Grias di, schade dass du gar nix zum Umgang mentaler Gesundheit gesagt hast. Schau mal die Studie wieviel, Depression, Angststörung, Bipolar usw. falsch diagnostiziert wird. Uns dann Schau mal was die aktuellen Diagnoseraten von Autismus in amerikanischen Kindern im Vergleich zu Diagnoseraten weltweit, insbesondere Länder mit nationalistischem Hintergrund. In Amerika wird vor allem in den sozialen Medien viel mehr darüber geredet und normalisiert. Und seelisch kranke Menschen die nicht erkannt werden können im Medizinwesen sehr schlimm missbraucht werden, und dann passieren ganz dumme Dinge...ich glaub in Deutschland is grad rausgekommen das über 50% der von der Polizei getöteten Menschen in einer seelischen Krise waren und mehr Psychologische/Psychiatrische Unterstüzung gebraucht hätten.
Hi Hayley, I am Toni, living in Berlin with my beautiful husband. I am an Accountant and work with many lawyers in my field, but also have the Social Security as a topic. In Germany a public health insurance has to pay all necessary treatments and medication, that a recognized doctor of any EU country has prescribed. Also the health insurances have deals with the pharmalobby so that's why our drugs are so cheap. Also a hospital visit, if necessary will be compleatly free, you only have to pay 10 EUR/day if you are using a hospital bed, for ex. after surgery. The health insurance has only the possibillity to deny any cosmetic or not necessary treatments. Also even the drugs that are free of prescription are a lot cheaper. If you need wound material, bandages, plasters, wound irrigation or stuff like that your family doctor can prescribe them and you cen get them in the pharmacy. Also the services of changeing bandages can be prescribed or even the service of picking you up and driving you to a doctor. Please note that all of that is paid by the general public via a contribution of there salary 14,6% employee/ 14,6% employer. Everybody has to, no exeptions. Also private health insurances have in basics the similar system, but you can (of course), choose different tarifs so sometimes, yxou pay half of the drug or a doctors treatment, but even then, the amount is limited to a max. amount in one year. Greetings Toni
I was just at the pharmacy this week picking up my mother’s medication and there was a lady in front of me picking up a prescription as well. The pharmacist told her the prescription was $120 and she told them they can keep it. So sad. I never saw this happen when I lived in Düsseldorf.
In my country, Finland, nursing is a subfield in Healthcare. There are degree programs for bachelor's, master's and doctoral degrees. To become a registered nurse you need to get first bachelor's degree in Healthcare, Nursing. After that you can continue into masters studies and after that into doctoral studies. You can also take many specialization paths to get special qualifications. Higher degrees is not the only alternative.
Haley, I studied German in high school and the U.S. army sent me there for 18 months (1968-1970) as part of the response to the Soviet build up after the Prague Spring. That worked out well for me. My wife and I love Germany. We reside near Ft. Lauderdale. Your area!! Please keep up the great work!!!
If you have a for profit healthcare you have no incentive to have a healthy population. If you have for profit jails you have no incentive to rehabilitate. There are many areas of life that the state should run with the correct incentives.
Germany has a profit healthcare system too though! Comparing it to the US is a totally extreme comparison of course (who would ever want to live or stay in the US if they can help it, listening to the above account, especially as violent threats etc. are concerned?! It's insane to even listen to!) of course it seems as if it is all super nice here in Germany, but it's not! Health insurances make a hell of a profit, with the compulsory contributions constantly on the rise, while doctors aswell as the pharma industry profit, from people being ill, from having things done, like diagnostic technology, operations, appointments etc. The more a doctor does, the more often a patient comes to see him/her, the more he can charge the patient´s insurance. Hence Germany´s health care system does not work evidence-based, but profit based, and therefore I consider it very expensive for sometimes very questionable effect. The comparison needs to be with countries who have a state health care system, like Scandinavian countries or the UK, for example, where tax money pays for their health care system. There, they actually practice evidence-based medicine and health care, meaning that only procedures, operations etc. which have actual scientific evidence showing that they are effective, get done!
I'm Dutch and work in healthcare. Our system has PLENTY of its own problems right now (currently we have a serious shortage of healthcare employees and a growing number of elderly people) - but I have always felt very lucky for being born here and the system we have. I would be screwed in the U.S. for sure. Americans often say that "In Europe you have to wait a long time to get help" but I personally never experienced that - and I have gone through several surgeries. I have gone through a lot of medical trauma with my sick parents as well and we always got professional help. Having healthy citizens is 100% in the interest of the state. Healthy citizens = less sick citizens = more people working = more taxes and money. When someone loses their house because of medical bills, that also means less taxes for the state. I believe healthcare is a human right, but even from a financial standpoint it makes sense to want a healthy population. And mental health wise I couldn't imagine having to deal with these giant bills on TOP of your other worries. My life was pretty hard and if I had medical bills on top of that, I am not sure I would have survived 😅 Edit: Typo
The top nation of the world! Are not the USA! But some countries in Europe concerning life style and balance. I'm a German international Management consultant and i know several systems. In many countries in Europe it well organised and affordable. I know several ones and i prefer the Spanish system. And life expectancy is quite high.
We fly to Germany especially to make all our medical appointments. We have no confidence in the healthcare system in Florida. Our experiences have been too bad.
@dennisbohman3848 while we don't know the full story 100% and it might not be the most "ideal" situation, they might be paying the out-of-pocket price which is usually a lot higher than the average German would pay with insurance.
I am humbled and grateful for our health insurance system in Germany, which some US hardliners call ‘communist’ or ‘unfair’. Is everything running smoothly here? No. Do we sometimes complain at a very high level? I think so. Do I wait months for a preventive check-up? Yes, but if I urgently need treatment, I usually get it quite quickly. I'm in a few groups on Reddit to exchange experiences regarding my diabetes medication, mainly from the US, and it breaks my heart every time I read that despite having health insurance, in some cases people have to pay the full price and simply can't afford their medication. I pay EUR 10 for three months for my diabetes medication, the price without insurance is EUR 287.75 for three months and in the US the price is $977.42 for ONE month.
