American Reacts to How the UK's Health-Care System Works
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my daughter was seriously ill with rare desease, she has 7 blood tranfusions, 27 plasma transfusions, we was in hosital, for 3 weeks on 24 hour kindey machines as her kidneys failed through this desease, we stayed in the hodpital for 3 weeks, my wife was 8 months pregnant, we were given a room in the hospital to sleep, food vouchers, for breakfast dinner and tea, taken from one hospital to another, as there was only 3 hospitals in the UK that could treat the desease at the time, cost us ZERO pounds, I have also worked in the NHS, in A&E in two hospitals over the years as a domestic, i have seen it all, despie its problems, its still is the best in the world in my eyes, The gift that keeps on giving
That right there is the difference between healthcare and "health care"... I've argued with many Americans about this before who seem to think they are the pioneers for every medical treatment or procedure, and that the outcomes of procedures done in their country are better. Yet not one single American has been able to explain why then despite spending 2.5x what the UK does PER PERSON the life expectancy is still around 2 years lower, the infant mortality rate is still 1.5x higher and generally there are less healthy people when compared to the UK. That's before you even factor in the absurd "Begging strangers on the internet for money for your medical procedure".
The price of US surgeries makes me angry. Why does ANY surgery cost half a million dollars?
There is no surgery in the world that actually COSTS 500,000 dollars to perform it in terms of all fees incurred.. it only costs 500,000 because a huge chunk of it is profit.
I've heard stories of people going from the UK to the US, they get into an accident and go to hospital, they might stay there for a few days to a week, their bill is $95,000. The hospitals ask for their insurance details to send the insurer the bill, except there isn't an insurer since they didn't buy coverage on their trip.... magically and incredulously the hospital then drops the bill from $95,000 down to just $9,000.
Shows you just how much profit they are making if the bill is reduced to less than 10% of it's original figure when they discover there's no insurance company to pay for the treatment they've provided.
@@thefiestaguy8831 agreed
Bless our NHS ❤ hope your daughter is better .
As said in the video its a shared risk system, sometimes you get lucky and don't need to use it. Other times you find yourself or loved ones in a horrendous situation as the person's daughter here. In my mind it's a great definition of a caring society how you treat people who need help. I'd vote in elections based on a single issue like supporting our NHS.
Joel. We have some of the best Doctors in the world. It is definitely
NOT an inferior service. I could list some of the firsts in medicine. Hip and knee replacements, cataract surgery, some cancer treatments,
antibiotics, MRI machines, liver transplants and many more were firsts in the UK.
You can define the NHS as socialised medicine, exactly as you have a socialised military and fire service.
The US DO have socialised medicine....for veterans under the VA services.
@@jarls5890 The UK has socialised medicine for every citizen. The US could improve the health of all it's citizens and save money if it adopted the same system, then no one would be left out.
@@tomnicholson2115 I am aware of this. I am Norwegian working in the Norwegian public health care system.
My post was intended for those who "do not like socialized anything" - but forget about the VA services!
@@jarls5890 Ok cool, I thought you might have been an American thinking the VA services were enough, but I'm well aware that the US healthcare system does leave a lot of people outside of decent medical care and I was making a point to about that fact really. I'm from the UK by the way.
'Socialised' is really the wrong word anyway. It should be just 'universal'
I once heard an American say ," why should the healthy pay for the sick'. And that says it all. And that's why the US will never change. I'm so glad the UK gets it, we don't ask to be unwell, but if we need it it's there. Brilliant idea.
Exactly. We all contribute to the NHS, but none of want to make sure we get our money's worth by having a serious accident or illness! We just know it is there if needed, with no cost at point of delivery.
Even from a selfish point of view, it doesn't make sense. Unhealthy people with nothing to live for are a drain on society in other ways.
They don't pay taxes, they don't join the work force or consumer base, and if they can't get the health care they need, they'll understandably turn to drugs, alcohol, and other ways to survive, which will ultimately come back around to bite the taxpayer through other means.
We want a healthy population because it benefits everyone.
@@jacquelinepearson2288 For the meantime... but not for the future.
When I had my first baby, I ended up having an emergency caesarian, and then with the second, I had an elective one as they didn't tell me why the first one had occurred, and also a friend had lost her baby during the birth and I was scared.
My American cousin who had one child said it had cost her $10,000 and how on earth did I afford to have two children. I was shocked at the amount, and it made me appreciate our system so much more. At the time I was not working, and had paid very little into the system, neither had my husband as we had started a new business and our tax was low. Both children are now high tax payers, so the joke is that they have now paid for their own births! It's all evened out in the end.
It’s a crazy attitude. We’re ALL going to get sick at some point. The health of a nation can be gauged by how we treat our most vulnerable citizens.
It is not that the NHS is poor quality compared to private health care. Often the same surgeons work in both organisations. It is more to do with the fact that you may have to wait for your surgery in the NHS, whereas in the private system, it is quick.
100% agree. It’s not a question of quality in most cases, it’s how quick we will be seen.
Deffo also if you use private maternity and you’re in labour and there’s an emergency often you’ll be transferred to an NHS hospital
I agree. It is the administration of the NHS that is terrible. The quality of the healthcare is excellent. The private sector offers a quicker service but not a better service. Elected surgeries have a long waiting list. On the other hand emergency and urgent care is excellent.
The NHS has plenty of contracts with private companies. The Government doesn’t run the. has on a day to day basis. It allocates budget but the day to day running is by NHS employees. It is the management of the NHS that is not done well and I have had first hand experience of that in the past decade.
Dr. Adam Kay, who wrote the autobiographical novel that was made into a recent BBC tv series, 'This is Going to Hurt', was not too keen on privatised health clinics in the UK as I recall, noting some were more like luxury hotels than hospitals, ok for having your bunions done, but quite unable to deal with real medical emergencies - other than to ring for an ambulance to take their cossetted wealthy patients to an NHS hospital, where they use the same staff and facilities as for everybody else in our 'socialist' health service. About the only advantage is that the wealthy are somehow able to jump our NHS waiting list queues. The morality of this I'll leave you to decide.
@@StephenWestrip .
30% of healthcare costs in the US, is just to pay for the administration.
I've seen another video of an American woman who doesn't want an NHS system because she doesn't want her money used to pay for other people's treatment, she's doesn't care they would also be paying for hers, she would rather spend tens of thousands of dollars on insurance. Some people are odd.
This is the typical selfish and individualistic attitude which drives a wedge in a cohesive society
That's like another video I saw where someone said why should he pay for someone's health care. I made the comment that if you have health insurance, you're already paying for someone's health care. That's how insurance works.
Socialism man 😂😂😂
The money she pays for insurance pays for other people's care. And for admin costs and profit for the insurance company.
@@Beejay950 Who (World Health Org) says if your neighbor is healthy then you will be healthy by default.... not sure why some people don't understand this?
US Healthcare is about profit, not about caring for health
It's outcomes are better though and waiting lists shorter, just like in other European countries compared to the UK.
@@elih9700 Did you actually watch the film? It showed many ways in which the outcomes are NOT better.
@@ykrgfk The NHS's magic lives in the heads of people, the only good thing about it free at the point of use. There are many examples that outcomes are far worse when compared with other systems in Europe and the US.
@@elih9700 Its outcomes are NOT better! Didn't you listen properly?
There is plenty of support for the NHS so I'll provide some balance. My father had a hospital acquired infection that required treatment in high intensity. We were told he was too old and effectively wasn't worth treating so after a few days he died. My mother was ill for months probably over a year and had tests repeatedly postponed. We found out through the autopsy she had cancer. I had a prescription raised by a specialist which my GP refused to sign off as the drug was too expensive. A family member had macular degeneration of the eye that leads to blindness. At the time official guidance was to withhold treatment until the patient had gone blind in one eye before starting treatment on the other eye (which also would have been damaged) THE NHS IS SECOND RATE
I've had 2 knee replacement, both in private hospitals. But it was all under the NHS. Plus physiotherapy for 10 weeks, medication and follow up appointments. I personally would gladly pay more in taxes to keep the NHS funded. They are the gift that just keeps giving 😊
Only when the problem is easy to diagnose and treat like a knee replacement. Try having a chronic health problem, then the NHS is rubbish
I totally agree, they did raise national insurance a bit some time back and I thought 'at last, they're going in the right direction', then they reversed the decision....ridiculous! People are living longer thanks to the NHS and we have a growing percentage of elderly, it makes sense to raise national insurance accordingly, as long as they also focus on cutting out some of the waste in the NHS....
