Which country are you in and what’s a typical doctor visit like? How much? Wait time? Etc
I call my Dr.
I book an appointment. If urgent but not medically urgent to my immediate wellbeing I can get in in a week or so.
If urgent, but not emergency, I can go to a clinic or the hospital non emergency (hospital can have wait times up to several hours)
If emergency and severe or traumatic injury or life threatening - emergency at hospital. Triage assesses need. Last time I had to take someone it was maybe a 20 minute wait - they had been hurt pretty bad - got jumped.
None of any of the above will cost me any money.
An ambulance, though, costs like 75$ if it is not life threatening.
Canada.
The hospitals usually have a severity for triage. If you broke your arm your going to be waiting longer than someone with a sever allergic reaction. Which makes sense, some injuries can wait longer than others.
That part is normal in US emergency rooms as well.
Because, logic.
But since money interferes with logic in so many ways it seemed necessary to mention it.
Sorry. The “money” part didn’t actually factor in for me because I’m in Canada and it wasn’t on my mind. Doesn’t mean we don’t pay for it through taxes I just mean it wasn’t on my mind. I just meant greater severity should equal earlier service.
Yes. If I have to wait in the ER, I try to think of it as a sign that I’m going to be okay.
Extremely fast service, or people suddenly starting to be really really nice to you, means something very bad is going on.
But the wait times in US emergency rooms are longer since people are there who are unable to get the care they need elsewhere or they haven’t been able to afford to go to the doctor and have no waited until it’s an emergency.
Honestly, as someone who’s spent a lot of time in emergency departments, it depends a lot on the hospital and the time of day. Sometimes they’re packed and sometimes they’re almost empty. (At those times it’s very important not to invite disaster by mentioning how quiet it is.) Having an Urgent Care in the same place for Triage to divert people into helps a lot as well.
Can confirm the same thing, there have been times where I’ve gone in, checked in, and speaking to the doctor within 20 minutes of stepping in the door - whereas other times I’ve waited 5+ hours to even be given a room to sit in (and then wait another couple of hours for a doctor to see me).
I think your definition of “urgent” might be off if you think that it can wait a week or so.
No that tracks for me, and I work in Healthcare in the US just the same. I personally had what I perceived as urgent but non-emergent and got into my doctor within a week.
I would go to urgent care (I know it’s in the name but alas) if I had more pressing concerns or symptoms were bad but not life-threatening.
I would go to the ER if I was in massive pain and felt at imminent risk of death.
“Emergency” and “urgent” are different categories in hospitals.
And actually defined, at least in my local Canadian hospital.
Urgent Care is defined as infections, lacerations, wounds, less serious injuries, minor Pediatric illness, situational crisis support, Women’s Health services, contraceptive management, etc. So stuff that “could” wait about a week if necessary. I find they can get to stuff much sooner, based on anything I’ve needed or reports from friends and family.
From US and was visiting Singapore when I came down with a sinus infection.
Took the elevator from the government controlled housing to the ground floor.
Walked 5 minutes to the attached small community strip mall which consisted of cheap food options, a grocery/convenience store, and a number of essential stores including a small drs office.
Waited 15 minutes, saw the dr. Explained my condition, allergies and medication I usually take and went through the exam. We had to help look up some of the medication names.
Paid $35 for the exam. There was some confusion because I expected it to cost more and I asked about. They apologized and said that since I’m foreign I had to pay full price.
Walked across the mall to the small pharmacy. Waited 5 minutes for the antibiotics prescription. Paid maybe $5?
Bought some tea from the grocery and was better over a few days.
People from the US who travel and need healthcare know very well our system is the worst.
People from the US who travel and need healthcare know very well our system is the worst.
I mean, we don’t turn to witch doctors, so I guess we’re not literally the worst, but…
There’s a sizeable portion that tout hopes and prayers as a cure, and plenty of faith healers off the highways. May not be the bongo drums and carved masks you imagine, but it’s witch doctors all the same.