Not diabetic, but asthmatic here, also from Germany and I can totally second that. A can of my emergency meds used to be 200 Euros or something like that (not following too closely as, well, I pay like 5 Euros when I get it from the drug store, the rest is paid by the insurance) and even when they had a shortage of that and they imported the brand sold in the US, I still only paid 5 Euros. It's not all sunshine, rainbows and roses here, but I BET a US citizen thinks twice before using their emergency meds, because they properly pay a lot more than I do. It's a shame that that kind of system is allowed to call itself a health care system.
In Sweden,and I would expect all of Europe,the only one that can prescribe medicine is doctors..nurses are not allowed to do that. They administer medicine,but cant write prescriptions.
Trust the pharmacists! To work as a pharmacist in Germany you have to study at least four years in university, not counting the year of practical training afterwards. They get a very extensive education in biology, medicin, chemistry and all other subjects that are related to medication and the final exams to get the liscence are so thourough that it is practically impossible to pass without knowing any possible treatment and way to support the healing process. Pretty much everything I know about medicin, I know from pharmacists, as the doctors, while having the knowledge, often do not have the time explaining everything in detail. Not every pharmacist is going to explain the benefits, side-effects and alternative treatments to you, just by you ordering the medicin at the counter, but they surely answer any and all questions you may ask them related to medication if asked.
The health care system in Germany is better. Im very impressed how high the chances of advancement in America are. This is truly amazing. But im very worried about u now because of the threats u are getting 😢 plz take good care of yourself, I'll keep u in my prayers 💖
In Germany, the maximum amount that you have to pay in medication co-payments per year is 2% of your gross income (1% for people with chronic illnesses). If you earn nothing, you pay nothing for medication.
Arschteuer! 😂😂 ich liebs 😂 I paid 5,69€ yesterday for my thyroid pills. Can't imagine being broke because of medical bills or not being able to afford medications.
European healthcare isn't free. It's being paid for by either taxes or insurance we as well as our employees pay for, depending on the system. But it's affordable and at least in Germany health insurances can't deny you treatment. Or membership, to begin with. Simplyfied explained it's a system of solidarity, all pay, all get out of it what they need. It's got nothing to do with communism or socialism. Most Americans don't even have a clue what these terms mean. Thanks to the fear mongering of Reagan and following Republicans, who simply wanted to save their own money and had zero interest in doing something good for all Americans who are not as wealthy as they are.
Arschteuer is probably most similar - in British English - to 'costing an arm and a leg'. Retired British medical professional here, who has worked in Germany and Austria (among several other countries) ... eta cloves .... I think the whole of Europe knows and accepts cloves, in some form or another, as an effective remedy for toothache. At a pharmacy you might be offered a tiny bottle, with a dropper, of oil of cloves, but your neighbour might shake a ouple of cloves out into hand, and and your aunty or grandma might make you clove tea a d instruct you to hold it in your mouth ...
I went to the pharmacy in Ulm last week. Even though I'm Danish and the pharmacist spoke poorly English, she gave me great advice for what I came in to ask about. I came back to Denmark to find out that melatonin is on a prescription and that I had smuggled illegally into Denmark. I couldn't have had a better experience in Copenhagen as in Ulm. I slept incredibly good for the first nights after two weeks of poor sleep. Congrats on your doctorate. We educate in nursing as you do in the US. In Danish of course 😂😅😂
This is why I ordered my medicine from Canada (yes, it's 100% legal as long as you're ordering for personal consumption. The health insurance companies in the US make you think it isn't). When I didn't have health insurance, I went to the health department (it's free) and sent my script to a Canadian pharmacy. A day or 2 later, I had my prescription for $5-$50. Antibiotics were the exception. Antibiotics can be dirt cheap in the US. Now I have health insurance, and I still do the Canadian pharmacy. With insurance, it's usually free for me, and only me (health insurance companies got smart and started to cover Canadian pharmacies). Antibiotics are also the exception to the rule.
Regarding the price of a rabies vaccination: The brother of a friend needed such a vaccine because he was afraid to be bitten by an infectious animal. His health insurance was charged 15,000$. It happened in Wisconsin just a few years ago.
biggest diffrence I believe is in the wording. U.S.A: healthcare industry vs. German Healthcare system. Therefore industry is geared to focus on money.
The bottom line is,dont get sick in America! Unless you pay ALOT you wont get help.and the stress of the exorbitant price will probably make you even sicker.
As I see the dental surgeon on an all too regular basis, I know that bill comes in two parts: one from the surgeon, and one from the hospital in which his practice resides. But I’m not really ‘involved’ in this, as the bills go straight to the insurance company. (Netherlands)
The channel Type Ashton has a recent story of her American mother in law who needed emergency brain surgery in Germany without insurance. The bill was 7,000€. In the US the same procedure (without insurance) would’ve cost a quarter of a million dollars.
The education of nursing is currently changing in Germany. Several universities of applied sciences (UAS) have started bachelor programs in nursing and in nursing management. The federal government set the goal that 20% of all nurses get a bachelor's degree, but the current figures are still much lower. Most nurses take an apprenticeship (Ausbildung) combined with part-time vocational school. I don't know of any master programs in nursing so far, but there are master programs in gerontology and hospital management. A master's degree is usually a prerequisite for doctorates.
In UK all working people pay National Insurance to the Govt that covers NHS treatment and the prescription costs exclusive of the standard charge. Unless you are exempt from prescription costs you will pay £9.50 (c $12) for each prescription item regardless of its cost. I have a long list of medication that is on repeat prescription and I am exempt from paying prescription charges, initially because I am Diabetic and now beyond retirement age. One of the medications is Asprin, which I would have to pay £9.50 for the prescription even though I can purchase the same over the counter for 10% of the cost but I am sure that other medications are significantly more expensive than the standard charge. If its a case that the prescribed medicine is cheaper than the NHS charge then doctors will sometimes issue a private prescription so that the pharmacist can charge the standard retail price.