@@dukesb agreed, I have widespread osteo arthritis, colitis, fibromyalgia and several other issues, the GPs answer is 'take less painkillers and get more exercise', if I could I would.....
I e had 2 knee replacements too. I had mine through the NHS.
Farming stuff out to private hospitals is costing the NHS money, private medical care is expensive and even though we don't pay an invoice, we still pay for it thru our taxes and private health companies take the easy operations not the very difficult ones.
I’ve never had to wait longer than a couple of weeks for NHS care. Broke my wrist - ambulance to hospital admitted for a plate in my wrist, had operation and discharged all within 24 hours. Cost NIL. Who could possibly complain about that
Rich people are the ones who complain about that. Their privilege is far more important than your well-being, in case you didn't know /s
A had an mir about 30 minutes after arriving at hospital, after an accident.
Of course there was no extra charge.
I wonder how much that would cost in America?
@@101steel4 The average cost of an MRI is $1,325. However, an MRI can cost anywhere from $400 to $12,000.
It didn't cost NIL.
@@mavericmorph5358 Of course the NHS costs money. But it comes from general taxation in advance. So that when people need it, there is no cost to them at the time. In other words, it is free at point of use.
The cost to taxpayers for the NHS, is less than half of that which US taxpayers pay for Medicare and Medicaid. Then on top of that US taxpayers need to have health insurance.
In the UK private healthcare and health insurance is available. But most people choose to use the NHS. The only time I have had health insurance, is when I visited the USA.
The biggest difference between our systems is that in the USA, healthcare is based on the ability to pay, while in the UK it is based on need.
My late wife was from the USA, and she had many health conditions, and experienced both systems. In her opinion, the NHS was a far superior system.
She had gone from not being to afford the copay on most of her medications, to getting every medication she needed. Doctors, nurses, treatments, surgery, ambulance, disability equipment, all of which were not billed.
In top of that there was disability welfare, which is higher than in the USA, an apartment to live in, with the rent paid by the government, and a brand new car every three years. The car is on a leasehold scheme, which is paid for by out of part of the welfare received.
It is impossible to lose healthcare coverage here, and you cannot go bankrupt from healthcare bills.
So in short, not free, but free at the point that you actually need it.
As a recently retired NHS nurse, having worked widely across the NHS and briefly in the private healthcare system in the UK, I can assure you that the NHS offers far superior levels of care than the UK private sector. Systems, protocols, equipment, training and research in the NHS are some of the most advanced in the world. The UK private system covers only elective surgery and treatment and does not cater for accident or emergencies. Many private hospitals do not even have a crash trolley and rely on our 999 call system to send their patients who deteriorate or need urgent care to the nearest NHS hospital. I know this as I have dealt with many such admissions received from private hospitals. Additionally, staff in the private sector receive less updated training than their NHS counterparts. I speak from experience and left the private sector (two different private healthcare organisations) as I was so appalled at the lack of training and abilities.
Also, an aspect often overlooked is that the tiny amount of taxation paid by individual taxpayers to fund the NHS covers collectively ALL UK citizens, not just those who are able to pay tax. Hence, the poor, homeless and other less fortunate individuals are entitled to the same medical care as the wealthiest of taxpayers. There is no distinction between treatment options based on wealth. The UK public values the NHS very highly and most people deplore the attempts by the Conservative government over the past 14 years to try to run the NHS down and encourage privatisation of healthcare.
Sometimes it is better, but not always. My sister-in-law recently passed away, there is no doubt that the facilities, both for patient and family, were far superior in a charitable hospice than they were in the NHS hospital. There was no charge.
My wife would have been reduced to using a wheelchair if she had waited for knee replacement surgery via the NHS. In the event she chose to have the surgery done at her expense in a charitable hospital that only performs joint replacements. Not only does it achieve very good results, it is used by the NHS, with some limitations compared with private patients.
I support the NHS, it has served my family well on many occasions, but it is slow at introducing new working practices that would improve treatment and reduce the workload on staff.
@@glynnwright1699 I accept that hospices play an invaluable role in care for the terminally ill. They are partly funded by the NHS and central government as well as being charitable organisations. However they do not fall into the same care category as private hospitals providing elective treatment to otherwise healthy patients. In the latter case, all is well until something goes wrong, then the NHS has to pick up the pieces.
@@SG-qi7pv "The Horder Centre is a specialist orthopaedic hospital and centre of excellence providing services to NHS, privately insured and self finding patients. Nationally recognised for its level of surgical expertise, patient satisfaction and therapeutic hospital environment, The Horder Centre in St Johns Road, Crowborough, has achieved an ‘outstanding’ CQC rating. It achieves excellent patient outcomes for surgery and other orthopaedic procedures and undertakes over 2000 hip and knee replacements every year. We offer a range of high quality, specialist services led by the very best consultants, clinicians and health professionals in their relevant fields."
I know many people who have used their services, there are all happy with the outcome.
NHS funding of hospices runs at about 15% of the actual operating cost.
As regards technology, I have been long associated with medical imaging and am in a position to directly compare the USA and UK health services.
The adoption rate of new point-of-care procedures is much more advanced in the USA and the UK. American clinics implemented new procedures in a year, in the same period we didn't get past discussions on ethics and inclusivity in the NHS.
@@SG-qi7pv hear hear
the difference is, the UK NHS is not for profit. The US pre-WW2 healthcare system was more like the UK NHS, then the big Private Corporations got their hands on it.
in the Tories hands everything is for profit, mate
You will find that a lot of the NHS is for profit since so much of it has been privatised nowadays, the tories sold so much of it off.
@@george-ev1dq Tony Blair brought in that law and opened up the medical sector to private enterprise.
But you are assuming the NHS is not a porous container.
@@iwanttocomplain personally I find the HSC (NHS) pretty useless, I have never used the NHS but gather they are just as bad.
@@george-ev1dq it's all very much terrible and broke and the only good thing about the us system is you can opt out.
I roll my eyes when I hear folks from the States say "An ambulance is not your taxi to the hospital" as if it's somehow a justification for having to pay thousands of dollars for one.. What is it then? Nobody gets an ambulance to go to hospital for non-emergency reasons.
JPS even if you were unlucky enough YOU TOO would be treated at no cost if you were injured on one of your visits to the UK. Health care is a Human Right not a Buisiness to make a Profit.
Technically, free treatment for foreign visitors on the NHS is reserved for countries that we have reciprocal agreements with. I saw this working first hand, when Dutch friends visiting Scotland this year fell ill, and were in need of medical treatment, so I ferried them around. They presented their health cards at the hospital and filled in a short form and got their treatment for free.
I don't think the USA has a reciprocal agreement with the UK for healthcare for American tourists, but if there was an emergency, like a road accident, foreign visitors are treated immediately without quibbling. Even so, Americans visiting the UK should take out private health cover - just like British people visiting the USA should do - especially as we could be charged many thousands of dollars even for a day in hospital there.
"Health care is a human right not a business to make a profit". A lovely sentiment.... but completely wrong.
Who pays for the health care? If no-one pays then where does the finance come from? The basis of the NHS was "medical care, free at the point of delivery", which meant that WE paid for it by our national insurance contributions, but not directly when we needed its services. It was run, up until about 10-20 years ago, as a "non-profit organisation", But what has happened since is that your local "health board" which used to organise and provided the medical services had surreptitiously been transformed into a "local care commisioning trust" which now simply pays OUR national insurance payments into the coffers of PRIVATE profit making medical care companies to provide the same services.... but with the money being hived off into private hands.
