Thoughts on Universal healthcare

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I have come onto this thread a few times to see what you are all thinking about this. I have seen a few times people who are afraid of free healthcare system.

I live in the UK and was born here. I get really stuffy sometimes about our own system, and I have real issues with the politics here, but I thought I would just give you an honest overview of how things are here.

Several times I have seen the idea in your posts about Socialism and Communism, and even a quote from Kruschev, apologies for the spelling.

First let me tell you take anything he said with a pinch of salt. He was a famous wit, and had a very bad temper, he was famous for taking off his shoe and banging the table in the UN.

But his greatest joy was to wind up anyone from the west. OK, it was a wind up. Also he was so far removed from Socialism it can not be true. He was Communist in the most real sense of the word. Remember this : Communism: All pigs are equal but some pigs are more equal than others. It comes from Animal Farm and just about sums it up.

Now can you tell me of anyone who saw any communist leader arrive on a bicylce??? The states we have seen as Communist in this world have been a joke. Chairman Mao, his people were starving and he was floating in a huge swimming pool with a string of beautiful girls paid to satisfy his needs. The Russians, all drove around in huge cars looking very well heeled while their people were digging in the dirt.

None of these leader lived in the slums with their people.

Ok Now Socialism.... someone here mentioned Jesus. Well Jesus was the first socialist if you like. Never mind about the fancy definitions, socialism is an Ideal, and like all ideals it is the stuff of dreams. Jesus did not see borders or social divisions between people, we were all just children of God. he never refused help. he did not gather money and wealth. he said "Blessed are the meek, for they shall inherit the world".

Another dream.

here in the UK there are people with very strong socialist ideas. There are also a few communists I am sure, but most people just want to get on and live their lives and are very happy that we pay a small amount out of our wages each week and if we are ill we can just turn up at the doctors or the hospital and we will get treatment.

IT IS NOT PERFECT.

It could never be perfect. Health is not something you can quantify and slap on a balance sheet.

There is a constant drive to make things better, and to be honest there is a real drive here these days to make things far more American.

The problem is that decisions are not made by doctors, they are made by politicians. The other problem is that there is no bottomless pit of money. So it will never be perfect.

As for the politics here believe me it is not scoialist, not now or has it ever been. We are supposed to be socialist (kind of) we are also supposed to be democratic.... lol.

But all countries now have a new God... it is money. the politicians will get elected that can put the most money back into your pocket, and when elections come around unless you are really sick at the time nobody cares about health they arell lookingto get their taxes reduced.

I had a student from Kurdistan once who asked me at election time if we asked our politicians how much they spend on the arms trade? How many of them are involved in it? I could only answer no we don't ask those questions, because at the time they are not important to us.

We are not facing the bullets. but that is changing now.

It is the same with health. yes we have a universal healthcare system, but now we are getting health tourism. We also have a hypocratic oath that doctors swear when they qualifiy, nowthey are being forced to go against this. Because of Health tourism they are being told t refuse treatment to people in need until they can establish where to send the bill.

I used to work with asylum seekers and refugees. they are entitled to healthcare here, as long as they are in the system, but I took a young woman who did not speak English to the hospital as she had arrived heavily pregnant and in agony, we had not had timeto process her papers. Recepetion at the hospital wouldnot let her through untilthey had taken her home address to send her the Bill. This girl had survived her entire family being killed and her home being burned to the ground, she was going to need a Caesarian Operation to save her baby due to FGM, and they made her wait until I had paid the taxi to find out where to send her Invoice.

I have been trucking myself around our health system for 2 years now. I have been in a lot of pain, seen 4 specialists, and still have only very floppy diagnosis. I am not happy...lol. But I am not dying. I am just very uncomfortable. I will get there in the end.

Our Doctors are amazing, not always, but mostly. It is the system and the management of it that is creaking. Too many chiefs and not enough Indians.

But the essence of the Health service here means that people will get treatment if a child falls froma tree and their mum has no money they will be treated, if they have a life threatening illness they will get treated. the doctors and nurses, especially the nurses here are brilliant and they care somuch just as many of you do who are working in health. The truth is that nothingwill ever be perfect, but the people who do their jobs do their very best.

Yes there are people here who will take advantage, who will rip off the system, and that is the area that neds to be tightened up, at the moment we are all assumed to be guilty until proven innocent here.

But again the people making the decisions are not listening tothe people who know. they are so arrogant they believe they have all the answers, and it casues problems. They refused to listen to teachers and now our education system is failing, they refused to listen to health professionals and they are still doing battle with that system.

If they do it right in the beginning then it is a great relief. Ohhh and by the way if you have money here you can still buck the system and get all your little heart desires.

The ideas of Social control here have now become really scary and it is not socialism that sensible people fear it is Fascism.

Really, it is on the rise again in Europe, and it is very frightening.