That is very "normal" for psychiatry patients here in the USA. I believe a lot of threats come from people who are stressed (regardless if they are patients or patients' loved ones) or from patients who have a mental illness that has not been properly diagnosed or evaluated.
The double charging in a doctor's office inside hospitals is crazy! I'd be so livid, it's an ultimate betrayal. 😂 I've never heard of a doctor having his own office in a hospital anyway (I live in Austria, but I think it's the same for Germany).
Definitelly some interesting insighs as always! I think that some nurses in germany with the right qualifications can do more than just be a nurse, they can talk to you about your labs but they definitelly cant do diagnosises and such. I think they can give medications of their own in like nursing homes without supervision. But again dont quote me on that im not sure. I do know medical personel sadly does often get threats esp when older entitled people are upset about the rules BUT of course its just getting loud and grumpy, there is no physical attacking going on or anything having to call police (usually im sure exceptions exist). As for the bills and charging. There are some things that a doctor will need to have a back and forth with the insurance about. Usually if things are on-label its not an issue, its more so off-label treatments, and things related to disability and aids. More expensive things and tests. But the difference here is that IF the insurance doesnt pay, the doctor sits on the costs, not you. And they are the ones having this back and forth. What can happen is, that if you want something experimental or expensive done, you need to sent a letter to your insurance getting permission first. Because the docs dont want to sit on the costs. However, in most other circumstances you arent involved in their exchanges. WHich can take up a lot of time and docs are pretty pissed about. In consequence docs are sometimes too careful and dont prescribe the most expensive things even if they are the BEST approach, because they are scared of insurance rejection. Still, most docs have the ability or even the help to deal with those rejections and usually all they have to do is sent over documentation. This is not a general issue though. Its more like stuff that insurance could argue you dont need, and that there was a cheaper equally efficient method.
its quite frustrating as an American to see how our healthcare system works in comparison to other countries. I think our biggest issue is the fact that we are 350 million people, we also have a huge amount of people on assistance which doesn't help. when I was making a low wage and was able to get cheaper healthcare here I usually had very few doctors I could see and often waited hours in a crowded waiting room to see a doctor for 5 mins. I don't know the answer, I'm grateful now I have excellent coverage with my job but that could always change. I don't take it for granted.
The mother of three children was angry with her health insurance company, and probably threatened her on the phone. Not good, you shouldn't. She was fined $100,000 with an alternative sentence of 15 years in prison. Land of the free home of the brave!
An NP is indeed a PCP. And on the premiums issue, I'll tell you this. For a family plan you're most likely paying $400 to $500 monthly and that would be on an employer sponsored plan. Then get ready. deductibles, copays, coinsurance and your max out of pocket. Oh what fun.
I was born in 1990 and still live and work in Germany. Back then the health care was much better, he doctors were more human and had passion and you didn't wait 9 months for an appointment they do "forget" anyway. For anything. You just die here if you are not in a well-paid civil servant position with a private insurance. I fly to Turkey to get my health checked. They are far better anyway. Doctors here in Germany are disgustingly arrogant. Even my best friend who is studying medicine feels extremely uncomfortable around her med peers.
I am sorry to say that threats or general abuse of primars care workers is slowly increasing in Germany as well. I just learned from our local newspaper that the emergency ambulance part of the hospital is forced to build sort of barriers so that not everybody can just walk in an attack the personnel.
I would be too scared to go anywhere near the US. Food and drink - toxic Healthcare - toxic Obsession with flags & firearms - toxic. Lack of environmental concerns, giant cars, excessive use of plastic - toxic.
Oh, I know cloves for toothache too. I got a toothache 10 years ago on Christmas Eve and I got clove oil from a neighbour - I put a few drops on a cotton wool ball and pressed it on the tooth ... Oh goodness, don't do that, it's not recommended, the nerve was triggered directly, I've never had such intense pain, even if only for a second, and I almost fainted. But hey, the root of the tooth was dead after that 🤣
"Arschteuer" comes from "arg teuer" in some southwest German dialects. It sounds like "Arsch", but had, originally, nothing to do with "ass". Nicht so arg kompliziert.
Same as some other "sound shifts" Einen Katarrh haben -> Einen Kater haben (To have an katharrh (ancient greek for feeling like having a cold) --> Having a male cat) Ich glaube ich spinne (Lower case spinne(n) spinning a yarn, Upper case Spinne - the animal called spider in english. Spinning come from the spider spinning their nets (making a net out of spider yarn). Spinning in the middle ages was a monoton, annoying work that when done a long time could make feel you dissy or crazy). northern german toi, toi, toi. - The sound of spitting three times - believed in medieval times that spitting three times fears demons (and keep you save). Later when spitting itself was seen as annoying they only made the sound.
Everything in the US seems to be a Business. That´s real sad. Even if you die they suck the Rest of your Money out of you. Or your Family. American assurance are 💩💩💩. Hayley, have a nice Adventsonntag and stay healthy. 😉
It's a bit mind-blowing that you can get a master and a doctorate in medical assistance. The cynic in me can't help but suspect that this is, at least partially, a scheme to get more money from the students.
Healthcare worker here, it is mostly because of strict requirements that can differentiate a lot between healthcare positions. Two jobs can seem very similair but require very specific knowledge.
Also in The Netherlands you can get a master in medical assistance science.. I worked as a police officer and had a lot of contacts with ambulance paramedics treating very deadly (special) injuries. There were some that had studied at a university, so I knew it existed. I found with Google the University of Utrecht has a study to get a master.