Its fine while the private health companies have not fully taken over the reins, but once they have, then like the rest of current day "cost of living" the costs will SKYROCKET as they then hold the health care monopoly.
Added to that recipe for disaster is the fact that millions of illegal immigrants are now taking from the pot and not paying in.
Rest assured the NHS that you and I grew up with will, within the next 5-10 years be working along the VERY same lines that the US system is now. Its called US corporate globalism.
My hairdresser is american and we were chatting about the NHS once, she told me that when she moved here permanently she paid a one off charge allowing full access to NHS and now just pays national insurance on earnings like a normal UK resident.
@@frglee This is true. In cases where the NHS fails to bill a US visitor's travel or health insurer, it is because an administrator has judged that the bureaucratic expense involved outweighs the direct cost of treatment.
Even in the case of UK citizens, if we are injured in a road traffic accident and this is deemed in court, or otherwise acknowledged, to be the fault of another party (driver, usually), the NHS is supposed to (and often does) reclaim the cost of treatment from that party's road insurance. That all happens either by negotiation between administrators, or by court order, and the victim him/herself will know nothing about it.
As a former official of the European Union, I am covered by the EU employee insurance scheme, valid in every country of the world, but we are advised in the strongest terms that if we visit the United States (and a handful of other countries), we *must* take out travel insurance, as the charges for medical services there are vastly in excess of our insurance ceilings.
@@walterkronkitesleftshoe6684We do not pay through the NIC, we pay through £200 billion collected through general taxation.
I’ve just been diagnosed with alcoholism. I went to my GP surgery at 8am. By 8.50 I had a call back from the doctor (who was so kind, I broke down in tears) with advice on what to do. I went to our local support group at 10.30 am. By 1pm I had an assessment for what to do. I was given a programme of AA meeting, support groups, a key worker, and had been booked in for therapy! Costs? £0.00 nothing! Thanks NHS you are fantastic! I then had a series of blood tests, pee and poop tests. They put me on an antibiotic, anti sickness medicine,statins, and B 12 medication. Cost? Nothing! You can get a prescription prepayment certificate which cost me £110 for the year! Brilliant!
You are obviously still drunk now if you honestly believe the NHS is fantastic
@cultfiction unless you're British and pay into the system please don't comment and if you are I'll tell you this, they have saved my life at least twice! Long live the the NHS.❤❤
@@KathyBarnett-mv5vg I am British and do pay into the system. And maybe the NHS saved your life twice but if you had paid private healthcare it wouldn't have even become life threatening to start with
@@cultfiction3865 I am a retired RGN - private healthcare is limited in the UK to routine operations/cosmetic surgery. We do not have private A& E's. My late brother-in-law asked me to book him into a private hospital here in Yorkshire. He was vomiting blood. They all refused, saying we had to take him immediately to our local A&E. We did - the bleeding couldn't be stopped (oesophageal varices) and he died a few hours later. He was a alcoholic and asked for treatment when it was too late
I'm actually sat in a hospital bed right now, after a motorbike crash.
The staff have been absolutely fantastic, the care, the food everything.
I'm awaiting an operation on my double fractured pelvis, so they have me well drugged up😂
Honestly, they've been superb.
Just to add, there's an American man in my ward. I haven't spoken to him personally (but you can certainly hear him😂) as we're all in bed with different types of leg injuries. Not sure if he's visiting or actually live here.
They just wheeled him passed as I'm typing.
I got a "Hi Buddy" 😁
Private heathcare is actually worse quality service, where complications frequently have to be treated by NHS. The plus side of Private medicine is that you can jump the que for procedures.
It should be noted that the queue jumpers are paying for healthcare twice - once through taxation and a second time through insurance or direct. This is beneficial for the NHS.
True. Many surgeries, especially if it becomes an emergency, will use NHS facilities, equipment, and staff. For example, private hospitals often don’t hold sufficient quantities of blood that would equip them to deal with surgical complications
my wife, had cancer, she had 6 major operations over 5 years, numerous ambulance trips, stayed in hospital for weeks, loads of medicine, non of this cost us anything,totally free, and the tax i paid in would never have covered it, i am never ill, so my tax is paying for other sick people and im fine about that, when you come to visit us again, pop down to a hospital and see how up to date it is. we even have 'air ambulance' helicopters that take people from accident to hospital for free,
The NHS is one of the biggest employers in the world, bigger than a lot of major companies.
And all of those wonderful staff pay lots of tax, so almost self funding. Plus bigger buying power keeps med prices down.
@crissavill7823 lol what? If you get paid by taxes and then get taxed on those taxes, that's a win for the tax man, yes, but not for the taxpayer 😂😂😂
@@azza4044 Agreed, and clearly no where near "almost self funding". They were correct about the bigger buying power though.
@@crissavill7823we all pay tax, no matter what our job
When I had breast cancer the NHS treated me promptly and with the best up to date drugs, i had everything i needed when i needed it. The long waiting lists occur when the patients health problems are not life threatening, which is not ideal but you will get seen but the wait will be longer.
Last November my husband lost his short term memory. I rang 999 and within an hour we had a paramedic in our home chatting to us both. He was lovely and we then went to the hospital A&E. By this time T had regained his memory. He had a scan, spoke with a consultant then went home. Cost? Nothing!
I have a chronic blood disorder - an MPN which is a form of blood cancer. I was diagnosed in 2015 and see my Haematologist every 3 months (initially it was every 6 weeks). I take daily medication for the condition - it's hydroxycarbamide which is chemotherapy in tablet form... I don't pay prescription charges for this medication as it's a cancer drug. I'm a member of a health forum - it's a UK forum but many Americans use it for advice etc. One thing I've noticed is that not only do Americans worry about their illness, but they also worry about the cost of medication and whether it will be covered within their insurance - I often see comments about co-pays. I just have to pick up my prescription, get my meds and hope they will continue working. Long live the NHS!
I too am on this medication for very high platelet count - have regular 3 monthly blood checks and consultation afterwards for the last 8 years. NHS is a God send
@@dyl-annfan6 Mine is high red/hct (PV) Good to 'meet' you.
Blame McCarthy - he's the one who got America into a panic about anything vaguely socialist. The time has come has come for America to leave the panic behind and consider the matter rationally.
The NHS have been absolutely brilliant when I've needed them.
UK here . My mum was treated for four different cancers over about a sixteen year period . Stomach cancer , Cancer of the spleen , lymphoma and finally the most dangerous , bone cancer . Survived them all with amazing medical treatment . I do appreciate not everyone survives despite the care , I work in health care . NHS provided all care . Mum became cancer clear and died in her late eighties due to old age . Very late eighties .
Your tax will go up a little bit but you don't need to pay health insurance anymore, you would save a lot of money. They scaremonger you by saying your tax will go up, but not telling you how much money you wouldn't spend on insurance.
This is my argument.... yet many Americans I've met and argued this with seem to lack any intelligence to understand this.
"BUT TAXES WILL GO UP... YOU WANT TO PAY HIGHER TAXES?!" says the whinging bunch who already have some of the lowest tax rates in the entire world. They somehow miss the fact that they might pay perhaps $100-$200 a month more in tax but they would save hundreds a month on healthcare premiums, no deductibles, no co-pays, no medication costing $1,350 for a month's supply that is manufactured for as low as $5.
Most Americans I've met were greedy people who think money is everything.
I don't think their taxes would actually go up anyway . . . as finally taking the leap to have a National Health Service in the US should easily cut many of their main costs . . . Admin fees from all the various hospital and insurance groups to each other to manage it, is at around 40% of the US's full spending on public healthcare right now. If the Gov was also the only buyer of all their drugs/medicines, etc, then bulk buying would also soon drive that pricing down, too . . . The only problem I see, is that it will never happen there - simply because the health & drug companies use their lobbyists to stay friends < for friends, you could say hidden backhanders being offered > with too many politicians on both sides for any hopeful vote to go against them . . . Basically, it's the big businesses who runs the US, not the people who have only 2 options to vote for, or the Gov chosen there . . . The $$$$'s will always stay where the money has always been . . .and that's in the bank accounts of those who own those said huge companies . . .
