)
Congratulations to you and Matthew, I'm happy for you both. Whilst the NHS might have flaws (mostly due to underfunding) I feel that it does care of pregnancy particularly well. In my wife's experience it is especially good when you have existing medical conditions that complicate things.
Totally agree! Especially with your last sentence :)
I’ve worked in the NHS and have multiple medical conditions, so know both sides of the story. The problem with the funding of the NHS is not the medical side, it’s the management side; the NHS has far more managers than it needs (you could get rid of two-thirds of them and not actually miss them) and the salaries they receive is eye watering.
Congratulations!
I've never thought that the care for those who have it is any less than excellent in the US. (I'm English.) The two systems are absolutely on a par in terms of the actual clinical treatment - although the US government spends more per head than ours does.
The real difference comes into play in what you do if you can't afford a big bill. Here, you get treated, and you don't worry, because there isn't one. Even if you don't pay tax, for whatever reason. In the US, as you say, you get treated, but then how to pay that bill.
Incidentally - sometimes with the NHS, sliding appointment times can be a good sign. It often means your consultants / doctors are talking to each patient and making sure their needs are met, and treating that as more important than strictly keeping to appointment lengths.
I work in hospital records, your obs notes are known as "hand held notes", in our hos[ital when you give birth these notes are scanned into our in house e records system which is available for any medical specialist to view at the touch of a keyboard
Congratulations on the new Schaefer addition. Feelng ill is bad enough but when you have to worry about paying for treatment must be terrifying and depressing. Our NHS has been through a bit of a neglected period due to certain government leaders, of late, but it is still very good. I hope, given time, this will improve. I welcome your views on our NHS in comparison to the US, it is interesting.
I watched a similar video a few months. After giving birth the mother (in USA) was charged $35 to hold her new born. That is appalling😡
Really made me feel warm and happy hearing you speak about our NHS. It's literally the one thing that makes me proud to be British.
Hundreds of things make me proud.
good for you. @@robertwilson738 I find being British, especially English is very embarrassing. The country that voted for Brexit and Boris Johnson. Just rubbish.
Congratulations Danielle and Matthew. Glad your NHS experience has been good to date.
Hi, Danielle and Matthew, congratulations on your great news, I'm sure you're both very excited. A really interesting video as well. Names are always a problem, I would suggest starting with a different letter to your daughter's name, so they don't both have the same initial. Do you know if it's a boy or girl? A surprise is always nice, wait until he / she arrives. Looking forward to your next video soon.
The long waiting times usually only refer to A&E (4 hours+) if it's not a life threatening emergency. Usually scheduled appointments are on time or a little over. Unfortunately I had to attend hospital quite a lot last year and found that if I arrived early I was seen early and never had to wait longer than 10 minutes over. Can't speak for all hospitals but the hospital I attend has been fantastic - from the Consultants to the porters.
A&E has careful systems of triage so that the more seriously injured or ill are seen first. If that means that you have to wait for a few hours for a doctor to see you, so be it. It's only fair. Not that some people think it is and will moan and moan about it. I had an operation cancelled at half an hour's notice a few years back because there had been a bad road accident locally with many people needing serious treatment in the operating theatre. So I was in a bit of discomfort, but had to wait a few more weeks. I didn't mind, really, but some would moan about that too. In my experience as well, outpatients clinics are very punctual these days. and we have a state-of the-art brand new (2019 ) NHS hospital locally, so we are are pretty lucky.
God bless the N.H.S they sent me home with a broken collar bone once ! But they saved my (then) new born sons life so I love them so much xxxx
I'm interested to know: when you say the surcharge is comparable to the cost of giving birth in a US hospital does that include antenatal appointments and medications? Does the surcharge cover your medication for your thyroid? I'm curious as I'm a Brit and although I knew there was a surcharge I'm not entirely sure what it covers.
Regarding patient notes it is true that the NHS allows pregnant women to carry their own notes to appointments which is especially useful if you're visiting a different NHS trust from your usual one for a pregnancy-related issue as the staff in the A&E and subsequently the relevant specialists will have access to your pregnancy history and any issues that may be contributing to the acute presentation.
For other patients (non-maternity) patients generally do not get to take their notes home but they have the right to request to see their notes or obtain copies and this tends to be done in writing. There is a small administrative cost for this. You don't generally need to state a reason except if you are seeking to commence legal proceedings. (Access can be denied if there is a belief that the information contained within the notes could cause serious harm to the patient or someone else and details about third-parties will likely be redacted.)