Yeah, but that’s a minority of the country.
25% or about half of the voters is technically a minority.
I’d rather go to some nice lady who know what all herbs do what than Dr fuckin oz
Dude shut up this comment was so unnecessary
Guess you don’t get to Canada much. People that actually need fixed now head to the states and pay, and are usually impressed by the treatment, both personal and medical. It’s often life or death though, die waiting here or don’t.
Germany. When I am sick I call my doctor in the morning ask what time would be best to go there as to not wait too long. Then I go there, wait maybe an hour sometimes because he likes taking time for his patients, tell him my symptoms, get a sick note for work and possibly a prescription if I need medication.
I dont pay anything for the visit. If I need medication I will go to the pharmacy near my flat after the visit give them my health card, get my medication and depending on what drug I got pay a little bit, maybe 5€ , maybe a bit more.
Dont forget you can write sick threw phone call now
Yeah but you need to go there once a quartal to give them your insurance card. So if you are sick less than that you still need to go every time.
Ah ja stimmt
I’ve heard there should be another option, iirc bringing the card in later when you’re not sick/infectious anymore (better for everyone methinks), but that this takes extra administration on their side and so they mostly refuse to acknowledge you have this legal option. Or so a colleague mentioned some months ago, I probably mix up some details
Nope. I had Magen-Darm at home and there was no way I’d go anywhere outside. They accepted that TK service to send them my proof of insurance via Fax or Email.
You can do the same with my doctor but usually I have the energy to go by there quickly anyway. Dont need to see the doc to get the note. Just go to the reception
Give them a call. Generally get an appointment within 2 days.
Get told to take paracetamol for 2 weeks and make another appointment if the problem persists.Drs are generally on time maybe 10 min behind but when I was in Australia they would regularly get up to an hour late.
Costs are generally subsidied by the national government so unless something comes up unexpectedly there is no cost. If something does then you pay a fee and your private health takes care of the rest.
Why do you have private healthcare?
Australia has a dual system of private and public health coverage.
You get access to public health services but as with all public health services things take time. If you have private health insurance you get a faster access to specialists. Public health doesn’t do stuff like dental or physiotherapy where private cover does.
In addition to what slazer said, in Australia once you earn over a certain amount you get hit with an extra tax if you don’t take out private health. The conservative coalition brought that in a long time ago because their donor mates in private health asked them to ruin our public health care and this was their first step towards that.
I still have private cover as it seems like the least bad option even though it pisses me off. I guess that’s the point.
I’m sorry. Yeah that sounds dumb to me. As an American health insurance seems like it shouldn’t exist.
German here.
If I’m sick I just go to their practice during consultation hours. Without an appointment I have to wait a little, but rarely more than an hour. Then I get called in, the doctor takes a couple minutes to listen to me describing my symptoms, possibly does some minor checking, then writes me a prescription for whatever treatment I will need or a transfer slip to a specialized doctor.
For emergencies I can just go to the hospital. Oh, all of this costs me nothing at all, maybe a couple euros co pay for medications.
Well not entirely true. We pay 9~10% out of our gross salary for this service
Ah yes of course, the system must be financed somehow in the end. Still infinitely better than the american system which works worse for the average citizen and costs a lot more.
French here. Basically all the same.
The Netherlands
I call my doctor, make an appointment the same day, go there, tell my story, get referred to a specialist or get meds or whatever, all covered by insurance.
Specialist: sometimes appointment within a week or 2, sometimes it takes a month. It’s covered by insurance, but there’s an own risk budget each year of 380 euros. So all costs up to that budget are paid by yourself, the rest is covered. But since I’m getting mental health care, I pay 380 each januari and the rest for the entire year is all covered. This year I’ve had a broken collarbone repaired with a metal plate with all the photos before and after, I had 2 bladder infections which needed antibiotics and I had food poisoning on holiday and intestand infection, which was all covered at home and abroad.
