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cyclezealot Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-28-06 03:58 AM
Original message
Health care in America.
Edited on Thu Sep-28-06 04:25 AM by cyclezealot
An issue dear to us is how lousy US health care delivery is. For now, we are living in the south of France. Sevearal times now we have visited their medicare office signing up for their system. It is amazing. Can you imagine, even without signing up and paying nothing , having not subscribed yet; we find out we are allowe 10,000 euros coverage, just for having been given the type visa we hold. Our monthly cost is $186 for its premium. Really a tax. But, the coverage is. Dental, pharmacy, eye care. We pay a 8% deductibe if costs go over 10,000 euros for any given service. Up until that figure it is only a 3$ charge per visit. Includes medicines.
Can you believe we connect with the French, they actually brag about their health care delivery. They think it the best in the world. Our premimums in the US would be 7 times the French costs. And here, we do not have the HMO crap, that encouraged us to move here in the first place ; after our California HMO jeopardized my wife's life. We are bitter over that.
We return to the US , we will have to deal with the 'donut hole' you all are coping with . A reason to maybe stay here forever. Plus, we return, our monthly US medicare premiums will almost equal our French cost for a far inferior plan. And we will have no dental. (Dental services here are basic services. (You pay a far higher deductible for thinkgs like crowns, tho.)But, at least we have some dental, unlike the US.
Other reason to stay here. Nursing home care is less than half of US costs and we really get sick we can go up to the Netherlands and end our misery.
Plus all medical services are reasonable as starters. (Ex. I got heat stressed this summer. Needed attention at night when I got the shakes. The response a doctors' house call!!. Gave me a valium shot to get my breathing under control Cost for a doctor's house call, 45 euros. ) Can you imagine, a HOUSE CALL.
What slays me, even here at DU, many members defend the indefensible, the US medical care system. Among people, I'd hope would know better. The US system, the most wasteful in the world and some at DU not find it an offense.
A sample snip of the current healthcare premium inflation and it's related effects on Americans.

WASHINGTON - For the seventh straight year, premiums for employer-based health insurance rose more than twice as fast as overall inflation and wages, an annual survey of employers shows.
Most at risk are millions of low-income workers who haven't taken coverage as employers require their workers to pay higher out-of-pocket costs.

Forty-nine percent of employers surveyed indicated that they'll make workers pay more for coverage in the future.

The number of uninsured Americans has grown for five straight years, with 46.6 million lacking coverage in 2005.


The average 7.7 percent premium increase for 2006 was the smallest since 2000 and marked the third straight year that the rate of growth has slowed, according to the survey, released Wednesday by Kaiser Family Foundation and the Health Research and Educational Trust.

But most Americans probably have felt little or no relief because their paychecks haven't kept pace with the rate hikes. Workers' earnings increased only 3.8 percent on average from April 2005 to April 2006, while inflation, up 3.5 percent, erodes their disposable income.

Since 2000, inflation has jumped 18 percent and the amount that workers pay toward family health-care coverage has skyrocketed 84 percent, the survey found. Average wages have increased 20 percent over the same period.

So even while the premium-rate increases have moderated - down from a 9.2 percent jump in 2005 and an 11.2 percent spike in 2004 - experts say there's no reason to celebrate.

"I think you immediately understand why a reduction in an already high rate of increase is pretty meaningless to average working people and why they're still feeling the pain," said Drew Altman, the president of the Kaiser Family Foundation, a nonprofit educational group that's unrelated to Kaiser Permanente, a health insurance company.

This year, the average annual premium for single coverage is $4,242, of which workers pay $627, up from $610 in 2005. Family coverage costs an average of $11,480, with workers paying $2,973 annually, up from $2,713 last year.

Since 2000, workers' annual contributions have increased on average by $293 for single coverage and by $1,354 for family coverage, the survey found.

Rising health-care costs have forced many companies to scale back or drop coverage. Five million fewer workers are receiving job-based coverage in 2006 than in 2000, the survey found. And the percentage of firms that offer health benefits has fallen from 69 percent in 2000 to 61 percent this year.

That's prompted concerns that the job-based health insurance system, which covers nearly 175 million Americans, could unravel in the face of runaway costs.

Most at risk are millions of low-income workers who haven't taken coverage as employers require their workers to pay higher out-of-pocket costs. Forty-nine percent of employers surveyed indicated that they'll make workers pay more for coverage in the future. The number of uninsured Americans has grown for five straight years, with 46.6 million lacking coverage in 2005.