Medicine in the UK has a multi-disciplinary focus and this is particularly evident in (but not limited to) maternity, paediatric, stroke, geriatric/elderly care, and critical care services. It's extremely useful because it tends to mean everyone is on the same page regarding medical and social issues. It's not uncommon for the social care sector to be involved in the discharge of some paediatric, vulnerable, and elderly patients too.
Waiting times do vary from hospital to hospital. Most doctors do try to run on-time but obviously sometimes complicated issues come up in appointments, patients are late, staffing levels are unexpectedly depleted due to illness or rota vacancies, and emergencies occur and all of these contribute to running late. I also think that as obstetrics and gynaecology is likely the biggest medico-legal minefield in UK healthcare, doctors and medical staff do their best to obtain as much relevant information as possible, liaise promptly with any speciality that may be required, make sure patients are properly informed, address patient concerns, and ensure patient safety, all of which take time. I'm not saying other doctors don't do this, but I think it is more immediately evident to the patient in a maternity setting whereas in other settings a lot of this work is done behind the scenes.
I really don't know where she's getting that from. The NHS surcharge is £624 a year for adults and £470 for children. That's way, way less than the average cost of a pregnancy in the US which according to the American Journal of Managed Care, was nearly $14,000 dollars in 2017. Even if you have insurance that covers that there's still around $2,000 out-of-pocket expenses, depending on the state. That's still nearly 3 times what the surcharge costs.
If you have to wait in the UK it's because the Medical People haven't rushed the previous patients.
Thank you for explaining how the NHS works,from a UK citizen . And you have explained most of it regarding antenatal correctly, my experience is second hand in regards to someone with a ongoing heart and vascular condition, but you have explained correctly especially the notes section. So basically the US, and the UK generally work but the US medical system needs changing in the way people can access it.
Congratulations on your pregnancy and thanks for sharing your positive thoughts in regard of your ‘NHS Experience’ so far.
It’s not perfect and as you say it is not ‘Free’ in the true sense of the word, but, it’s the next best thing. It’s largely funded from general taxation, with a small amount being contributed by National Insurance payments and from other fees.
However, considering how some of our taxes are spent, or wasted, the NHS is good value for money, as we are looked after, from the cradle to the grave as they say.
You said that during your appointments you didn’t feel rushed and that you had informed discussions with those seeing you. Taking this into account, if other patients are receiving the same attention, especially those with more serious cases, we have to make allowances for when appointment times overrun.
I hope you continue to give us regular updates as your pregnancy advances and your exposure to the NHS increases.
The NHS kept my mum alive with incurable cancer for 17 years. She received every single new drug or treatment available. At one point the cancer spread to the lining of her brain but because she was scanned so often and the NHS were so on top of it, she received treatment on this quickly and got 5 more years than she was predicted to have. The facilities at many hospitals are incredible. Joined to the amazing NHS cancer hospital my mum attended was a beautifully designed wellness centre with floor to ceiling windows and serene decor - here, patients could have everything from Mental health support, specialised cancer friendly massages, pedicures, wigs fitted to thai chi and yoga classes.
Sometimes I think people in the US think of overcrowded hospitals falling apart at the seems - something I haven't ever experienced.
Also, I've never had a problem getting appointments or being seen. Also, they would literally never let someone "die in the waiting room" 😂😂 priority cases are of course seen sooner. For example, if one person had a suspected broken arm and other had suspected appendicitis - the person with appendicitis will be seen first.
Congratulations to the Schaefer gang, I hope everything goes well for you.
Talking as an American, America doesn't really have a healthcare system per se, but thousands of different healthcare chains, CHI, Memorial Health, Kaiser, Kelysey, etc. Each has its own approach to care along with its own pricing which when you do not have health insurance poses a potential to have lifelong debt. Thanks for the review, always great to listen to a different perspective.
Aneurin Bevan one of the greatest British politicians that ever lived, I cannot understand why we were never taught anything about the conception of the NHS during my school years. 😷🍯 UK
Because people may then realise how much opposition there was from a certain quarter and then properly look at how much of the NHS has quietly become dependent on private sector provision.
Probably because he wasn't English.