Insurance
I pay 180 a month. It includes dental and some extras like 9 physical therapist appointments.
Sweden.
A few alternatives:
- I could book an appointment at the local health center. I would probably get a time at the earliest next week, and it would cost me $30. Health center doctors are generally quite overworked, and can sometimes be a bit dismissive of your issues in my experience, but they will help you. If you need specialist care, they will give you a referral, which could take several months depending on the priority of the case and the type of specialist.
- I could use an app to get access to a video call with a doctor, after having described my symptoms in the app. I would get a video call the same day and it would cost me $30. Given the remote nature of this kind of contact, they can be a bit limited in what they can do for you, but will try to help you regardless. If your case requires in-person examination, they will ask you to go to a health center instead. If you need specialist care, they will give you a referral and you’ll have to wait the same amount of time as for a referral in the health center scenario.
- I am lucky enough to have a private health insurance plan through my employer. If I have any problems, I’ll submit them to this private health insurer, and they put a human on the case and connects me with a specialist right away if the problem warrants one. Typically this happens the same or the next day. This costs me nothing, apart from what I pay in benefit taxes to be on the private health insurance plan.
All in all, things work fairly well in Sweden, but having gotten private health insurance has definitely jaded me a bit on account of how much better the experience is when you have that. If only the public system wasn’t systematically underfunded and run by the dumbest politicians on offer in the country, then maybe everyone could have great patient experience.
Does these costs count towards the högkostnadsskydd? (cost ceiling)
Yes, but there are two different ones - one for medical appointments and one for medicine.
What sort of money does one need to spend in Sweden to get private health insurance? Can you stop paying the government one if you have that? (In Germany, I’m publicly insured so idk private prices, but you pay either one and not both, it’s not like normal taxes that you always pay)
You can’t opt out of government-provided health insurance. It’s not even really referred to as health insurance, it’s really just referred to as health care.
I get my additional private health insurance paid for by my employer, so I never actually pay myself, but the same one seems to be going for about €110 a month.
I don’t know that I would buy it if I had to pay myself, but I’m quite happy to get it for the small amount of additional taxes I have to pay on the benefit from the employer.
Thanks! Good system that you can’t opt out imo, everyone needs to at least fund it even if (perhaps not good but idk) not everyone needs to also use it (thinking of rich people in power)
Brazil:
Call an Uber, go to the hospital, grab a ticket, pass thru triage, called by name, show my id, triage decide which specialist to see, go to specialist waiting room and wait to be called by name.
Doctor examines me, ask for exams, maybe prescribe medication, do the exams, wait for result.
Back to doctor, prescribe medication, hospital provides medication (unless is something very uncommon, if so go to the pharmacy and buy it).
Call Uber, go home.
Total cost: Uber fare, usually about 6 dollars total.
Insurance is about 180 reais for two people, or about 30 dollars per month.
No need to call in advance and book.
UK here. This is all “free” (i.e. paid for by a significant portion of every paycheck I ever earn via tax).
I phone my GP. They say you have I call at 0830 to get an appointment. Call back tomorrow. I ask for an advance appointment and they say they have nothing for 6+ weeks. So I call back the next day and the line is constantly busy. I get through at 0837 after mashing redial constantly. I’m told the appointments are all gone and I should call back tomorrow again. They suggest “if it’s urgent then go to the A&E department”…which is clearly inappropriate for my problem. So I call back the next day. The next day I happen to get through at 0833 and they take my details. I’m told the doctor will call me back at some point later that day. Spend the day watching the phone, but can’t answer it because I’m work. Duck out of something really important at work to take the call, I’m told to come to the GP later in the day. Later in the day I have work stuff I can’t just leave immediately, so I ask for an appointment the next day. Get told to phone back at 0830 the next day to make an appointment.