I ❤the NHS! It has been so caring towards me this year at what has been a really difficult time!!!!
In the NHS you don’t wait for cancer treatment or any treatment that is for life threatening injuries, that’s important to know.
Any broken bones are treated quickly.
The surgeries that have long waiting lists are for non urgent treatments.
Exactly, mum was was recently diagnosed with lung cancer, and he treatment was quick and successful.
I'm in hospital now waiting for an operation and it's been wonderful experience (obviously not the operation 😂) but. Everything has been fast and efficient.
My friend needed a cataract Operation the NHS farmed it out to a private practice! she rang up to make the appointment expecting a few weeks/months and was told could she come in last Thursday and has had it done! I love the NHS they saved my life when I was 28 am now 61 and full of life! when it works it works well! I do think we should all pay a teeny bit more for it! especially Mental Health and I wish their was a system for fining the time wasters!
I walked into A&E one morning. I had cronic heart failure. I was rushed to a recovery room and treated immediately. I spent 9 days in hospital and had two heart procedures. I'm regularly checked (maybe three time a year), my GP sends me for blood tests every three months, to ensure my 13 tablets I take every day, are still ideal. Four years later I'm well and staying well, and it's cost me nothing other than a small amount of my taxes.... long live socialised health care!
its not just the U.K. most developed countries have the same style of health care as the u.k. I have no idea how much has been spent on my family by the health system here in n.z. I have had two caesarians, during both pregnancies i saw not only my own primary care doctor but specialists as well. My eldest child has had so many hospital visits, I couldnt count them. If we have to travel then the hospital pays our travel fees. We had to fly from one end of the country to the other for her to have heart surgery. The hospital arranged everything, the flights, the taxi to pick us up, the accommodation for the parent and carer, and the top heart surgeon in the country plus return flights and travel etc. My daughter has special needs, i e down syndrome and autism and a few associated issues. I have never ever had to worry about can we afford anything, we have a wheelchair a modified house, including wheelchair ramp anything we need for her we just ask or it gets suggested would we like etc. We get a house cleaner, support carer days, and individual funding as well as a benefit for her as she is unable to work.
Another kiwi chipping in I had 2 corneal transplants in nz. I talked to an american friend in that field and we estimated 100k per eye in the US. Here? Free. Also came with additional funding to cover transport costs and the like.
I think one factor us Brits are increasing private healthcare is due to “private healthcare” being majority an employee perk which means your employer provides this for you and your family It’s only the waiting times I believe that is the number one factor …. -as majority of private doctors etc … also work for the NHS anyways.
My employee provides private healthcare. I was briefly on it and paid £35 a month but it wasn't that great. The maximum payout for any procedure was £10,000 and maximum payout limit for scans and stuff was only £1k (that might only be 2 or 3 scans). I'm in the UK police service and it was through a company named "Police Mutual".
I now pay privately for Bupa healthcare myself, £82 a month and a single excess fee of £100 per year (not per treatment) and that has no limits, access to all the London hospitals including the major or specialist ones, 24/7 365 day a year access to doctors, nurses, pharmacist and mental health nurses via a smartphone app where I can speak to them by telephone or video call, as soon as 10 minutes after booking the appointment.
I've got it through the company I work for as part of our benefits (zero contribution), but I've never used it as they exclude pre-existing conditions. So I personally find it pointless.
I rarely have had any issues with the NHS, apart from one time when they mis-diagnosed an insect bite, thinking it was a cyst on my back. That took me a over 3 years of internal itching and the lump turning near black before a skin specialist recognised it and took a biopsy. This was the one time I nearly used my private health cover, but I think that threat of it helped me get a quick appointment with the NHS for partial removal.
@@debbee0867 Most healthcare policies have a "pre-existing conditions not covered" rule... even my Bupa plan has that and my previous discounted private healthcare plan through my employer had that also along with much smaller payout limits.
@thefiestaguy8831 I'm also with Bupa. I know most have the exclusion. It is why I'd never get one out through cost to my own. The policies seem to have gotten stricter now as well. When I was first diagnosed with my condition, also with Bupa, I'd see a specialist every few months, did that for years, then changed jobs with a different provider. Now, back with Bupa, I was reading my policy the other day, and they only cover x amount of specialist visits. Although, that could be down to my company and the policy they choose.
That "perk" counts as taxable pay.
I went to see the doctor the other day. Was called in to the appointment right on time. I wasn't rushed. They listened to me. I had a blood test and got the results the following day. The NHS is amazing.
The quality of care is as good as anywhere else. The main problem is the wait times for non life threatening surgery. If you pay to go private you get it done straight away.
And when all 60 million of us go private, what then? Same situation but we're all paying 1000s out of pocket for the "privilege"? And for those of us who cannot pay, well, tough luck?
@@CaptainBollocks.... Somebody has never used private healthcare insurance... thousands out of pocket?
I pay £82 a month with a £100 per year excess fee - £100 a YEAR not per treatment.
It covers everything including cancer.
All imaging covered, so long as the doctor deems it necessary
No inpatient or outpatient limit
All drugs covered (excluding experimental drugs).
24/7 365 days a year access to a nurse, doctor, pharmacist or mental health nurse video telephone call or video call from a smartphone app, I can book an appointment to speak to them about something and be on the phone to them in less than 10 minutes time.
Not sure where you got this idea of "Thousands out of pocket" for the UK private healthcare system from...
I'm not a fan of the US "health insurance" con but my private medical is actually £82 a month versus the £300 a month in NHS Contributions I make (that's just the NHS proportion - I pay around £1,000 a month in tax). It's also a regular price and not through my employee either, no special deal...
Because half the third world is coming here.
@@mavericmorph5358 Are you sure it's not a third of the half world? Tripe.
And how many immigrants work in the NHS? Not to mention that many immigrants happen to be young, healthy people @@mavericmorph5358
The NHS budget in 2016 (Brexit) was 102 billion pounds, in the last 8 years it has risen to 182 billion pounds. An extra 80 billion pounds a year, It's not short of money.
As for innovations NHS, First test tube baby, Invented Ultra sound, Catt scans, first heart transplant and lots more. Average GP earns over 120,000 pounds a year. Junior doctors are in training, once they are qualified they earn over 100 + k and consultants 200 + k per year.
I did some basic sums.
360 million people in the USA approximately.
Let's assume around 250 million are employed, and 110 million are not. I would argue that figure is very fair as that would still mean around 28% of the population aren't employed, I suspect the unemployment figure is lower than that.
Alas, let's continue.
250 million people. Let's assume each person pays just $200 a month in "Extra" tax for a healthcare system. 250 million x 200 = $50 billion USD per month. Think of just how much money 50 billion dollars is.
Even if you put it up to $400 a month - that's $100 billion a month to fund a national healthcare system.
I guarantee a lot of Americans pay $400 or more a month just for their insurance, plus they then have to have money saved up for deductibles or co-pays which can range from a few hundred dollars to tens of thousands of dollars and that often does not include the cost of any drugs.
When you consider the NHS budget as you mentioned in 2016 was 102 billion pounds for an entire year, and as we know the USA spends roughly 2.5x as much (per person).. the USA would only need approximately 250 billion in a year to fund a national system.
Now do the reverse maths... 250 billion divided by 250 million (working people) = $1,000 per year... which is $83 odd dollars a month.
This would mean for just $83 odd dollars a month, there is a NATIONAL system in place which covers EVERYONE, regardless of whether you work or not. You would no longer have to pay perhaps $200-$1,500 a month for "healthcare" and wouldn't need to save money for "deductibles" or "copays".... no "ambulance call out fee" and no "in network" or "out of network" hospital crap to worry about, no "Fee" to see your doctor...
But Americans argue they want to continue to pay hundreds of dollars a month because it's "freedom" for the government to not tell them what to do... except now the insurance company is "telling them what to do" and might well refuse to pay out on a claim later down the line when they need it most!