Nothing unusual. It's because it's only just becoming "history". It was news/current affairs to my parents' generation, common knowledge to mine, but is something that needs to be taught to the next. A first sign you're getting old is when the knowledge you take for granted just in daily life becomes something they need to teach (or which starts to appear as 'difficult' questions in TV quizzes!). 🧓
The great thing about healthcare in the U.K. is you can get private care too and the private hospitals have access to all of the notes. I’ve had the same surgeon multiple times both like he saw me in an NHS hospital and in a BMI hospital
The thing is, our National Health Service is AMAZING and there is no getting away from that fact!
The part that I severely disagree with are those that use the service, when, they either don't need it or could have avoided the need for the use of it in the first place.
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To be more specific for you;
• You usually can't have breast implants on the NHS but the way of getting around that is to say that it is causing you anxiety, then for some reason, you get it for free at our cost!
• At least 95% of all abortions carried out in the UK are done so with public money, yet all contraception in the UK is also handed out for free and yet the IUD is the most common form of contraception for women under the age of 30 (and that costs $1,300)... Do you get that at all?!
• If you go into any hospitals A&E within the UK then there will be many people under the influence of drink and/or drugs, of whom are in A&E as a direct result of them consuming these incapacitants.
• Diseases caused by excessive consumption of drink, drugs, or alcohol are also treated under the NHS, all of these scenarios have something in common. They're no one else's fault but your own!
What I am saying is that if you are using the services of the NHS for something that you could have avoided then that's unfortunate but you're clearly making bad decisions in life and need a reality check.
And I know that sounds harsh but it's true.
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Don't get me wrong, the NHS is phenomenal and everyone in the UK takes it for granted. But when people like me who have diseases (like Cancer) through no fault of their own, then I have a problem when our NHS is being used and abused repeatedly by those who aren't as responsible. If you were charged for the aforementioned scenarios then hopefully more people would become more responsible and take accountability for their own actions.
It boils my piss when I see drunks and drug users getting carted off in ambulances, when I needed one when I had Sepsis it didn't arrive at all, we had to make our own way to the hospital for me to be placed into an isolation unit after it was confirmed that it was Neutropenic Sepsis that I ended up having. Of a weekend you'll see loads of ambulances most likely going to pick up someone elses drunken mess, I don't think the NHS deserves that.
And it's ridiculous that people out there are saying that our new Prime Minister Boris Johnson is going to fully privatise the NHS is ridiculous. He knows that this system is phenomenal and he damn well knows that if he takes it away then people will not only turn on him but also on the Conservative party forever (and potentially cause mass riots).
I feel like you're going to love the 'red book' the NHS gives you
Based on what we've heard, we are going to love it!
Oh do they still give those books out? Brilliant 👍👍 I had my kids 24 years ago.
Yes I had my son 8 years. And the red book is a wonderful thing to have.
I'm 21 and I have loved looking back through my Red Book :) it was awesome for my mum at the time too from what she's told me!
@@budd2nd I still have mine, its blue and 33 years old. We have 2 of our own red books now :)
Whenever I have had to wait longer to be seen is because the doctors have been called away on an emergency. The NHS tried some years ago to set up a computerised system at an enormous expense but they couldn't iron out the bugs and it was abandoned. Good luck and I am told the second is easier.
It was not the NHS that could not set it up, it was the software company they employed.
A very fair review, Danielle. I have been lucky enough to be a very healthy UK citizen and haven't been to see a GP for years, but recently experienced the NHS when I had a procedure as a day patient. Wow, I was impressed from start to finish. Not what I expected after the relentless negative stories churned out in the press. The staff are committed, kind and efficient. The equipment was state of the art and pristine, as was the hospital generally. I sent a thank you card afterward. Yes, our NHS is very special, free (but patients pay for it with our own taxes) at the point of use means you do not have the fear or worry about paying.
The USA system is fine if you have adequate health insurance but seems very expensive overall.
I don’t use doctors or hospitals very often but when I do despite the wait, it’s NHS all the time. I’m not dead yet so they must be doing something right.
One question!
Here in Germany we have had the "Mutterpass" for decades.
A small blue exercise book in which everything is entered. Every blood test, every ultrasound, weight, blood pressure, everything. The women are encouraged to keep the book with them at all times so that in an emergency, every doctor knows immediately. Is there such a thing in the USA?