But he got the insulin pens payed - right? A insulin pump is expensive and must be replaced and maintained very frequently. Therefore only some Diabethis Type 1 patents that have problems to use pens and calculate the needed amounth of Insulin (mostly children from toddler to teens or young Adults or People with other organ defects that make calculating the needed insulin values hard and unpredictable) get free access to a insulin pump. German healthcare is not a charity they have to keep the costs in track when there is a suitable cheaper option that has no negative impact (except comfort and lazyness).
The personal contribution for medication is not the price of the medication. Patients with public health insurance don't even know what the medicine costs. You have to be a private patient to know the price. Nevertheless, the drugs are cheaper than in the USA because the state acts as a major customer for the pharmaceutical companies and negotiates favorable prices.
That is true. I think I even said that somewhat in the video that getting an itemized bill usually only happens when you are privately insured. I think it boils down more to the end price of the medication for the customer (patent) because in the USA you are usually not paying the "true" price but you are still paying a lot more than your European counterparts.
I pay approx. 100-120€ for an EpiPen and get a full refund from my private health insurance. I have to check for all the prophylactics i got for a Bali visit. I think the only shot i that was not (fully) refunded was japanese encephalitis.
I am still struggling what a nurse practitioner does. Are you still a (highly qualified) nurse or are you basically a physician at entry level without farther specialized education/medical field?
That is a good question. Generally you are not allowed to call yourself a physician as a nurse practitioner/physicians assistant. I would say you are allowed to do a lot of similar things that an entry level physician (dependent on area of study) can do.
I hope, actually I am fairly sure, that you understand that the effectiveness of some treatment can not be proven simple by observing that the conditions has improved. Humans get better also without treatment by our own biological processes and placebo effect works😊. But I don't deny that many natural substances can have useful effects and be enough for easier situations. Mediation better be used only when really needed. Everything you take can give you side effects.
Germany looks good in comparison but lacks in services. Especially healthcare for women desperately needs improvement, like what is covered by insurance, doulas, ... Requests are routinely denied for disability and support for children and the elderly, and lets not forget the preemptive denial of psychotherapy by not providing more licenses. Prescription glasses are not covered anymore like in the past, ... . Many examples.
I am not complaining about what you do, but I would like mention something that has irritated me a long time in my own country and elsewhere. Healthcare sounds like taking care of health, improving health and keeping people healthy. But often it's just about taking care of sick people and treating their illnesses. Only small part of activities seems to be directed for healthy people. This might sound like just a irrelevant choice of words, but it has also the important message that preventing people getting sick and getting difficult conditions has low priority or is left solely to individuals often without much knowledge or understanding about that matter. Huge amounts are spend on fixing medical problems, which are difficult and very costly to fix, but would have been much easier and cheaper to prevent. Much misery could also have been avoided. Is there any hope to have real preventive healthcare or is humanity simply too primitiva for it. I know some countries are too primitive even for this current concept for a healthcare system, as you so well have described in your videos. Other countries have their own challenges with their healthcare systems , aging populations and health challenges that come with modern urban society and lifestyles.
Could as well have been European vs American health care here as a title as our healt care here are very similar compared to the US ones. I have seen numerous reports,witnesses, people,that have experienced,seen, been part of,both systems,both health cultures,and the answer is always the same..US healthcare is not worthy of a western country,its even less worthy of a country that is the richest country in the world...the flagrant,outright repulsive,disgusting disregard that american politician and law makers have for the wellfaire of their own people,is,sickening...and the biggest example of disregard,disinterest, and passivity in the healt area comes from the republican side, not surprisingly. Everything that actually help people that are not as rich as they are,they look down upon as "socialism" That not everyone like them are born with a silverspoon in the mouths,they have no compassion for or interest in. They rather watch on as their fellow human being live in misery and powerty then to lend out a cent for help...thats how cold and egoistic they are...that said,even the democratic politicians have to improve here..all politicians have...although mostly the republican ones...its sad that the only spokesperson for universal health care in America is Bernie Sanders..
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I will be back when I wake up! See you in the comment section :)
Guten Morgen!
@wiesoauchnicht9971 Guten Morgen, Hallo und Hello :)
Grias di, schade dass du gar nix zum Umgang mentaler Gesundheit gesagt hast. Schau mal die Studie wieviel, Depression, Angststörung, Bipolar usw. falsch diagnostiziert wird. Uns dann Schau mal was die aktuellen Diagnoseraten von Autismus in amerikanischen Kindern im Vergleich zu Diagnoseraten weltweit, insbesondere Länder mit nationalistischem Hintergrund. In Amerika wird vor allem in den sozialen Medien viel mehr darüber geredet und normalisiert. Und seelisch kranke Menschen die nicht erkannt werden können im Medizinwesen sehr schlimm missbraucht werden, und dann passieren ganz dumme Dinge...ich glaub in Deutschland is grad rausgekommen das über 50% der von der Polizei getöteten Menschen in einer seelischen Krise waren und mehr Psychologische/Psychiatrische Unterstüzung gebraucht hätten.
Guten Mittag, hallo hello und moin! Habt einen schönen dritten Advent! LG Ben❤
In short i would say that in the rest of the world they mostly have Health CARE while the US has Health BUSINESS.
Hi Hayley,
I am Toni, living in Berlin with my beautiful husband. I am an Accountant and work with many lawyers in my field, but also have the Social Security as a topic. In Germany a public health insurance has to pay all necessary treatments and medication, that a recognized doctor of any EU country has prescribed. Also the health insurances have deals with the pharmalobby so that's why our drugs are so cheap. Also a hospital visit, if necessary will be compleatly free, you only have to pay 10 EUR/day if you are using a hospital bed, for ex. after surgery.
The health insurance has only the possibillity to deny any cosmetic or not necessary treatments.
Also even the drugs that are free of prescription are a lot cheaper.
If you need wound material, bandages, plasters, wound irrigation or stuff like that your family doctor can prescribe them and you cen get them in the pharmacy. Also the services of changeing bandages can be prescribed or even the service of picking you up and driving you to a doctor.