Below is a link about US health insurance premiums WASHINGTON - Story by Tony Pugh, of McClatchy Newspapers.

http://www.commondreams.org/healines06/0927-09.htm
If you Americans don't get your health care act together, we may not be able to reutrn, ever. We are particularily upset over Gov. Arni's veto of Single Payer in California. All caused by the approximate half a million dollars he takes from the health care industry. There are no other solutions.
For some reason this link does not work. The site is Common Dreams lead thread for Sept 28.
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Quakerfriend Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-28-06 04:41 AM
Response to Original message
1. Thx for sharing you experience in France! I worked in health care
in the US (center city Phila) for many years. When I got sick (cancer) I went to Mexico for my care (REAL care,too!). I was completely well in less than 5 weeks! That was 8+ years ago.

Our system is nothing but, BIG business for big Pharm and the insurance co's. I am astounded at the number of people who 'trust' there docs or this system. And, the constant barrage of commercials for and by big pharm are OUTRAGEOUS!

Best of everything to you and your wife. Enjoy the good life!
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cyclezealot Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-28-06 05:01 AM
Response to Reply #1
2. thanks for reply.
Edited on Thu Sep-28-06 05:07 AM by cyclezealot
The US HMO system really jeopardized my wife's cancer. It took more than four months to get a referral from our HMO. Meanwhile it was spreading. Before we left, they were giving us a line of crap over the doctors request for semi-annual MRI's. After they allowed it to spread! We are very bitter.
I saw a letter to the editor in the International Herald Tribune. He described the US health care system as a system where patients are "Profit Centers." He preferred his new practice in Germany. Felt he was much more able to practice as he saw fit.
As far as we are concerned, we are treated better by our host country than we were by our home country. I am happy you had successful treatment in Mexico. When we lived in our beloved California, friends used to go to Baja , Mex for dental. With a little research they found great dentists at less than half the costs. Sure US demand drastically inflated the usual fee.
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FloridaPat Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-28-06 06:43 AM
Response to Original message
3. Thanks for the info about France. I find it hard to believe anyone
could defend US health care. 4 years ago I had to drop my coverage. It was $700 a month for a single person. It would probably be over $1000 today.
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cyclezealot Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-28-06 04:14 PM
Response to Reply #3
4. Fla Pat.
Here amongst DUers, past threads, Du'ers prefered US private insurance over "US governmnet run insurance." I am astounded informed Americans could prefer such . Guess, that's why we gave up on America. Even somewhat, informed people don't know whats happening. We no lonter intend to tolerate the crap Americans prefer to live with. Glad, we were lucky to have an option. Since we find French real estate one half the price of US, maybe others might luck out and learn to enjoy the security of 'socialized medicine.' It's good enough for the US Congress, it should be good enough for the AMerican people.
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FloridaPat Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-28-06 05:45 PM
Response to Reply #4
5. I've been to Europe, talked with people from all over the world,
and kept tract of the statistics coming from the rest of the world. The gov't scared everyone years ago with stories of long lines, not being able to picl your own doctor, and bad service. And they kept repeating that we have the best health care in the world. Found out all of that was wrong. I think there is one country with long lines. My dad is 90 and lives with me. I keep trying to get him to move out of the country. I've had it too.
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cyclezealot Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-29-06 12:44 AM
Response to Reply #5
6.  the country with long lines is in the US, its ERs.
We'd like to have to option of coming back. Unless, the US resolves it's health care crisis to our satisifaction, I doubt we will. We are better to stay here, financially, even tho we have not had the benefit of paying into it's Medicare taxes , as we have in the US unfortunately for the past 30 plus years. We are still better to stay here with their efficiently run system.
We have used local doctors twice now. You go into a doctors office, there is no receptionist. You just follow instructions, sign in, wait until your assigned time. The doctor actually comes out and gets you. The doctor does their own vitals. During that time, you have sufficient time to chat with the doctor about your concerns, instead of the three minute rush job you get in the US.
During times a patient is being seen, phone calls go to a recoding or phone service if an emergency. The doctor actually takes her own phone calls if not active with a patient. Seems weird to us, but we like it. Far more personable. You can escape , you'd be pleased. As stated, you can't enroll into their systems unless you are granted the right visa.
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pitohui Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-29-06 12:50 AM
Response to Original message
7. great post, folks, don't forget to recommend
when we have great posts like this that link personal on the ground experience with good solid information, recommend recommend recommend

by the way, you need any house pests out there in the south of france? just kidding :-)
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cyclezealot Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-29-06 03:11 AM
Response to Reply #7
8. what I fear when the repugs
Edited on Fri Sep-29-06 03:16 AM by cyclezealot
take total control either, the US economic debt will wipe out the dollar or they will penalize those living abroad. Living and investing in the Far East is good enough for the super rich, why can't we all live where we choose. It's not my fault our host government treats us better as visitors, than the US treats its own citizens. thanks for your positive feedback, pithouhoi.
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