I’ve figured out a way to short circuit the system. There’s a national urgent medical line (111) and I have to answer the operator’s questions for 20 min (am I bleeding profusely? Am I unable to breathe? Am I going to die imminently?). Finally, they’re able to allocate an appointment for my own GP at a sensible time the next day…apparently thesr guys have access to appointments with my GP which the fucking GP won’t give me. Great! I go to the GP to be seen by a FY2 doctor (i.e. 15 months posts undergraduate qualification), this guy admits that he doesn’t know what he’s doing, that he’ll speak to the GP later and phone me back with the outcome later that day. He phones me back later that day saying they don’t know what to do so they’re going to refer me to a hospital specialist, the hospital appointment should be sent to me in 10 months or so.
The few times I have had to go to the A&E department with my kid, I’ve taken chargers, entertainment devices, extra coat for my kid to use as a blanket, food (2 full packed meals), water, video game console…I’m expecting to be there for about 6 hours if things move really quickly.
The state of national healthcare in this country. Thank you Conservatives, for 13 years of record low investment.
There’s a national urgent medical line (111)
What? I’ve been lied to. I was told the UK line was 0118 999 881 999 119 725… 3
I have health insurance in the US and still have to pay a fuckton in copays to use it.
In early May, I searched GPs on my Healthcare plan, and I get to see a doctor on Jully 11.
111 isn’t an urgent line (if it’s genuinely an emergency go to A&E or call 999) and from personal experience it takes hours for them to get back to you, at which point you’ve either already told them your symptoms have got worse, still had no call back and gone to A&E or they get back to you eventually and tell you that you might be fine, but should go to the hospital anyway and sit in a queue for 6 hours so they can make sure it’s not actually something serious. NHS 111 is just as useless as the NHS Direct it replaced
For GP appointments that are released on the day, in the morning, you can avoid waiting in a long call queue to the GP by booking the appointment through the NHS app if your GP supports it.
Very much this.
If you live in the UK download the fucking app.
If all the ppl. bitching about the phone lines just used the app. then the ppl that actually HAVE to use the phone lines (digitally excluded ppl) wouldn’t have so long to wait \ phone back every day.
Every time I’ve needed to contact the gp for something I’ve done it through the app and then I’ve either been contacted back with advice \ an appt or an onward referral within 24 hours.
If you need help quicker than 24 hours it’s an emergency, if you think it’s an emergency but don’t want to go to a and e it’s not a fucking emergency.
If all the ppl. bitching about the phone lines just used the app. then the ppl that actually HAVE to use the phone lines (digitally excluded ppl) wouldn’t have so long to wait \ phone back every day.
Is the app free of trackers and does it run on open operating systems like google-less Android? As in, no attempts at root detection, trying to use Google Play Services, etc.
I probably don’t have to explain this viewpoint on Lemmy as much as to the general public but not everyone who could use a nice locked-down big tech phone that phones home to facebook wants to carry that around all day, nor buy two phones when the govt could also just make it a website that runs on any OS and any device because it’s made of open standards
(If this sounds outlandish: this is pretty much what the government-funded public transport app for Germany is like. Want to buy a ticket? Better hope the algorithm likes your payment method, takes your money, and that you can run their software to display your ticket)
You can use the website instead of using the app.
Same login.
Oh, perfect!
Ehh… . Better but not perfect. Not everything on the app is on my web portal annoyingly but most things are. shrug
Some hospitals are horribly staffed like this. In Sweden I had this problem until I changed to a different (government-owned) GP.
United Kingdom, Dorset.
My 3 year old daughter was vomiting and not keeping liquids down. Phoned the non-emergency line and after a bit of a wait, spoke to them and went through the script.
Was told to go to A&E and we would be expected. After a short wait there, was led down to the children’s ward and she was given a bed in her own room. She was put on a drip, had antibiotics and kept in overnight. By the end of the following day she was able to keep down water and some toast so was discharged.
Had a follow on call from a GP the next day, she was back to normal in a couple of days.