Nope, nothing like it in the States.
Never apologise for sharing your experience of the NHS. It is a much loved and respected public service here. But you would do the NHS a disservice by being less than honest in reporting your experiences.
Congratulations!! That’s wonderful news and I hope things go smoothly for you xxx
The baby "Red Book" is a great thing and you never have to give it back 🙂.
My daughter turned 18 last November and we've still got hers.
Really nice video to watch and the lady presenting this has a wonderful and engaging charm. I have used hospitals in the USA and the UK and both were great. Different systems for paying but first class professional care in both countries.
Having a baby is stressful enough without bills. Congratulations btw! :D
Just imagine what its like having cancer and worrying about the cost of treatment.
So what happens next year do you still have to pay another bill for the year? Can’t you register for a national insurance number and pay national insurance from your wages? I don’t know how it works for people living here from overseas.
@Stardust I thought that policy is for people who visit the UK? I didn't think it's for people from overseas living here. If she gets a national insurance number it should be taken out in national insurance from her employer, if she's self-employed she pays it herself to HMRC's website monthly or yearly. She needs to get an insurance number and she'll probably pay less. www.litrg.org.uk/tax-guides/migrants/national-insurance-migrants
It's not yearly, well not directly, it's upfront for the length of the visa but it's based on a yearly figure. It's actually just doubled in price. If I recall correctly, from £500 to £1000 (based on a 2yr visa per person).
@Stardust Wow, even further?! The immigration fees are already ludicrous (my wife immigrated on a spousal visa about 8yrs ago & got her ILR & naturalised 3yrs ago)
🎊🎇🎉CONGRATULATIONS to you both - FAB news! 💥🎉🍾 This was an interesting and informative video - I'm glad you mentioned that you have to pay a lump sum for each of you to cover any treatment thereafter - there are an awful lot of ignorant people here who think that immigrants pay nothing towards their healthcare in the UK. 🙄 I'm also always surprised by how hot it is in our hospitals, but patients' hospital gowns are really thin! Of course, waiting times for A&E and Outpatients appts are legendary, but we accept this because we know healthcare, free for all at the point of delivery, is priceless. Funnily enough, I had an Outpatient appt 2 weeks ago which I arrived for 20mins early and was promptly seen 10mins early - you couldn't make it up! 😮 Anyway, I sincerely hope your pregnancy progresses well and you have a healthy baby girl or boy - my name suggestions for each are "Ava" and "Luke". All the very best. 😀
@Bilbo Baggins You don't seem to know the meaning of the word "fact" .
Kay J you are feeding the troll!
@@aileenmoore7503 So now YOU'RE trolling me?!
Interesting to watch. However you said that the healthcare surcharge is comparable to the cost of giving birth in the US, or did I hear wrong? The heathcare surcharge is around £500 for 2.5 years. I would think it costs more than 500 pound to give birth in the US, no?
SmallManBigWorld between $10-$30,000 for delivering a baby
@SmallManBigWorld I wondered about the amounts as well because I thought it was £400 per year per person, although it's a bit cheaper if you're a student so maybe a child might be cheaper too. Definitely didn't think it was anything like the cost of having a baby in the US. Hopefully someone will clarify this for us.
The surcharge is paid yearly and depends a bit depending on the type of Visa you get.
We weren't comparing the actual cost of delivering a baby, which we weren't very clear on, but the cost that we would actually have to pay (our deductable in the USA, or the actual cost to us).
Hope that clears things up a bit.
@@SchaeferFamilyAdventure Thanks. Must depend on the type of visa you have. The Spouse visa healthcare surcharge is around £500 for 2.5 years.
@@SchaeferFamilyAdventure It does! Thanks! 👍
Congratulations you two. The baby is lucky to have such fab parents.
I'm with you on the hospitals being way too warm, almost the ideal temperature to spread germs but most of the patients are elderly and need the heat I guess. Everyone means well in the NHS but it is badly managed and inefficient. Shame because most of the front end staff do the best they can
The paper medical notes are just for pregnancy and just after the first 2 weeks of baby life, then your given a red book where they chart baby and add some notes on the development. Had my baby number 2 April last year. Congratulations on the newest addition.