I know many of you are afraid of universal healthcare and the implications of it, but if it is done right, and if the politicians listen to the experts and to you, then it can be a really good thing. It is not going to make you socialist and certainly not communist. Americans are the pioneers and too used to being free thinkers for Communism to ever be considered there.

Would Jesus shut the door on any child in need.

We pay 9% out of our wages for healthcare and pensions, and thatisonly after a set amount is protected as a basic level. Once we earn overthat amount then we pay this percentage, and we are assured of our basic state pension. If we earn more it is our choice to set aside an additional pension. It is good enough, and although we complain we would not be without it. But these days there are many that are never satisfied.

What ever happens over there itwill be a modern and well planned system, and not the creaking groaning antiquated system we re trying to update over here.
 
I have an acquaintance - a doctor from Canada - who moved to the States. She has said that she is absolutely mortified everytime she must ask someone about their level of insurance. She feels that she went to medical school to care for people, not to spend time calculating what she is able to do for them based on their ability to pay.

I will repeat something I posted earlier: It comes down to whether you believe that healthcare is a privilege or a right.
 
Jena thank you for that! I would give anything to pay 9% of my wages to get healthcare

right now it is over 20% and I just can not afford it!

and if we purchased a private plan it would more than that!
 
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I am not out to change minds or preach about the Canadian health care system...but the lies that have been passed along from generation to generation, or through the educational system..or however these untruths are being passed that's what kills me

if my time on this topic has helped to open 1 persons mind, or at least to make them sit back and say wait a minute..then it has all been worth it.

there has been some discussion about the medical records being posted in an online data base for the doctor to access...I understand where you are coming from when you say NO WAY...what if it gets "hacked". or its no ones business about my medical records but my current care physician and I agree 100%

now lets see the flip side of this...imagine with me if you will.....
I have been seen by my PCP (primary care physician) for a irregular heart beat...and I am in Guelph...>>>>fast forward 3 weeks~~~~~~ I am driving to my moms in Oshawa 2 hour drive all of a sudden I am unconscious at the wheel and am involved in a car wreck. As soon as the ER doc (well the triage nurse ) swipes my Ontario Health card they will see that I have been undergoing testing and treatment for an irregular heart beat and the results of the tests so that they dont waste my "golden" hour guessing why this may have happened...

Also contained in this info would be...if there was a DNR (do not resuscitate) or my blood type again saving time, or do they call a priest or a rabbi... it all goes back to continuity of care...but thats JMO
 
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Well said Jena! Brava! Nothing is perfect, I agree - and I am not for a universal healthcare system at this point in time as our gov't views it - however.... they could revamp our current one by putting mandatory caps, regulating, and many many other things as I've previously stated. Same goes for big phama... but - its good to see the UK's side of this too since we've seen some of Canada's as well
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And therein lies the majority of the issues we, as Americans face... it is the Congressman, Senators, Governors, and yes, even Presidents we vote in that we need to REALLY look at closely because it is they who make the bills and legsilature. Too many people only vote for Presidential elections and ignor the most important elections - Congressional, Senatorial, Govenor
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It is they who make the bills - is they who "yay or nay" it - it is they who run this country into the ground over and over year after year, yet nothing is done. It is they who serve 20, 30+ years in office when it should be term - yes, just like the Presidency is term and maxed at 8 years.

Vote people - know what your politicians in your ward, county, state are doing - it is THOSE people that run this country - and until people wise up and start realising that, we'll keep chasing our tails in circles like puppies.
 
lol... No problem at all.

To be honest I did not post before because I respect so much that this is not my issue. But I just felt that I should give you another view.

if you asked me tomorrow I may curse our system if I was not well. But that is part of being human we all moan on times, and we all have some bad experiences.

Yes the 9% is all we pay, and you do not pay if you are not earning. I am not sure of the free pay at the moment but Last year it was about £84 you can earn and pay nothing on that, then above that you pay both tax and National Insurance.

National Insurance is I believe still 9% and that covers your health and also your retirement pension.

I think my point really was that nothing is going to be perfect for everyone, but I can tell you we would be terrified if we faced the bills some of you have. I do understand that it also a culture thing, we have never had to put money away or pay insurance as a separate thing. But when money gets tight I know that here we would wind up with no money and being afraid to seek healthcare.

Wealthy people here can still choose to pay and get instant access from private professionals. lol.... I think the UK is a real split between socialists who believe we should have shared responsibility, but that gets all confused with wanting a nice house and the celebrity culture, and of course we also have the old conservatives.

We do not conform well to labels but I do know there is rising fear of Fascism here amongst the thinkers. That is really scary.

But in calm moments we just want something to moan about. lol...

The politicians here are now discussing things like withdrawing healthcare for people who smoke or are overweight, or fail to change their lifestyle. it is only discussion at the moment but it makes us wonder when it will become, you can only get care if you have blond hair and blue eyes and belong to the "Right" religious path. lol... well at least I have the blue eyes..... lol...lol.

We are all afraid of extremes of anything.