Cost: £0 (I contribute to the NHS through general taxation)
Overnight stay at a hospital here in the US is at least $3,000 / £2.196 / €2.552
When you don’t have health insurance, I’d assume? Because the tax system is basically the UK health insurance so I’m not sure if it’s a fair comparison in that case (the amount you pay through taxes or to a private insurance company might be very different though, but then that’d imo be the number to compare)
Oh, that’s with insurance. How much you have to pay out of that amount is determined by what your insurance plan covers.
This has been pretty much our experience too when our kids have been ill, except they didn’t have their own room but a small ward.
Yes I think we got lucky with the room, perhaps it was just a quiet period
That sounds kind of scary, did they actually get to the bottom of what happened or was it just “Hey, she can eat toast now, you’re free to go!”
Yes it was gastroenteritis, luckily she bounced back quite quickly!
Wow! I had no idea that was even possible for a 3 year old! Glad she’s OK!
French here. when sick, I use an app to book a appointment to a medical center I have that’s like 5 minutes away by foot ( not typical for all french residents but I am quite lucky with where I live). I usually have an appointment in the next 2 to 4 hours tops. Depending on what it is, I walk away with a prescription and certificate for work stating how many sicks days I have. This costs me nothing, appart from the occasional optional medication that is not reimbursed.
This feels like a joke.
Like, just name all the shit that is wrong with the US and flip it joke.
Comparison, my wife wasn’t feeling well and insisted on going to the Dr. The closest appointment was over a week away, and the Dr. told her to go to the ER instead. Took a 25 minute drive to the nearest ER in the city, got her vitals in a few minutes and then waited hours to see a Dr who basically gave her 2 cups of coffee and some Tylenol and then had us go home. We won’t get the bill for months, but it’s usually in the 800 dollar range, and that is with insurance.
I’m in the US if that wasn’t obvious.
That’s depressing, I can only imagine what it’s like to ponder wether or not to get checked because you can’t afford it…
My general rule of thumb, if there isn’t a significant risk to life, limb, or senses in the next 24 hrs, I’m not going to the ER.
I don’t go to a GP ever. They stole my blood and piss, and then told me to come back in 6 months and did it again. The headache of setting up the appointments, rescheduling work, travel, and copays means it just isn’t worth it.
Finally, if I have an injury, and it’s still affecting my daily life 3 days later, then I go to urgent care, and sometimes that even feels like a waste of money. Cost 180 bucks for me to get a pinched nerve in my shoulder diagnosed (couldn’t sleep for 3 days) and they prescribed me maximum strength acetaminophen and some steroids which blew my heart rate up to unsafe levels so I stopped taking them. Pain finally went away about 4 days later on its own.
Same here, but sometimes there is a day or rarely more (when everyone is sick in school in the winter and your kids bring it home to you for example), so you have to wait or get an appointment with another doctor (we usually go to the same one). In these rare cases I usually wait when I know I don’t need to go to the doctor but I need the work-paper so I get paid.
Also you can always call a “flying doctor” (they come by car 😁) or go directly to the hospital if you feel it’s an emergency. There is a semi-urgent phone number you can use to sort out your options too if you don’t really know.
I have used them all BTW.
UK. Phone local GP, no appointments available for ~3 weeks, maybe get a call back appointment in 2 weeks if I’m lucky. Alternative is to phone every morning between 0830-0900 and either not get through or be told there are still no appointments available.
I have found walk in pharmacists to be well educated (better than many GPs?!) and available without appointment so they’re usually my first port of call.
Wow you get to phone yours? We get an awful convoluted website where you have to type in all your details every time, including pointing on a diagram of a person where it hurts and explaining the problem. It takes forever to fill out and you submit it and then wait however long they want to triage you. Tbf if it’s fairly urgent they are fairly quick but it’s the worst experience when you’re sick.
Then maybe you get a phone call with a doctor who basically just tells you to wait and maybe they prescribe something which then the local pharmacy won’t have in stock. Contact your doctor again to get it changed to something else? Good luck! Many days later you get your prescription after you finish needing it.