Congratulations Danielle
Danielle, congratulations on your second child (certainly arrived by now). Can I ask, do you think with Britain leaving the EU, that we may be more in cooperation with America and we may potentially be facing an insurance based system soon? It worries me
It's hard to tell for sure, but it seems unlikely. People love the nhs.... It would be a hard hard fight battle to take it away
@@SchaeferFamilyAdventure I pray it stays as it is, but I know Farage has been campaigning for an insurance based system along with leaving EU.
@@MElaughs Don’t worry. Farage can open his mouth as much as he wants. Most of us here in the UK ignore him. There is no chance of him getting into Number 10. The NHS is safe.
Any government that even tries to turn it into an insurance based system will have riots all over the country. All of the main parties know it would be political suicide to get rid of it. It’s probably the only thing that most of the people agree on right now.
Most of us do, but the people who decide don't. There lies the problem
I Wish you so well with your pregnancy 😊. I genuinely think we have the best of all pregnancy and post pregnancy care. Just wait til you get your daily home visits after the birth 😍
In my Health Centre, we re-schedule appointments straight away and later communication (reminders etc) are done by mobile phone texts or they will call me directly. Also, I've never had to wait more than 30 minutes beyond my appointment time (it is usually 10 to 15 mins). So I suppose it depends on what part of the country you live in.
I had a C section because baby was breech. It was great and much less painful than a normal birth would have been. NHS thanks.
Re the medical records, in the UK you can register with your GP to get online services, where you can access your entire medical record online, including all your GPs notes.
I am american liveing in Australia and have done so for many years the Medicare system here is good, anytime I have had medical problems no problem go see the gp, a year or so ago I almost sight in my right eye if not for Medicare, note to Americans health care for all will not bring the end of America or something like a communist Stalinist state
Perhaps someone from the USA can explain with typical examples what are premiums, deductibles, copays, out of pocket. In a few years how much would you be charged in each category and why
. In the uk, i have retired, i paid into the system while i was working now everything is free including prescriptions
well you can either wait, or spend 10,000 dollars. up to you really.
Just watched this, hence my late comment. Very interesting and thanks for uploading. Thinking about this a bit though, isn't this more the differences between the UK and a privately insured American in the US? The UK side is pretty accurate for the NHS which covers 100% of the population (outside of any private insurance or hospitals some may choose to use), but the US side really only looked at less than half the population which has private insurance with pregnancy coverage. I wonder what this video would have looked like for the other half that has no private insurance? Would be interesting to see.
Congratulations!!!
Have you thought about a possible home birth ?
Hey at least you're all nice and warm in February, I was 8 months pregnant in the hottest August ! I'd go to the shopping centres (Mall) just for the aircon!! 😊
Having lived and worked in both Countries - I do think that the NHS provides HealthCARE whilst in the US I found it to be more of a health service. The speed and quality of service in the US is better than the NHS, but I would swap the US heath system with the NHS in a heartbeat. But my company pays for private healthcare also, which most employers for my industry here offer their employees (even as an expat), so I can choose the level of my healthcare in the UK - no waiting times, better equipment etc (much like the US system). Also walk-in centres are all over London, so there is a diversity of choice if you wish.
2hrs hours past you're allotted time and $10,000 better off, I know you're not knocking the NHS but it's about people not profit.
Our hospitals are far too warm that I agree with you on there! After recently spending time in the cardiac ward I can’t fault it the staff were so hard working but so stretched they were run ragged! My aftercare has also been spot on! Yes all appointments are sent out through the post. Some appointments are on time, some slightly over and some really over lol 😆
Malcolm Uttley I see you are a troll. Did you miss hear her say they paid for it?! They paid the visa payment. But hey.
First of all a huge congratulations on your pregnancy!
You have to remember I have paid into the NHS all my life for me any my family through the taxes I pay as hard as the down payment may seem....... Nothing is free but this is the best system you can have. proper or prince the treatment is the same.... free at the point of care and open to anyone who needs it.
My last appointment with my Doctor was over an hour. He was so interested in the whole approach to my challenges.
Your baby just won the lottery of life, being born British 😊🇬🇧, seriously though congratulations and stay safe.
how about if you already have 2 surgerys in the firts and second child, and here in uk, if you got pregnant, they make you have the bb naturaly, and no asistence ? this is true? i wish i can have another bb but i don't do it for this, and thinking if the case come like this i gonna got a big bill , which i can not affort now
Congratulations to you both, lovely news, your own little Brit ha x
And if you stay here a few years and your kids go to Nursery and Primary Schools, they'll get a nice British accent too.