Jena.
 
The "I don't want my medical record in an electronic database" argument does not hold water. I haven't seen a paper medical record in at least 6 years. We do still have paper patient charts, but they never get updated and it is just used to compile new information until it is placed in the electronic medical record. If we need any medical history we look it up in the database on the computer. It is a part of continuity of care. If a patient is transfered to another dept for a scan or anything they can be looked up on the computer database.
 
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I am not out to change minds or preach about the Canadian health care system...but the lies that have been passed along from generation to generation, or through the educational system..or however these untruths are being passed that's what kills me

if my time on this topic has helped to open 1 persons mind, or at least to make them sit back and say wait a minute..then it has all been worth it.

there has been some discussion about the medical records being posted in an online data base for the doctor to access...I understand where you are coming from when you say NO WAY...what if it gets "hacked". or its no ones business about my medical records but my current care physician and I agree 100%

now lets see the flip side of this...imagine with me if you will.....
I have been seen by my PCP (primary care physician) for a irregular heart beat...and I am in Guelph...>>>>fast forward 3 weeks~~~~~~ I am driving to my moms in Oshawa 2 hour drive all of a sudden I am unconscious at the wheel and am involved in a car wreck. As soon as the ER doc (well the triage nurse ) swipes my Ontario Health card they will see that I have been undergoing testing and treatment for an irregular heart beat and the results of the tests so that they dont waste my "golden" hour guessing why this may have happened...

Also contained in this info would be...if there was a DNR (do not resuscitate) or my blood type again saving time, or do they call a priest or a rabbi... it all goes back to continuity of care...but thats
JMO

Lol... HI,

They are trialing a system like this over here. It has cost billions already and is failing. I share your concern about the issue of Hacking, and also harrassment from advertising.

Hmmmm funny once we has a simple system here of a necklace or bracelet with a few notes inside that would give all the info required in an emergency. Surely that wouldbe less costlyand more effective. Most important we could control it. In the past it was very effective for Diabetics.

I am not in favour of any more BIG Brother over here.
 
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How do you figure it "doesnt hold water?" I can understand my OWN private doctor keeping my medical records in HIS OFFICE via electronic keeping - however.. to put my entire medical record from each and every doctor I have on the world wide web is insane and incredibly stupid. I would never sign off on that, ever. As a matter of fact, at my doctors office (my GP whom I've had for over 20 years now) - I had the option of whether or not my records got computerized or not. I made sure my records were staying WITH HIM and him only, not being sent out to everybody and their brother
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who didnt need them. If I go to see a new doctor for a referral for something my GP tells me to, and they need background, they only need certain things pertinent to whatever I"m seeing them for - not my entire medical record; therefore I will take that part, printed out - to that doctor. It is my option to provide my records, not my doctors - thats where many people go wrong. They are your records, not your doctors and only you can release them.

I for one, will never authorize my entire medical file to be released or stored for "big brother" - no thanks, I'll pass.
 
ok my 2cents on electronic charting

as a nurse I was worried about the whole "privacy" issue for my patients when we went paperless

now I am thrilled with the care we are giving because of the electronic charting

several things I want to point out

firewalls protect you!

we used to leave charts open and everywhere and it sucked for privacy

when you needed a chart ..well try to find it!

and paper charting was hard to access in emergencies so patient history was not available when patients showed up for urgent or emergent care we just had to literaly fly the the seat of our pants

not to mention try to read handwritten info???? omg please! now it is clear that a Doctor put you on Xanax and not Zantac!!!! the errors in all my years of nursing have markedly decreased with the age of computers and online charting

now everything is online and groups pharmacies communicate with eachother. There are stop gaps and red flags and warnings that pop up and help us make safer choices.

patients can go to any clinic with in our system and get care that is based on thier issues.

you can send your blood sugars to your doctor directly ..your blood pressure and even people on implanted defibs can send info online directly to their cardiologist and save themselves a visit!

with online charting you can talk directly to your healthcare provider with out having to wait on the phone to talk to someone or make an appt for simple questions

I was worried now I am thrilled I feel right now patients have more privacy not less than they did in the past because every single person who looks at your chart is instantly documented so no one can just walk over pick it up and read it...or leave it where someone else can read it

you can have a chart audit done at any time and know exactly who looked at your chart and when

the emailing is an option and not mandated but encouraged for your behalf so you can have more control of when you come in and what you can see

patients love being able to pull up their own labs, print of their own med list, or other ...and the system is very secure

nothing is perfect but I know as a nurse in a very busy clinic if you come and see me for something I can provide based on your need very quickly and safely because I have instant access to your records, meds, labs, recent emails, questions answers and advice and I can use the system to contact your doctor while we are talking he/she can answer between patients instead of the whole phone and chart chasing crap we used to do!

so that is my 2cents

I would never work in a place that had paper charts again or was not connected
I feel very safe and know that patients info is much more confidential than it used to be
 
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