Even when a US citizen has health insurance, it's incredible the number of things that are not covered by their policy, so they are still presented with a bill after surgery or treatment. I also discovered that people are scared to call an ambulance because they would incur a charge. That is something that no-one should have to think about in the case of an emergency, which could be a life or death situation. Would anyone think it was acceptable if your house was on fire to have to pay for the fire service to attend?
in the US you even have to pay for the call to police of the fire brigade
There's a good analogy.
Your house catches fire... you call your local fire department... "please can you come and put my house fire out? I will pay you"
"I will pay you 3,000".
FD: "We want 4,000"...
Meanwhile the whole time you are negotiating on price your house is being burned to the ground.
@@budapestkeletistationvoicesnot sure if joking or not.
It's the first I've heard, but I wouldn't be surprised
@@101steel4 I saw it in Hollywood movies. You are in a danger but you can only call police if you insert a coin in the phone.
We are so thankful for our NHS ..I worked for them for over 20 years …..the use of private health is because of the waiting lists ..for none emergency operations….
My daughter saw a private consultant for her sinus issues, thanks to the bank of grandpa, but the same consultant carried out her operation within the NHS.
I have heard Americans say, 'Why should I pay for someone else's medical bills'. But house and car insurance is pooled risk and yet most of us hope we don't have to claim on either; we don't want our homes to burn down or our cars to be 'totalled' in a serious RTA. It's the same in the NHS - we don't want to get sick just to get our 'money's worth' - that's crazy. As I sit here now there will be tens of thousands of people having emergency surgeries or cancer treatments 'free' on the NHS. Do I begrudge them - heck no. I am happy for my tax £'s being spent to help them, knowing that if II were in the unfortunate position the NHS would be there for me also. Sharing is caring - I just don't get the American ideology.
A lot of the time in the UK if you go private you get the same medical staff, you just jump the queue, for example the surgeon that did my neck operation under the NHS was rated one of the best Neurosurgeons in the district and also does private operations, so going through the NHS does not necessarily mean a lower quality of service at all
Joel its not about the quality of care .The heart surgeon that operated on me also had a private clinic so the quality of care is no different. They are paying for private health care basically to seen quicker because they can afford it to pay. If I'd had my heart operation in America I'd be bankrupt and have a go fund me to beg for money to help pay for my healthcare bills . In the UK zero cost life saving heart surgery and 3 mth cardiac rehab . Joel healthcare is basic human right not a business that you are a commodity and put a price on your life that's what American healthcare does .
I was a teacher and lecturer in the NHS teaching both nurses and junior doctors. All staff go through a MaST (Mandatory and Statutory Training that is rigorously completed each year for their clinical, skill, ability and competence. This is combined with bi-annual appraisal targets by each staff member to evaluate their career progression. The training is world class where visiting specialist speakers expound their knowledge on a variety of clinical skills. I taught at the Royal Free hospital, London which was the first main Covid portal hospital in the UK. As for Private V NHS services it is the waiting time that is the catalyst. This was exacerbated by the Covid pandemic. I hope the US creates a fairer deal for US citizens other than go-fund-me methods.
I live in Portugal and if we need to use the emergency services, we pay 4.5 euros and are seen almost immediately. I had chest pains and my husband drove me to the local hospital, about 15 mins away. I was seen immediately and then taken to a larger hospital by the Bombeiros, who are not only fire officers but also drive ambulances. They had to call for another ambulance en route with a doctor on board to stabilise me as I had experienced a heart attack. The ambulance with the doctor caught up with us on the way to the main hospital where we stopped on the side of the road for them to attend to me. Once stabilised, they continued with the doctor on board to the main hospital and again, I was seen immediately and kept in. This was during COVID so my husband couldn't stay with me but they made sure my phone was charged so I and the doctors could speak to him directly. They were wonderful. It's so amazing to live in a society where if you need medical help, you are first asked for your name and symptoms rather than your insurance info. By the way, other than prescriptions for heart medication which have a maximum charge, no matter what your income, we only paid 4.5 euros for this service. The difference between here and the UK is people don't abuse the system, leaving staff overworked and resources depleted.
The knack is you go to a private consultant for diagnoses, tell him you are NHS and he can get you straight to hospital, it doesn't cost much either. Our GPs surgery nowadays can do the small ops in house and take bloods to send off to the hospital, they have all round skill.
A private consultant Cost £100 plus. Not everyone can afford it.
In terms of standard and quality care, there's very little difference between private care and the NHS. Both the NHS and private care sector are monitored and inspected by the same government regulator, the Care Quality Commission. Around 75% of the doctors who work in private care also work in the NHS. Some NHS hospitals also provide private care for those willing to pay, via private wings or wards within the NHS hospital. The main difference between the NHS and private care is that private care usually provides a more prompt and luxurious service. More luxurious surroundings and amenities.
E.G. You'll get to stay in your own private room with your own private bathroom facilities, rather than having to stay in NHS hospital bay of 4-8 beds with other patients and share bathroom facilities with those other patients.
It's extremely rare for private care to provide emergency or acute care in the UK. Emergency and acute care are almost exclusively provided by the NHS. This means that you're somewhat less safe staying in a private hospital. If your health suddenly declines too much or you suddenly become an emergency case., you will have to be promptly taken by emergency or urgent ambulance to an NHS hospital. This once happened to the late Queens husband, the late Prince Philip the Duke of Edinburgh. He was being cared for in a private hospital, but his health condition deteriorated too much, and he had to be urgently transferred to an NHS hospital.
Most Brits who pay for private medical insurance and use private hospitals, largely do so because they can seen by a doctor quicker in a private hospital and enjoy better privacy and nicer surroundings and service than in an NHS hospital. Also many Brits do a hybrid of both private care and NHS care. E.G. They'll pay privately to be more quickly seen and diagnosed by a doctor, but will then opt to receive treatment for their condition from that same doctor through the NHS.
The costs of Private care in the UK are massively cheaper than in the USA. For private medical insurance, the vast majority of Brits pay for a year's coverage, what most Americans pay for just a single month's coverage.
We've got American friends living here in the UK. They had all sorts of issues with their last child. He had to be a C-section, the mum had all sorts of gestational problems, the dad ended up ill, hospitalised, probably with stress related issues. There was chest pains and stuff. One of their other children, as it turned out, had a developmental problem with their eyes which needed medical intervention. They said that in the US 2015 would have seen them bankrupt. In England it was all over and done with, everyone was happy, baby arrived safely, little girl's eyes got mended, mum got better, dad was ok and they went on holiday next year like a normal family 🙂
Love America, your health care needs a shake up though doesn't it.
I've been diabetic for two years and its been complicated to diagnose what type. On tuesday i had a consultant appointment at my nearest large hospital after being referred there by my diabetes nurse at my GP surgery, the consultant was able to quickly diagnose type 1 diabetes as my insulin was low and there was clear evidence my immune system was damaging my insulin producing cells. I was immediately set up with a libre 2 continuous glucose monitor, a traditional glucose monitor with test strips (all free of course) and told I'd soon get a nurse appointment to start on insulin. On the way home i had a phone call setting up that appointment for thursday, at that appointment the nurse talked me though everything i needed to know and gave me everything else i needed. My insulin will be prescribed via my GP and should be at my chosen pharmacy today. I had to wait a couple months for that initial consultant appointment but ive been amazed how quickly things have now been sorted. I live in england where there is a standard charge for each prescribed item (i think its £9.50) but certain conditions like diabetes mean its free (you're going to have a lot of items) its also free if youre pregnant, within 12 months postpartum, under 16 (or 18 if in full time education), a pensioner or on certain benefits.
Prescriptions are free in Wales.
All prescriptions are free if you have a life-threatening condition, not just for that condition. I have an underactive thyroid, which counts, plus irregular heartbeat, high cholesterol and chronic pain associated with a historic road accident ( knocked down by a speeding cyclist). All free of charge.
