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Comment by jgalt212

10 hours ago

90 minutes for an ambulance seems like a systemic failure.

https://www.bbc.com/news/health-64254249

I’ve lived in both Canada and the US. My grandma in Canada had to wait 9 months for a hip replacement. Even though the government provided help with paid aids, it was not a great situation.

My mom here in the states needs a hip replacement and she can’t afford it because she’s maxed Medicare.

You mentioned ambulance. My wife called an ambulance for our kid who tripped on something at a park and a rather hysterical person told her she needed to call an ambulance right away. Pressured, she did so; our kid was fine. But we then owed $3,500 for the ambulance. Though we were paying on a payment plan and never missed a payment, the bill got turned over to collections for some unknown reason. We got it sorted it out but it took about 15 hours of work to resolve and fix our credit.

I’ve found that my Canadian relatives complain often about the system but very few seem to truly understand what is good about that system.

Pick your poison. Like many things here in the US, healthcare in the US is great if you have money, bad if you don’t.

  • It's not that great even if you have money. Unless you're talking about the type of money needed to pay for all of your treatments out of pocket, and give you access to special private care most people don't even know exists.

    My experience has been: if you have an immediate health issue with an obvious solution, you can get pretty good care. Say if you have a broken arm, gun shot wound, heart attack, stroke, etc. Anything uncommon, or that requires ongoing care, is a life sucking nightmare.

    I'll give some examples from my own life. I live outside a major metropolitan area. A relative was visiting me and had a stroke in my living room. I called 911, and an ambulance appeared 5 minutes later, in 25 minutes they were in a hospital with a telemedicine link to a stroke expert. The expert said they needed to be brought to a downtown hospital so they were sent there by helicopter. One of the two best neurosurgeons in the city performed an endoscopic removal of the clot and saved their life.

    Contrast this with a different relation who struggles with chronic pain and spine problems and has spent the last 20 years bouncing around various doctors, battling insurance companies, pharmacies, waiting to be seen, waiting endlessly for specialists, tests, and having to keep track of all of their information themselves because the system is fragmented and every office wants a complete restatement to their medical history.