US Citizenship + British accent = guaranteed part in a teen drama serial!
Sadly no, we do not have birthright citizenship in the UK. To be a British national one of the parents must be a British citizen. There are also grandfather rights with some countries citizens as well however these tend to be commonwealth countries! Of course if the parents have become or do become UK citizens that does change things!
Aw Danielle you're rocking the bump! So glad (other than the occasional wait) that you're having a positive experience of the healthcare team around you.
A lot of us (me included) moan about a lot of waiting lists, grumpy GPs, reduction in services (in recent years - the full spectrum of treatments on offer has reduced under the NHS because so many services have been cut back hard)
BUT...
I am so thankful for how it has provided for me and my family.
I have benefited from so much free of charge since I was diagnosed a Coeliac. I have seen Rheumatologist consultants, Gastroenterologists, Dieticians...had bone scans, blood tests, free flu jabs (and constant reminders for free flu jabs!)
Our family has benefited from multiple free life-saving operations, physio, psychiatric care and admissions, paediatric care... for free.
It is something many of us have taken for granted. We are able to go home and heal / work through all the other hard stuff that often comes with needing care - but we don't have the financial burdens on top!
X
Founded by a Welshman! Aneurin Bevan, aka, Nye Bevan.
Founded at the hospital I was born at - Park Hospital, now known as Trafford General :)
I hope you do one for your labour because I know there is some big differences. As someone who has to spend a lot of time in hospital for multiple medical needs... I'm under at least 8 different doctors & I've been under 6 different hospitals in England... I find if you go to certain consultant for whatever need you have they are really good dont get me wrong ive had to experience a lot of terrible doctors especially if you have a rare disorder that isnt understood. But I have seen plenty of amazing consultants.
The waiting times can be a nightmare but sometimes it cant be helped eg when I have to see my vascular consultant I've waited for 2 hours because he was called for an emergency (saving someones life). They do let you know if things will be delayed and they tell you why. A lot of the consultant's do ward rounds before they start their clinic hence why they could be delays especially in the morning.
I've always have had problems with a&e doctors especially how serious my rare condition can be it's not taken seriously especially when they know my age.
BUT when my dad was rushed into hospital back in 2015 they treated him so well... especially that his blood pressure was so low they couldnt understand why he was still alive but he did go into shock... when they transferred him to Intensive care as he was so ill & we were told anything could happen they were amazing. Then when he was discharged from ICU they have to go onto a medical ward first before getting the clear... he had to wait 4 hours in a waiting room for a bed bare in mind he just came off ICU.. my mom got angry that he was still there at 11.30pm... it was because no one told the cleaners to come and clean the room before he went in hence why there was a wait... the nurses were terrible that my mom literally took him home a few days later cause they were not looking after him & they didnt even know! There were plenty of nurses about too. When he had his asthma attack & septic arthritis they were amazing though.
When I've had my operations because I'm high risk im meant to get checked on more regularly... I needed the toilet I pressed the button to alert a nurse they came in and told me I had to wait... I had to wait 2 hours to go to the toilet unfortunately by then I wet myself as I dont have bladder control.
It's all touch & go... there are plenty of amazing consultants/doctors but at same time there are terrible ones.
With IVF over here also if you cant conceive & you dont have any children you get the first lot of IVF free if they cant find a reason... if they cant find a reason for not conceiving eg PCOS like myself you can get up to 3 lots of IVF free... but you have to have no biological kids before hand.
There is things that need to be improved on especially if you are on a ward... my mom use to be a nurse many years ago there was no standing around even if you have attended to all your patients you would have the clean the toilets etc. Now they can talk & even watch TV. Our system isnt perfect but better than most.
I hope you do a birth review between both countries as I know there are some big differences especially when it comes to giving epidurals out... I know NHS dont like giving it out I dont know if its changed. I have some american friends that I usually see every year & the one conversation we had was health care.
But yea I would love to hear the differences between an american birth vs an english. I know a fair few but sometimes you dont know if its fully true even if you've seen a few people go through it.