Gal bladder op two years ago & it was day surgery. In at 7.00am & left at 4.30 same day. Cannot fault it my area anyway. They are very efficent. There is private hospitals but i have only been in hospital twice in my life & i want it to stay that way as well.
I disagree that the quality is not as good. It's demonstrably better than the US regarding outcomes particularly considering preventative measures, that we're not scared to opt into because we won't get billed, making the outcomes even better. The private sector isn't better care, in the UK like you assume, they're usually the same doctors/surgeons. The main reason people opt into private is to skip waiting queues for operations if they can afford it. That's a problem because of severe underfunding by particularly the current government's choices. Our taxation isn't as high as your US insurance and taxation combined - other videos demonstrate this. We don't pay a set amount for the NHS in our taxes, it's lumped together with everything else, education, police, roads, etc. The NHS is wonderful healthcare system, it just needs more funding and a fairer distribution of the tax burden.
You should watch some videos of Americans that have used the NHS and compare both systems it will be a big eye opener we love our NHS 😎👍
One thing worth knowing about the problems in the NHS - the general problem is the relative lack of funding. Since 1979 when Mrs Thatcher's Conservative government came in and was much more right wing than previous Conservative goverments there was a push towards private healthcare by reducing funding on the NHS, in 1997 when the Labour party got back in the funding increased dramatically, in 2010 when the Conservatives got back in the funding was reduced again and once again there was a push encouraging people towards private healthcare.
The point is it's easy to say the system isn't working when it's actively undermined and starved of needed investment, due to a ideological desire to push the country towards a profit driven US style system.
Please note when I say "reducing funding" I meant that whilst the funding did increase with every government it increased at a far far slower rate under recent Conservative governments. So they can accurately say they increased funding in real terms when in office they did so far less than a Labour government did. Something like 1% increase in real terms under recent Conservative Governaments and 3% increase in real terms under recent Labour Governments. Note "in real terms" here refers to the percentage over and above GENERAL inflation, part of the problem is that in some year HEALTHCARE inflation rate were significantly higher than the GENERAL inflation rate. So in some years the 1% above general inflation was actually a cut due to higher healthcare inflation. It's these "stealth" cuts that have been at the root cause of NHS issues. Largely because the costs of healthcare have in recent years rocketed as newer more expensive treatments come online.
10:00 I hear ‘Thatcher Center’ and I go “Uh-oh!”
The dearest thing when receiving medical care in australia is the parking
And the UK. 😂😂 xxxx
And Canada
NHS quality of care is second to none, when you actually get what you need... People are moving to private for the short waiting times, not the quality of care. The quality of care is not in dispute... for example weve had ONE blood infection scandal here and the government is taking it really seriously... in america its a regular thing.
The NHS has 'literally' saved my life multiple times. I wouldn't have made it into my 30s without it. Private Healthcare is fine as an 'option' and usually for things that require some kind of 'fixing'. Private healthcare generally doesn't do 'long-term care'... they're just not geared that way. You'll probably find that most people that have used private healthcare did so via their employer as part of a benefits package (usually large corporates).
Hi j , I think the private sector and NHS , have exactly the same standards of care, the technology is also the same, the big difference is that the private sector’s wait time is far less , However, as someone who has health issues, I have for the last couple of years been hospitalised, treated for copd and decompensated heart failure, and am now back home with 02 support etc . All I can say is I was seen really quickly and dealt with amazingly.
I am now at the point that I have 2 appointments a year at the hospital, 1 with a respiratory nurse to check my progress, and the other with a respiratory consultant, actually done over the internet as that’s more of a chat / information gathering excersise .
All in all it’s first class .
In Canada, Québec specifically in my case, there is also the option of going the private health care route. Generally, this is not done because of better quality of care but rather because of wait times in certain fields or specialities. From this video, I understood that was the reason why this is happening in the UK as well?
Normally it’s because of speed of access and cosmetic stuff this is also to do with queues for procedures.
Here in Britain, we are not afraid to go to the doctors because of money issues This means a lot of problems are found early and are cheaper to treat Preventative care is also important Our doctor surgery last week, tested every male over the age of 55, four prostate cancer after the age of 60 every two years, you get a test come through the post for test for bowel cancer there are tests for breast, cancer and cervical cancer. Catch the merrily easier to treat. Pregnant women are taken care of very well, the doctors and nurses. Keep a very close eye on them including regular ultrasounds appointments and that continues after birth.
Cost of medication It is £9.80 for a course of prescription medication and it doesn’t matter how much it costs The NHS If you take a lot of medication, for example, blood pressure cholesterol you can buy a 12 month prepaid card that means all prescription medication has been paid for If you have a chronic condition, all medication is free. A few years ago I was taken into hospital by ambulance 24 hours in recess three days on a ward costing me nothing. Take what we pay in tax for it and what you pay in healthcare insurance you also have a deductible and you have to buy the medication. Who is better off?
In the U.S., approximately 66% of bankruptcies are caused by medical debt. Universal healthcare is necessary in the U.S. I can share stories about dealing with insurance companies while managing a terminal, now chronic disease. Bank of America and Met Life canceled my long-term disability and health insurance. (I had AIDS/HIV)
As a diabetic in the UK prescriptions are free and am now having dialysis 3 times a week for 4 hour sessions with transport to and from unit all free on the NHS as are all the clinics for diabetic eye,feet and blood tests plus Renal ultra scans on fistula access etc.As a Renal CKD5 patient I am guaranteed free transport to and from appointments either by NHS ambulance or private taxi.
Portugal has a similar system. I use both system: public and private. Now, although private is moving towards having the same equipment and maybe even newer than the public in some cases, I have to say: one day in the public health system a doctor that I had an appointment told me: if it is simple stuff you can, of course go to the private sector, but if it is serious you should go to the public. I think the answer is easy to understand: you have great doctors on both, but you have all the available medical equipment in the public and several of doctors who can exchange opinions and of course with the amount of people that receive everyday, they'll be experienced... mostly by circumstances.
It's not uncommon to hear someone that was transferred from private to public to deal with difficult pathologies/cases mainly emergencies.
The NHS is the gift that keeps on giving. Thats a saying in the UK and we all love it. But we would like it to be better funded.
Indeed. Out of interest, how much more tax would you be prepared to pay to help bring that about?
Strange, I have paid for my healthcare via my taxes all my life and had to go private after my one and only visit to an NHS (HSCC) hospital, after 4 cancelled operations over a 4 year period I gave on on the NHS and paid to get the op done private, wonder if I gat get a refund from the NHS for all the money they got from me for doing nothing?
My mum 92 fell over and had a really nasty cut on her head . Brain scan , abdominal ultrasound as she was being sick ,full bloods , seen by frailty team Four days in hospital ( in her own room ) . Cost - nothing ( well she paid national insurance when she worked. USA is a very strange country ( being polite ) There are problems in NHS , but we give it up at our peril .
I think much of the private healthcare in the UK is due to companies that provide it as an employment benefit. I certainly would not pay for private healthcare myself. I would much rather my taxes were increased by the same amount that I would have to pay to go private, and that money would be going to improve the NHS for everyone, and not just going to a private company's shareholders.
That said, there is an argument that if you can afford to go private, you should, and therefore take the burden off the NHS, but then again as many have noted, often private & NHS are actually using the same doctors, surgeons & facilities, so all you are doing is jumping the queue, and you know how us Brits feel about that (strong tutt'ing 😉).
Personally I would prefer tax increases on those who can afford it and restore the NHS to the state where private healthcare is not required at all.
Trouble is, raising taxes is not going to guarantee you get to see a GP any quicker and they are the first port of call ☹
Oh indeed, there are a multitude of problems we need to fix in order to get the NHS where it needs to be. But many of those things are going to require money (along with a willingness to fix the problems). Raising the money via taxation is in many way the easy bit, but we need to start somewhere.
NHS is amazing, had lots of need for it over the years (nothing too life threating thankfully) just over the last 6 weeks I've had two cataracts removed from my eyes. Had checks/tests before and after first one and now waiting for check up for 2nd one. Can't fault it, my sight is just amazing again. I'm aware this is a fairly straightforward procedure but the before and aftercare is just amazing too. No charge for tests/procedures/medication. Thank you NHS.