Please note that all of that is paid by the general public via a contribution of there salary 14,6% employee/ 14,6% employer. Everybody has to, no exeptions. Also private health insurances have in basics the similar system, but you can (of course), choose different tarifs so sometimes, yxou pay half of the drug or a doctors treatment, but even then, the amount is limited to a max. amount in one year.
Greetings Toni
I was just at the pharmacy this week picking up my mother’s medication and there was a lady in front of me picking up a prescription as well. The pharmacist told her the prescription was $120 and she told them they can keep it. So sad. I never saw this happen when I lived in Düsseldorf.
In my country, Finland, nursing is a subfield in Healthcare.
There are degree programs for bachelor's, master's and doctoral degrees.
To become a registered nurse you need to get first bachelor's degree in Healthcare, Nursing. After that you can continue into masters studies and after that into doctoral studies.
You can also take many specialization paths to get special qualifications. Higher degrees is not the only alternative.
Haley, I studied German in high school and the U.S. army sent me there for 18 months (1968-1970) as part of the response to the Soviet build up after the Prague Spring. That worked out well for me. My wife and I love Germany. We reside near Ft. Lauderdale. Your area!! Please keep up the great work!!!
If you have a for profit healthcare you have no incentive to have a healthy population. If you have for profit jails you have no incentive to rehabilitate. There are many areas of life that the state should run with the correct incentives.
Germany has a profit healthcare system too though! Comparing it to the US is a totally extreme comparison of course (who would ever want to live or stay in the US if they can help it, listening to the above account, especially as violent threats etc. are concerned?! It's insane to even listen to!) of course it seems as if it is all super nice here in Germany, but it's not!
Health insurances make a hell of a profit, with the compulsory contributions constantly on the rise, while doctors aswell as the pharma industry profit, from people being ill, from having things done, like diagnostic technology, operations, appointments etc. The more a doctor does, the more often a patient comes to see him/her, the more he can charge the patient´s insurance. Hence Germany´s health care system does not work evidence-based, but profit based, and therefore I consider it very expensive for sometimes very questionable effect.
The comparison needs to be with countries who have a state health care system, like Scandinavian countries or the UK, for example, where tax money pays for their health care system. There, they actually practice evidence-based medicine and health care, meaning that only procedures, operations etc. which have actual scientific evidence showing that they are effective, get done!
I'm Dutch and work in healthcare. Our system has PLENTY of its own problems right now (currently we have a serious shortage of healthcare employees and a growing number of elderly people) - but I have always felt very lucky for being born here and the system we have. I would be screwed in the U.S. for sure.
Americans often say that "In Europe you have to wait a long time to get help" but I personally never experienced that - and I have gone through several surgeries. I have gone through a lot of medical trauma with my sick parents as well and we always got professional help.
Having healthy citizens is 100% in the interest of the state. Healthy citizens = less sick citizens = more people working = more taxes and money. When someone loses their house because of medical bills, that also means less taxes for the state. I believe healthcare is a human right, but even from a financial standpoint it makes sense to want a healthy population.
And mental health wise I couldn't imagine having to deal with these giant bills on TOP of your other worries. My life was pretty hard and if I had medical bills on top of that, I am not sure I would have survived 😅
Edit: Typo
The top nation of the world!
Are not the USA! But some countries in Europe concerning life style and balance.
I'm a German international Management consultant and i know several systems. In many countries in Europe it well organised and affordable.
I know several ones and i prefer the Spanish system. And life expectancy is quite high.
We fly to Germany especially to make all our medical appointments. We have no confidence in the healthcare system in Florida. Our experiences have been too bad.
And do you still pay taxes to Germany? If not I would be F****** ashamed to admit it.
@dennisbohman3848 while we don't know the full story 100% and it might not be the most "ideal" situation, they might be paying the out-of-pocket price which is usually a lot higher than the average German would pay with insurance.
in america healthcare is bussiness, not public service that is why.
I am humbled and grateful for our health insurance system in Germany, which some US hardliners call ‘communist’ or ‘unfair’. Is everything running smoothly here? No. Do we sometimes complain at a very high level? I think so. Do I wait months for a preventive check-up? Yes, but if I urgently need treatment, I usually get it quite quickly. I'm in a few groups on Reddit to exchange experiences regarding my diabetes medication, mainly from the US, and it breaks my heart every time I read that despite having health insurance, in some cases people have to pay the full price and simply can't afford their medication. I pay EUR 10 for three months for my diabetes medication, the price without insurance is EUR 287.75 for three months and in the US the price is $977.42 for ONE month.
Not diabetic, but asthmatic here, also from Germany and I can totally second that. A can of my emergency meds used to be 200 Euros or something like that (not following too closely as, well, I pay like 5 Euros when I get it from the drug store, the rest is paid by the insurance) and even when they had a shortage of that and they imported the brand sold in the US, I still only paid 5 Euros. It's not all sunshine, rainbows and roses here, but I BET a US citizen thinks twice before using their emergency meds, because they properly pay a lot more than I do. It's a shame that that kind of system is allowed to call itself a health care system.
Sie ist vielleicht die bescheidenste und herzerwärmendste Person, die es gibt❤❤❤❤❤
Bei wem hast Du das neulich noch geschrieben?😂
I live in Belgium 🇧🇪 and everything u saying is true
In Sweden,and I would expect all of Europe,the only one that can prescribe medicine is doctors..nurses are not allowed to do that. They administer medicine,but cant write prescriptions.
5:12 "I was attacked by a monkey" ... my first thought was, "what did Mike do?" ... naah, I'm just kidding. 🐒🤣
Ist nicht ungewöhnlich in Bali sind die leider nicht friedlich die Affen meine ich 😜 Niemals mit Essen in der Hand auf sie zugehen.
