As an American I’m curious what it’s like if you need to go to the doctor and how much you pay from say a broken arm to general checkup. Also list what country please

  • Nibodhika@lemmy.world
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    3 days ago

    I have lived in several countries so I can give you a few answers:

    Brazil:

    You have two options, private which is generally expensive but fast and good and public which is free but usually slow and mediocre. Most people who can afford it use private, but public system is honestly quite good in some places. I lived in two different cities, on one of them you didn’t go to the public system unless it was an absolute emergency, because otherwise chances were you would come out worse, on the other city the public system was slow and under budgeted but very good otherwise, you would still prefer private if you could afford it, but people tight on money would use it, so you might do time insensitive stuff on the public system for example.

    If you break your leg you would call an ambulance, get taken to a public hospital and be treated all free. You might have to wait on the hospital as people with graver injuries would be taken ahead of you.

    Ireland:

    There is a public system, but you have to earn below a certain threshold to be able to use it. Emergencies I think are covered for everyone, luckily I never had an emergency while living there so can’t speak from experience. You MUST have a GP, and most of them (at least in Dublin) are not taking new patients. Once you find a GP you must go through them to get to any specialist, for that you pay €60 and then you go to a consultation with them and they can decide whether to forward you to a specialist or not. If they forward you to a specialist you will have to pay their consultation fee, then pay for any exams, they pay to see the specialist again. All-in-all I’ve spent around €1000 trying to get a diagnosis once, luckily I had health insurance and it paid me back half.

    Spain:

    My wife twisted her ankle while visiting here as tourists, someone called an ambulance, it took us to the hospital, and after some wait se was seen and they did an x-ray, confirmed nothing was broken and gave her some special socks to prevent the joint from forcing too much. Because we forgot to bring our sanitary card from Ireland we had to pay for that, it was a total of €200.

    We live here now, and since moving here a couple of years back we have gone through dozens of doctors and exams. I have a health plan from my company so this might not be the same for everyone, but I have never paid a single cent for anything, including X-rays, blood works, CAT scans, etc. Honestly I keep thinking at some point I will receive a huge bill from the health plan, but so far it has never happened.

    • paranoia@feddit.dk
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      3 days ago

      The public system in Ireland is not tied to any income threshold. There is a nominal fee that is waived if you are unemployed, disabled, a part time worker, etc., but the public system is accessible to all.

      • Nibodhika@lemmy.world
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        2 days ago

        Without a medical card you need to pay for visits, also your GP decides where he forwards you to, if he forwards you to a private specialist that’s where you need to go, and if you don’t have a medical card you will have to pay for that as well.

        In THEORY the public system is free, but:

        • Your GP NEEDS to forward you. Despite having a family history of heart conditions mine refused to forward me to a cardiologist.
        • Some specialists simply aren’t available on the public system, my wife needed a psychiatrist and the waiting time was 1.5 YEARS
        • You still need to pay for your visit, sure that’s a low value and it caps at €800 per year, but that’s still NOT free