The stats are distorted on costs as they do not capture lots of the NHS costs eg pensions and medical negligence. The NHS incurred around £9billion of costs for causing brain damage to babies but "only" booked about £300 million as the rest will be paid out in the future they don't count. Similarly pensions are only counted when the worker retires. The NHS is a second rate service that has worse results than our European neighbours, it is better than the US system however
Several years ago I needed cataract surgery on both eyes. The first was done on the NHS. Because I then had good sight in that eye, I was no longer a priority for the other eye, even though my glasses no longer worked as the focus in the treated eye had changed so much. I had private health insurance through my husband's job and elected to have the second eye done.
It was the same surgeon. No complaints either way.
Something that a lot of people maybe don't know about is that quite often, when someone needs to go into a nursing home, (as opposed to just a residential home), they can quite often be paid for, or part paid for, by the health authority. And even if they're just in residential care and can't afford to pay the full fees themselves, they can be financially assisted by the local authority, obviously out of taxes. They have to pay a means assessed contribution, but the local authority will pay the rest, (to a certain extent. If the home costs more than the local authority is willing to pay AND the customer's means assessed contribution doesn't cover it all, someone else, such as a family member can pay the difference).
Being a type 2 diabetic, I have eye tests and check-ups every year when bloods are taken and things like liver function, blood sugar, etc, are checked, plus, believe it or not, my lower leg and foot is checked for a pulse and for sensitivity. All done by the nurse at my local GP practice. I then have a chat with the doc once the results come back after a few days. Oh, and there's bowl screening once every couple of years. All on the NHS. Because I'm over 60 my prescriptions are free. My wife had a heart attack at work just over two years ago. The ambulance was called, and she was taken to a local hospital, where she was taken straight into theatre and two stents were fitted. After a couple of days she had two more fitted. After a week I collected her from hospital (I hadn't been allowed to see her during that time as the pandemic was in full swing). She had numerous follow-up calls with her support person. Everything I've mentioned above is part of NHS and was free at the point of delivery.
If The NHS wasn't funded by taxes, we would still be paying the same amount but it would get spent elsewhere.
What needs to be taken in account is the NHS does not profit.
Ok there are flaws especially in the big cities, like waiting time but the NHS do prioritise.
I'm extremely proud of the NHS and in the case of raising taxes just for the NHS alone, I would certainly not vote against it.
Thank You NHS for everything you do.
💙
COVID really hurt the NHS and it's still recovering. People who are in need get help right away, but non-urgent surgeries etc do have a wait list. Employers offer private health treatment in private hospitals in the shape of a company called BUPA. If you have a simple problem, people who have BUPA do go through the private system. If anything goes wrong, like with someone in my family, the private hospital picked up a phone and called the local NHS for an ambulance and my family member was taken straight to the intensive care unit there.
They stayed in the unit for eight days, was transferred to a Ward for a few weeks then transferred to a very luxurious Rehabilitation Unit for a fortnight to regain their strength before coming home. Only the hospital car park cost any money, but then the NHS staff gave me a car park card. Two things you should be aware of. The UK does not pay as much as the USA per patient, not because it gives inferior treatment, but because the Government negotiates what they will or wont pay for a company's drugs. As it speaks for the whole of the UK sales of that drug, then the Government has some 'clout'. The second point is that the senior and consultant doctors who treat you in the NHS are THE SAME ONES that treat you in the private hospitals - literally. We had the same doctor for the member of my family in both hospitals. Just staying.
I have paid for private healthcare a few times in my 42 years alive. Once over covid, when my eczema was out of control and once a few months ago for food allergy tests.
I have not had to use the NHS for over 8years now and would gladly increase my contribution every payday to improve it.
The us is so far away from most of the world,a fraction less on defence budgets and so many acronym agencies would create a world leader in free to use health service
My cousin is a pilot for Virgin, while in America he slipped and broke his leg, even though he was covered by the airline, and he’s wealthy, they wanted his credit card before they would treat him in America. America is the only country I’m aware of that is this ruthless.
It's not that the NHS is lower quality healthcare in fact it's usually the same nurses, doctors etc working on you whether you're an NHS patient or private. It's the waiting times that make people go private it's like having a priority pass at a theme park, you get the same ride but you get it quicker.
I work as a nurse in the NHS and sadly private companies and agency’s are drawing people away from the NHS because we haven’t had a decent pay rise in over 20 years. The cost of living does not meet the wage we make, and the difficulty of our job is not appreciated. So i think in years to come there will be no one left working, as there is much more appealling options elsewhere. In private healthcare often its the same doctors/surgeons etc who work in the NHS working in PHC on the weekends. And with waiting lists 2/3 years + people end up paying to rid pain or get a diagnosis. I hope that politicians learn to fund the NHS correctly and fairly, and understand the strain staff are under, the dangers to patients safety etc and give us a pay rise. (This would encourage healthcare workers to come back) But meanwhile they (politicians) are all using private healthcare, getting paid hefty amounts each month, totally unaware to state of it. It’s not all good, but we try our best, and it’s amazing for people who need it !
My last point on this: as I work in the Nhs I see the waste on a daily basis. Lights left on when no one is there, top branded foods and drinks given out (double the price of supermarket brands) , waste and inefficiency everywhere. This wouldn't happen if you had to pay for everything. People going to see their doctor for every little ache and pain, using up precious resources. People not bothering to cancel free treatment or travel when they can't make the appointment. I could go on and on. When there is no skin in the game people abuse the system.
Early last December I saw a nurse for an annual check up (I had recently got a new dog for help with mental health, but walking her was sometimes painful "chest pain", I mentioned this to the nurse, two days later I had an ECG and got to see a 3 specialists in different areas in quick succession, before the end of December and taking into account Christmas holidays etc, I had heart surgery and was home the same day, I had checkups within the month and got the all clear, I would not have been able to afford the treatment which I received, but I got first class treatment quickly because my life was in danger, I paid nothing out of pocket, I still have my dog who I walk around 7-8 miles every day, I wouldn't be here to do that without the care which I received when I needed it the most.
The UK healthcare system is still a world class facility with some of the best research , innovation , advancements , medical papers published and new treatments and techniques on earth. And the waiting lists that people speak about are generally for minor , non urgent conditios such as varicose veins , hernias , skin conditions etc .
Very correct.
Had a brain injury, emergancy surgury saved my like, was in a coma 4months then hospital a furthur 4 months, learnt to walk, talk , fed through tubes etc, I owe my life to them. Personal cost 0. Def had my moneys worth from NHS, now need another operation on my stomach, again cost to me 0 , would cost thousands, only drawback is there is a wait. Quality of care is fine, its more of a 'time' issue, some people are not prepared to wait
Early retiree nurse, worked for nhs, we hsbe the beast service in the world. I worked with the best nicest staff and it was their chosen vocation
I work for a surgeon in the private health sector in the UK, he is also a NHS surgeon most of his working week. Most private care is done by NHS surgeons in their own time, so the skill set is the same as NHS. All urgent problems are dealt with quickly in the NHS 'fast tracked but routine/non urgent things take longer, so if you don't want to wait you have an option for private care also.
The National Health Service is funded from a tax called National Insurance. We pay around 6% of our income in NI. It's percentage based, - so higher earners pay more - there is an upper limit to what you pay.
It covers many conditions - illness and the cost of having children. It does not cover social care in old age (dementia care).
Cancer is covered, heart disease, accident and emergency, circulatory problems, mental health, respiratory conditions, kidney and liver disease. Dental care and hearing aids are not covered - you need to go private for those conditions.
Increasingly, some procedures are excluded: varicose veins some knee surgery, cosmetic procedures.
There is a big debate going on about the cost of treating preventable conditions - type 2 diabetes, alcohol/recreational drug related disease, obesity, smoking related disease. There is a focus on wellness and health monitoring via GPs (General Practitioners). Private Healthcare is used by people who want to be treated quickly. The NHS care is excellent (the same doctors and surgeons work in both sectors) however, you have to wait for NHS care - even if you have something like cancer.