Michael with rabies?😂
@thepurplesmurf Probably would prefer a bite from Mike than the monkey to be completely honest 🤣🤣🤣
Trust the pharmacists! To work as a pharmacist in Germany you have to study at least four years in university, not counting the year of practical training afterwards. They get a very extensive education in biology, medicin, chemistry and all other subjects that are related to medication and the final exams to get the liscence are so thourough that it is practically impossible to pass without knowing any possible treatment and way to support the healing process. Pretty much everything I know about medicin, I know from pharmacists, as the doctors, while having the knowledge, often do not have the time explaining everything in detail.
Not every pharmacist is going to explain the benefits, side-effects and alternative treatments to you, just by you ordering the medicin at the counter, but they surely answer any and all questions you may ask them related to medication if asked.
The health care system in Germany is better. Im very impressed how high the chances of advancement in America are. This is truly amazing. But im very worried about u now because of the threats u are getting 😢 plz take good care of yourself, I'll keep u in my prayers 💖
I will be ok but it is sad that it has become so normalized here.
In Germany, the maximum amount that you have to pay in medication co-payments per year is 2% of your gross income (1% for people with chronic illnesses). If you earn nothing, you pay nothing for medication.
Arschteuer! 😂😂 ich liebs 😂
I paid 5,69€ yesterday for my thyroid pills. Can't imagine being broke because of medical bills or not being able to afford medications.
Moin Marie, schön von dir zu lesen! Wünsche euch einen schönen dritten Advent und ein schönes Weihnachtsfest! LG Ben❤😂
Never knew! The Dutch (Netherlands) expression is ‘rete-duur’, which is exactly the same!
@@tasminoben686 danke! Euch auch! Hocke im neuen Haus und versuche verzweifelt das Chaos bis Weihnachten zu lichten 😂
In europe we pay taxes, and are getting free healthcare and afordable medications. In usa they pay and are getting denied . Which system is better?
You need to put that question to people that do NOT watch this channel, not us!
European healthcare isn't free. It's being paid for by either taxes or insurance we as well as our employees pay for, depending on the system. But it's affordable and at least in Germany health insurances can't deny you treatment. Or membership, to begin with. Simplyfied explained it's a system of solidarity, all pay, all get out of it what they need. It's got nothing to do with communism or socialism. Most Americans don't even have a clue what these terms mean. Thanks to the fear mongering of Reagan and following Republicans, who simply wanted to save their own money and had zero interest in doing something good for all Americans who are not as wealthy as they are.
Of course the US system because what we have is a "communist system" and thats pure evil :
th-cam.com/video/e6DWn09vb7o/w-d-xo.html 😂🤣
My Primary care NP has her own independent practice here in Pensacola. Just as an FYI
Thank you! I am always lost with what an NP can or can not do.
Arschteuer is probably most similar - in British English - to 'costing an arm and a leg'.
Retired British medical professional here, who has worked in Germany and Austria (among several other countries) ...
eta cloves .... I think the whole of Europe knows and accepts cloves, in some form or another, as an effective remedy for toothache. At a pharmacy you might be offered a tiny bottle, with a dropper, of oil of cloves, but your neighbour might shake a ouple of cloves out into hand, and and your aunty or grandma might make you clove tea a d instruct you to hold it in your mouth ...
TO be completely honest I thought I was in a Harry Potter film being told how to mix a potion 😂 😂
Huge field, nicely explained, as always, Hayley.
I went to the pharmacy in Ulm last week. Even though I'm Danish and the pharmacist spoke poorly English, she gave me great advice for what I came in to ask about. I came back to Denmark to find out that melatonin is on a prescription and that I had smuggled illegally into Denmark. I couldn't have had a better experience in Copenhagen as in Ulm. I slept incredibly good for the first nights after two weeks of poor sleep.
Congrats on your doctorate. We educate in nursing as you do in the US. In Danish of course 😂😅😂
This is why I ordered my medicine from Canada (yes, it's 100% legal as long as you're ordering for personal consumption. The health insurance companies in the US make you think it isn't). When I didn't have health insurance, I went to the health department (it's free) and sent my script to a Canadian pharmacy. A day or 2 later, I had my prescription for $5-$50. Antibiotics were the exception. Antibiotics can be dirt cheap in the US. Now I have health insurance, and I still do the Canadian pharmacy. With insurance, it's usually free for me, and only me (health insurance companies got smart and started to cover Canadian pharmacies). Antibiotics are also the exception to the rule.
Regarding the price of a rabies vaccination:
The brother of a friend needed such a vaccine because he was afraid to be bitten by an infectious animal.
His health insurance was charged 15,000$. It happened in Wisconsin just a few years ago.
The word Arschteuer would be fricking expensive in English
Please save us from this dystopian nightmare.
You will need more than my little TH-cam channel!
biggest diffrence I believe is in the wording. U.S.A: healthcare industry vs. German Healthcare system. Therefore industry is geared to focus on money.
The bottom line is,dont get sick in America! Unless you pay ALOT you wont get help.and the stress of the exorbitant price will probably make you even sicker.
As I see the dental surgeon on an all too regular basis, I know that bill comes in two parts: one from the surgeon, and one from the hospital in which his practice resides. But I’m not really ‘involved’ in this, as the bills go straight to the insurance company. (Netherlands)
The channel Type Ashton has a recent story of her American mother in law who needed emergency brain surgery in Germany without insurance. The bill was 7,000€. In the US the same procedure (without insurance) would’ve cost a quarter of a million dollars.
The education of nursing is currently changing in Germany. Several universities of applied sciences (UAS) have started bachelor programs in nursing and in nursing management. The federal government set the goal that 20% of all nurses get a bachelor's degree, but the current figures are still much lower. Most nurses take an apprenticeship (Ausbildung) combined with part-time vocational school.
I don't know of any master programs in nursing so far, but there are master programs in gerontology and hospital management. A master's degree is usually a prerequisite for doctorates.