Norway, I book online if it’s not urgent and wait a few weeks. If it’s urgent I call them and get it same day. Costs about ~250 NOK or ~20 USD I think. Public doctors are always at least 45 minutes late (unless you are late if course, then they call you on time)
I also had a non-urgent matter, but felt like wait time was too long (holiday season) so I went to a private clinic, got appointment same day and paid about 700 NOK I think.
I go there, tell my story, if they need to take some samples they can usually do them on site right away for no additional charge.
If I need some medicine they prescribe that and tell me to come back in x weeks if it’s not getting better.
If they can’t help me I get a referral. It could take a long time to get certain procedures, especially if they are not urgent/very important, but most of the time it’s been a few weeks for my issues.
My GP is often running 15-20m late, but the flipside of that is that there’s not really a sense of urgency during the appointment. Doctors here take their time with you, which is very pleasant.
Also in Norway. Can generally see my FL in one or two days. He is always on time and takes good care of me. I can also just send a message for many things. Legavakt is nearby if something major comes up. My daughter’s experience is closer to yours and she too has seen private a few times. Good to have options.
Do you need to pay for any prescription medicine?
Yes, at the pharmacy, but it’s not very much, I pay maybe 200 NOK for my two allergy medicines combined, they both lasts me about 3 months.
I just checked and there’s a maximum payment of 520 NOK for 3 months worth of medicine for chronic illness, it’s more complicated if there’s more than one illness and multiple medications, but the norm is maximum 520 NOK for the months.
Amd ylthe cost I pay for prescription drugs for one time prescription have always been so small that it almost don’t register.
Brazil.
If I’m at home and simply unwell, I can walk to the neighborhood clinic (one specific clinic based on my address) and get checked - that usually takes half an hour to a couple hours, but it may not always have a doctor available.
So most people skip the local clinic completely and go to a municipal hospital instead (something doctors often plead people not to do). These should always have a couple doctors available and they’ll see anybody - even if you have no documents. When you get there a nurse will check your pulse and stuff and ask some questions to determine your priority level, then the waiting time can go up to 4 hours if it’s low priority.
If you need specific exams, that will depend on how well equipped the hospital is. Many will do it right there, some will request it from other cities and that may take time, so there’s the option of doing it in private clinics too.
No matter what you may end up needing, if you do it through the public health system you won’t need to pay anything at all. Even experimental treatments and surgeries can get arranged. But there’s always the option of going to private clinics as well. Those can have much shorter waiting times.
Based on my limited experience, this is what people seem to do for each kind of visit:
Emergencies: pretty much everybody go to public hospitals. Most places don’t even have private options for this.
Basic check up: most people will use the public system first, unless it’s something very specific and they are well financially.
Dental care: most people who won’t be financially crippled by it will go private. People tend to stick with the same dentist once they find a good one. On the public system you never know who you might be seeing.
Eye doctor: 50/50. There are nearly as many private options for this as there are for dental care, but a lot of them suck.
Expensive exams and operations: people will try to get them for free at first, or through some Health insurance plan they may have from work. Everybody knows someone who’s been waiting months for something on the public system.
United Kingdom (Bristol.)
Used to be pretty decent, but now the NHS is chronically overbooked and underfunded. Ambulances can take hours to come.
Only way to get a GP appointment is to literally call my practice at 8AM on the dot, wait in the queue and hope you’re lucky to have your call answered before all the appointments are gone. There is no online booking system, and if you call at any other time, they won’t be able to book you in advance unless you’re willing to wait months.
My dad (80 years old) has had to go to hospital a few times in the past few years for various reasons, and the longest he’s had to wait to be admitted into a ward was 13 hours. He had a hip replacement operation two years ago where he was on an 18 month waiting list.
My GP surgery was the same (except 8:30 not 8:00), but moved to an app a couple of months ago. Given that I suspect the point of it is to allow an AI to triage appointment requests I wouldn’t be surprised if yours ‘upgrades’ as well.