Private Healthcare is expensive. I made inquiries about varicose veins - I was quoted £5000 per leg (and that quote is 15 years old).
There is a fee for prescriptions.
People over 60 don't pay for prescriptions.
It's a really great system - before 1948 British people paid for healthcare - and many people died well before their time.
The NHS is not a free service and it's coming under increasing pressure. It's a magnet for migrants - especially for those with conditions that they could not afford to treat in their country of origin. Some conditions found in incomers are caused by consanguinity (marrying your first cousin). There is anger over funding care for all conditions that are preventable. Increasing focus on personal responsibility for keeping yourself healthy.
When I was back home in England for a visit in summer 2019, I had Vertigo and needed to see a doctor for prescription medication. I had a choice to go to Urgent Care and wait my turn for at least two hours, due to the number of patients before me and which could get pushed back depending on the number of emergencies, or pay £100 to see a private doctor with an appointment. The quality of care would have been the same regardless. In the states, I can’t afford health insurance and it’s cheaper to pay out of pocket due to the huge deductible which would mean me paying out of pocket on top of the monthly health insurance premium, unless I pay almost as much as my monthly rent for health insurance and then I’d only have the Co-Pay on top which is ridiculous when you’re already paying hundreds of dollars a month for health insurance and then you’re expected to pay a fee for the doctor’s visit. I’d rather pay a nominal amount in taxes as that would be more affordable. I have a friend whose parents lost their home, here in the states, due to the cost of medical bills despite having health insurance.
6:33 You’ve articulated it so well.
Over the last couple of years my husband has had a ruptured Achilles tendon which was treated promptly and ongoing physiotherapy. He's now unfortunately been diagnosed with prostate cancer and is undergoing hormone treatment and radiotherapy. His transport to the hospital is provided by the NHS. We are very fortunate in this country to have the NHS. We've heard of a friend in the US who has cancer and has to wait for his treatment plan to be authorised by his insurance company. Here you are advised what your treatment plan will be and everything is taken care of without the patient having to spend any money whatsoever.
Answer to your question about why ppl use private healthcare in the UK:
It's a strategy by the private sector and their paid for politicians. Basically what's been happening is that the Tory government have been deliberately running the NHS down by restricting funding and forcing the NHS to use private providers (privatisation by the backdoor), at the same time they encourage employers to provide private healthcare to undermine the NHS, privatising the easy stuff and socialising the costly stuff. The obvious outcome is that if you run the NHS down, create long waiting lists, then ppl are basically forced to turn to their employer provided private health insurance (which usually still paid for and uses the resources of the NHS). It's a very insidious, cynical and evil ploy. So yes the problems you're hearing about are absolutely true and they are deliberately created. There is all manner of evidence and data that clearly shows the issues started when the Tories took power and have got progressively worse. It's well known and they are not exactly shy about advocating for privatisation.
But the Labour party looks like they will win the next election and are ideologically more in line with the population against privatising the NHS so will halt if not reverse the decline.
Full disclosure: I'm not a Labour voter but just telling it like it is.
One thing I think about a lot since I had a nephrectomy in January, is my overwhelming gratitude that, apart from not having a bill, I didn't have to find the energy to sort out the paperwork and admin.
My husband had a private hospital appointment with a consultant about a back injury, forgot how much it cost, he had a MRI scan and consultation in one appointment, the consultant then said he'd perform the operation at the private hospital on the NHS.
My guess would be about £200 for the consultation and £600 ish for the MRI. For non emergency consults like this, going private is often worth it because you feel more involved in the decision making. Often the NHS will just decide what they are going to do to you without really giving you many options. And for symptoms like back pain and minor injury, often the NHS will just give pain killers and send you home with no treatment or further exams - A GP saying "Take these, see how you feel in 4 weeks" just isn't good enough sometimes.
@@johnj3577 He had a steel rod inserted. The operation was done within a couple of weeks, would have been ages if we waited for a NHS appointment.
The NHS always declines with long waiting queues when the Conservative Party are in government and middle classes opt for private healthcare. When the Labour Party get into government they normally inject more money into the NHS to bring down the waiting queues. After all, Labour created the NHS when in government and the Conservatives tried to vote against this in parliament.
I use private healthcare, and the only reason is due to waiting lists. They're a problem. Aside from that, the NHS is amazing.
NHS is amazing when it comes to urgent care or 'life / death' situation, such as rare diseases for children and cancer treatments etc. It is not great in terms of the service side of it or for not so urgent needs, but it definitely can be life saving.
My retired Uni professor had liver transplant and honestly the care he received was quality! Last year I collapsed at home and was taken to A&E and treated for internal bleeding - I didn't pay anything and was given really good care (and free good food). I really cannot complain (also cannot imagine what it'd be like if I had such medical need in the US).
NHS does make many of us Brits proud!
Since Brexit, the NHS has received funding increases of much more than £350M per week, year on year and that's over and above inflation. The original £350M figure used during Brexit was clearly manipulated, but the NHS has not lost out since Brexit, despite claims to the contrary by biased commentators
Hello Joel. Boris was born in NYC. Boris for president?
There are problems in NHS and US health care. Some in UK believed the number of people was overstretching NHS, which was an issue in you know what. Also, some believed that if Europe united, UK would not be in control of health, so NHS would have to go, as free movement meant those who had not paid were still entitled to care.
The latter probably don't realise there are cross border arrangements for EU citizens. A UK citizen can get a card which entitles them to healthcare in any country in the EU at the same cost as a citizen of that country.
@@grahvis My girlfriend's parents, for example, had a house in Spain. Lots of people had experience of western Europe having pretty even handed health provisions. It was the large number of Eastern European immigrants that were used as the example of how the system seemed to be becoming overwhelmed by how many people arrived in a short period of time.
My son was 26years old when he was diagnosed with terminal cancer, died a few weeks later but with the most fantastic end of life care both for him but as a family we were looked after by the palliative care unit, we moved in with him for the final 2 weeks
The quality of care in the NHS is second to none. The private sector may have more luxurious hotel services I.,E. furnishings , food , rooms but for essential services the NHS cannot be beaten - in fact if things go wrong ,medically ,in the privater sector - the NHS has to fix it. For serious illness there are time limits for treatments. The NHS is a gift to every citizen of the UK.
You find, what happens, is people will go private, to get a quicker consultaion, the NHS doctors also work in the private sector, So you may go private, get your consultion, your test, then alot may go back to the NHS and have the sugery for free, with the same surgeon they have seen in private sector, that depends on the insurance, this happened to my grandmother, she went private, for consultation, it was cancer in her bones, nothing could be done, she went back to nhs, for treament and care, tilll her passing 3 weeks later
Oh nearly at 100k subscribers, it’s not that long ago when it was 20k subscribers. 😎👍👏
I would tax heavily any private health care in the UK because it is a way that wealthy people get to jump the queue or cut in line, also private companies charge for what they do but when it goes wrong they pass the problem back to the NHS to deal with the serious cases.
That is one argument but the other side of that is private patients that leave the NHS queue reduce that queue size. Private surgery time is pre allocated so it doesn’t take away from the number of NHS surgeries done.
@@StephenWestrip And when everybody jumps to private, what then? Paying 1000s out of pocket to be in exactly the same situation we're in now?
You shouldn’t assume that going private is something people do just because they can afford it. Sometimes NHS doctors have their hands tied by red tape - I have a friend who is only 44 but her entire knee cartilage is worn away. The NHS won’t even entertain the idea of giving her a knee replacement at such a young age but they know she’ll probably need multiple over lifetime, so now she literally has no choice but to go private.
the private sector atleast in finland is faster to get apointment for small things like certificate for paid sick leave, and it’s not as expensive as in usa. you might pay 100€ for a visit or something so it’s sometimes worth it
The main point regarding the UK is that It functions as a society, from health care to education, culture or sports. Compared to The US the UK belongs to another galaxy. ❤❤❤