In UK all working people pay National Insurance to the Govt that covers NHS treatment and the prescription costs exclusive of the standard charge. Unless you are exempt from prescription costs you will pay £9.50 (c $12) for each prescription item regardless of its cost. I have a long list of medication that is on repeat prescription and I am exempt from paying prescription charges, initially because I am Diabetic and now beyond retirement age. One of the medications is Asprin, which I would have to pay £9.50 for the prescription even though I can purchase the same over the counter for 10% of the cost but I am sure that other medications are significantly more expensive than the standard charge. If its a case that the prescribed medicine is cheaper than the NHS charge then doctors will sometimes issue a private prescription so that the pharmacist can charge the standard retail price.
in all my years as a nurse in germany, ive been threatened once.... and that was in psychiatry..... so.....
That is very "normal" for psychiatry patients here in the USA. I believe a lot of threats come from people who are stressed (regardless if they are patients or patients' loved ones) or from patients who have a mental illness that has not been properly diagnosed or evaluated.
I am a german nurse since 30 years. I have never been threatened in any way.....
In Germany aches are treated by herbs and in the US they are treated with guns.
The double charging in a doctor's office inside hospitals is crazy! I'd be so livid, it's an ultimate betrayal. 😂 I've never heard of a doctor having his own office in a hospital anyway (I live in Austria, but I think it's the same for Germany).
Definitelly some interesting insighs as always!
I think that some nurses in germany with the right qualifications can do more than just be a nurse, they can talk to you about your labs but they definitelly cant do diagnosises and such. I think they can give medications of their own in like nursing homes without supervision. But again dont quote me on that im not sure.
I do know medical personel sadly does often get threats esp when older entitled people are upset about the rules BUT of course its just getting loud and grumpy, there is no physical attacking going on or anything having to call police (usually im sure exceptions exist).
As for the bills and charging. There are some things that a doctor will need to have a back and forth with the insurance about. Usually if things are on-label its not an issue, its more so off-label treatments, and things related to disability and aids. More expensive things and tests. But the difference here is that IF the insurance doesnt pay, the doctor sits on the costs, not you. And they are the ones having this back and forth. What can happen is, that if you want something experimental or expensive done, you need to sent a letter to your insurance getting permission first. Because the docs dont want to sit on the costs. However, in most other circumstances you arent involved in their exchanges. WHich can take up a lot of time and docs are pretty pissed about. In consequence docs are sometimes too careful and dont prescribe the most expensive things even if they are the BEST approach, because they are scared of insurance rejection. Still, most docs have the ability or even the help to deal with those rejections and usually all they have to do is sent over documentation.
This is not a general issue though. Its more like stuff that insurance could argue you dont need, and that there was a cheaper equally efficient method.
In the UK they already have higher level nurses/doctorates and nurse practitioners. It is starting in France.
its quite frustrating as an American to see how our healthcare system works in comparison to other countries. I think our biggest issue is the fact that we are 350 million people, we also have a huge amount of people on assistance which doesn't help. when I was making a low wage and was able to get cheaper healthcare here I usually had very few doctors I could see and often waited hours in a crowded waiting room to see a doctor for 5 mins. I don't know the answer, I'm grateful now I have excellent coverage with my job but that could always change. I don't take it for granted.
The mother of three children was angry with her health insurance company, and probably threatened her on the phone. Not good, you shouldn't. She was fined $100,000 with an alternative sentence of 15 years in prison.
Land of the free home of the brave!
An NP is indeed a PCP. And on the premiums issue, I'll tell you this. For a family plan you're most likely paying $400 to $500 monthly and that would be on an employer sponsored plan. Then get ready. deductibles, copays, coinsurance and your max out of pocket. Oh what fun.
I was born in 1990 and still live and work in Germany. Back then the health care was much better, he doctors were more human and had passion and you didn't wait 9 months for an appointment they do "forget" anyway. For anything. You just die here if you are not in a well-paid civil servant position with a private insurance. I fly to Turkey to get my health checked. They are far better anyway. Doctors here in Germany are disgustingly arrogant. Even my best friend who is studying medicine feels extremely uncomfortable around her med peers.
I am sorry to say that threats or general abuse of primars care workers is slowly increasing in Germany as well. I just learned from our local newspaper that the emergency ambulance part of the hospital is forced to build sort of barriers so that not everybody can just walk in an attack the personnel.
I would be too scared to go anywhere near the US.
Food and drink - toxic
Healthcare - toxic
Obsession with flags & firearms - toxic.
Lack of environmental concerns, giant cars, excessive use of plastic - toxic.
The "health"care system in US is totally off the rails, has nothing to do with health only money.
Oh, I know cloves for toothache too. I got a toothache 10 years ago on Christmas Eve and I got clove oil from a neighbour - I put a few drops on a cotton wool ball and pressed it on the tooth ... Oh goodness, don't do that, it's not recommended, the nerve was triggered directly, I've never had such intense pain, even if only for a second, and I almost fainted. But hey, the root of the tooth was dead after that 🤣
"Arschteuer" comes from "arg teuer" in some southwest German dialects. It sounds like "Arsch", but had, originally, nothing to do with "ass". Nicht so arg kompliziert.
Exactly. Not arschkompliziert.
Same as some other "sound shifts"
Einen Katarrh haben -> Einen Kater haben (To have an katharrh (ancient greek for feeling like having a cold) --> Having a male cat)
Ich glaube ich spinne (Lower case spinne(n) spinning a yarn, Upper case Spinne - the animal called spider in english. Spinning come from the spider spinning their nets (making a net out of spider yarn). Spinning in the middle ages was a monoton, annoying work that when done a long time could make feel you dissy or crazy).
northern german toi, toi, toi. - The sound of spitting three times - believed in medieval times that spitting three times fears demons (and keep you save). Later when spitting itself was seen as annoying they only made the sound.
When health becomes a commodity in Amerika..
Everything in the US seems to be a Business. That´s real sad. Even if you die they suck the Rest of your Money out of you. Or your Family.
American assurance are 💩💩💩.
Hayley, have a nice Adventsonntag and stay healthy. 😉
It's a bit mind-blowing that you can get a master and a doctorate in medical assistance.