Congratulations on your pregnancy 🤰 I’ll have a think about names ❤️💙
Our NHS is amazingly. Love it and worth every penny and more. Happy to pay more because its helped my family so happy to help others families
BTW - its far more online and faster these days
Paying a lump sum is imho fair and if you needed emergency treatment that costed much more than your annual payment the NHS would not bill you for the difference so it is a form of insurance even for us who pay though tax .
But it's not used as a cash cow .
i disagree, id call it more akin to a peppercorn rent, that is where you would pay a pound to rent something and you just pay a token amount so you can say you are renting it. i had 750 thousand opounds worth of treatment last year) based on what i would pay in the usa) and last year i paid 50 quid in national insurance all year. which is pennies. literally pennies
@@cyberash3000 When as you put it, renting. Are you not paying for a tangible item
Your NI as its says is insurance for just in case and not a definite item
I'm sure you had plenty of years when you had zero treatment.
But either way Id rather have our UK system how ever you interpret it
We all support each-other in times of need which for me is the civilised way
@@Lee-70ish no unfortunatly ive had treatment most my life
whjen i was a baby i had no parents and no family so i was kept in hospital by the NHS for 3 mionths cos i had a muscle wrapped around my stomach so couldnt take milk as it came strauight back, so i was a weak baby. then my penis forskin closed up, so i had to have that removed. then hwen i eventually got adopted, they found the doctors because i was parentless they didnt bother running checks on me, back in the 80s, so they found i had twisted legs, and i had a speech impediment through primary school so i had the NHS teach me how to talk properly. i had this speech impediment because i couldnt hear, as i have always haqd problems with fluid in my ears so i had to have gromits. i also suffered from childhood fits, the last i had at 14, which actually happened when i was watching 14 year old girls changing through a peep hole inm the locker room centre parcs. dont judge me, i was 14, i then collapsed and had my last fit there. then in primary school it was discovered i had collapsed arches so had to have special treatment for that and insteps/ . at secondary school i had a of issues with shin splints because of my twisted legs growing which was back and forth. then when i left school college i was mor e or less fine before uni i got biten by a mozzy which triggered an auto immune disorder, which made my body not able to control its temperature and made break out in hives, and i had to sit in a cold bath. aso back and foirth to hospital with that, and meds lots of meds and bromide. then i finished uni well not finished i left the day before the exam on both my degrees due to mental health issues, so i got so bad i was arrested, then i admitted i neede mental heralth help, so then i had a counciller which called the police on me, and it was decided to boot me up the chain of command to the head of psycatry for the area. so i had trewatment for him for around a year and a half, before leaving that just before it finished. also before that 8 i started suffering with alopecia. so i had to see a specialist ffor that, injections with cortizone and cream to rub into it, eventually it grew back but white, then that fell out, then thin wispy back hair then that fell out then finally grew back
THEn i startted wit ha rare form of psoraisis called pustular psoraisis which is wet like excema (i also started with excema too) so i was riddled with that to the point i would stick with blood and pus to anything i touched. it was worse at night, and cos i worried my auto immune disorder flared up so i had hives, sweating sticking to everything and had to change my clothes often and was itchy like spiders under my skin 24/7. so i then got PUVB treatment and chemotherapy. which also made me sick requirring more tablets ontop of the puva CHEMO odf 8 tablets. . i then developed asthma, too which i had to have an inhalor for and panic+anxiety attacks. i also dropped a keg on my foot breaking 3 toes and fracturing my foot, then a few days later managed to drop a bowling ball on it. whic hwas agony and to this day im back and forward as my feet randomly balloon to the point i cant put my shoes on but noone seems to know why they have run all the checks heart liver kidneys b all sorts and found nothing. i also am a pluerisy sufferer which is agony, i had to have treatment for that. i also have a bad back and my knees pop out tohe sockets somethimes aso i cant run. im also overweight so the doctor has me in for check ups on my wieght, but ui cannot join the gym cos insurance wont cover me. i havwe recently started to get psoritic arthritus too. i will never pay back even a tenth of what treatment ive had,. i wouldnt live if i was in the uk., i would have just killed myself. and had done with it. the nhs tgave me a home in a hospital bed as a baby for the firs 3 months until they found a foster home for me. and ive a drawer full of meds. i also have tenrnitis in my left big toe. most my life icve had treatments every year tbh. its easier to say the feww years ive not had treatment of some form loli think my total nhs contributions over my hole life is about 1000 pounds. from when i started work at 15 to now. (i went to uni as a mature student.)