The cynic in me can't help but suspect that this is, at least partially, a scheme to get more money from the students.
Healthcare worker here, it is mostly because of strict requirements that can differentiate a lot between healthcare positions. Two jobs can seem very similair but require very specific knowledge.
Also in The Netherlands you can get a master in medical assistance science.. I worked as a police officer and had a lot of contacts with ambulance paramedics treating very deadly (special) injuries. There were some that had studied at a university, so I knew it existed. I found with Google the University of Utrecht has a study to get a master.
I don’t think you can get a degree in medical assistant. It is a certificate program if I am not mistaken.
My husband has been denied an insulin pump by German health insurance. Really pissed about that
But he got the insulin pens payed - right? A insulin pump is expensive and must be replaced and maintained very frequently. Therefore only some Diabethis Type 1 patents that have problems to use pens and calculate the needed amounth of Insulin (mostly children from toddler to teens or young Adults or People with other organ defects that make calculating the needed insulin values hard and unpredictable) get free access to a insulin pump.
German healthcare is not a charity they have to keep the costs in track when there is a suitable cheaper option that has no negative impact (except comfort and lazyness).
The personal contribution for medication is not the price of the medication. Patients with public health insurance don't even know what the medicine costs. You have to be a private patient to know the price. Nevertheless, the drugs are cheaper than in the USA because the state acts as a major customer for the pharmaceutical companies and negotiates favorable prices.
That is true. I think I even said that somewhat in the video that getting an itemized bill usually only happens when you are privately insured. I think it boils down more to the end price of the medication for the customer (patent) because in the USA you are usually not paying the "true" price but you are still paying a lot more than your European counterparts.
I pay approx. 100-120€ for an EpiPen and get a full refund from my private health insurance.
I have to check for all the prophylactics i got for a Bali visit. I think the only shot i that was not (fully) refunded was japanese encephalitis.
Gotta stay seasoned up :D
I am still struggling what a nurse practitioner does. Are you still a (highly qualified) nurse or are you basically a physician at entry level without farther specialized education/medical field?
That is a good question. Generally you are not allowed to call yourself a physician as a nurse practitioner/physicians assistant. I would say you are allowed to do a lot of similar things that an entry level physician (dependent on area of study) can do.
What possessed that monkey to attack you? Wow! I'm scared of Bali!
I'm glad all turned out okay. That must have been one scary experience. 😮
❤❤
I'm still not sure what a nurse practitioner does, or rather what that job entails. Is it comparable to a german Ambulanter Pflegedienst or something?
I hope, actually I am fairly sure, that you understand that the effectiveness of some treatment can not be proven simple by observing that the conditions has improved. Humans get better also without treatment by our own biological processes and placebo effect works😊.
But I don't deny that many natural substances can have useful effects and be enough for easier situations. Mediation better be used only when really needed.
Everything you take can give you side effects.
Cloves for teeth comes from India. Wonderful. 😂😢
That is interesting information.. I never knew that.
@HayleyAlexis I'm a international management consultant and I love your work 💪
Hayley Vs. Monkey 😂 Danke fürs Video
It was HORRIBLE! Shortest Bali trip ever.
Did you pass your exams
I hear about these price differences but I really would like to know why these dramatically high prices exist in U.S. Who gets all the money?
The pharmaceutical companies
I wish i were German😮
It's odd. I go on German reddit sites and all they do is complain about German healthcare.
So bizarre that you would be on reddit sites about Germans and underneath my videos about ... Germans. It seems like an obsession.
American Industrial Healthcare Complex…☠️
Germany looks good in comparison but lacks in services. Especially healthcare for women desperately needs improvement, like what is covered by insurance, doulas, ...
Requests are routinely denied for disability and support for children and the elderly, and lets not forget the preemptive denial of psychotherapy by not providing more licenses.
Prescription glasses are not covered anymore like in the past, ... .
Many examples.
I am not complaining about what you do, but I would like mention something that has irritated me a long time in my own country and elsewhere.
Healthcare sounds like taking care of health, improving health and keeping people healthy. But often it's just about taking care of sick people and treating their illnesses. Only small part of activities seems to be directed for healthy people.
This might sound like just a irrelevant choice of words, but it has also the important message that preventing people getting sick and getting difficult conditions has low priority or is left solely to individuals often without much knowledge or understanding about that matter.
Huge amounts are spend on fixing medical problems, which are difficult and very costly to fix, but would have been much easier and cheaper to prevent.
Much misery could also have been avoided.
Is there any hope to have real preventive healthcare or is humanity simply too primitiva for it. I know some countries are too primitive even for this current concept for a healthcare system, as you so well have described in your videos.
Other countries have their own challenges with their healthcare systems , aging populations and health challenges that come with modern urban society and lifestyles.
😵💫speechless ...
Could as well have been European vs American health care here as a title as our healt care here are very similar compared to the US ones. I have seen numerous reports,witnesses, people,that have experienced,seen, been part of,both systems,both health cultures,and the answer is always the same..US healthcare is not worthy of a western country,its even less worthy of a country that is the richest country in the world...the flagrant,outright repulsive,disgusting disregard that american politician and law makers have for the wellfaire of their own people,is,sickening...and the biggest example of disregard,disinterest, and passivity in the healt area comes from the republican side, not surprisingly. Everything that actually help people that are not as rich as they are,they look down upon as "socialism" That not everyone like them are born with a silverspoon in the mouths,they have no compassion for or interest in. They rather watch on as their fellow human being live in misery and powerty then to lend out a cent for help...thats how cold and egoistic they are...that said,even the democratic politicians have to improve here..all politicians have...although mostly the republican ones...its sad that the only spokesperson for universal health care in America is Bernie Sanders..
Most important health care in Germany comes from Man Fat imo, without my "Rind mit schwarzer Bohnen Soße" i feel sick ;)
*Beef with Black bean sauce*