Which is better? Britain’s NHS or America’s Health Service?
Posted in Health Insurance - Free QuotesI’m not aware of what other country’s have chosen as their system, other than UK and US.
For those who like the British system NHS (National Health Service) would be keen to stress that its free, but is it? and does that make it a good service? Because it’s this, what outsiders describe as rationing of the state. Theirs this govt department called “Nice” that has to decide what diseases it should treat and what it should not, due to its limited budget. This is hence, the rationing, choosing which diseases are more common and more necessary, where as for those who suffer from say rare diseases, then their unfairly on their own. An example being, those who want laser treatment for eyes, that’s decided by “Nice” as too expensive and thus you have to go into the private sector. So this whole talk of the NHS being completely free, isn’t entirely accurate. Plus due to the rationing, there’s not enough doctors, in other words, want to book an appointment, well expect say a 6 month waiting list on that. Plus, the British NHS is free, because its paid for by the govt, but the govt makes its money through taxes, so your paying for it anyway.
The American system, is described as kind of like driving, if you have insurance, if you get hurt then you’ll be treated (this is not free, you have to pay for insurance) But if you don’t want to pay insurance, then don’t, but if you get hurt then you’ll be expected to flip the bill, which could be extremely expensive depending on the injury. However, this Health Care system treats all diseases and does not discriminate people on the basis of how common and how serious their diseases are.
I’m pretty sure the above info is right, correct me if I’m wrong?
So which is better? I’m British, but after my experiences of Britain’s NHS, I tend to be leaning towards the American version. Your thoughts and views?
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Posted: October 18th, 2009 at 1:00 am |
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October 18th, 2009 at 1:01 am
I think both systems have their problems and having studied the issue I have discovered that Singapore has the ‘perfect’ system:
"The typical Singaporean lives to eighty, and the cost of the system (both public and private) is a thousand dollars per person - less than the cost of the bureaucracy alone in the US. Each year, the typical Singaporean pays about $700 privately (the average American pays $2500 privately) and the government spends $300 per person (five tuimes less than the British government and seven times less than the American government)."
Basically every Singaporean is made to pay this money (on average the combined total is $1000 a year) into a special savings account - achieved by ‘rebating’ each individual that much of their income tax. People must then use this pot of money to pay for their own treatment and if they die without using it it is transfered to their family’s medical savings account. So everyone has one of these savings accounts but the government contributes in the case of the poor and critically ill.
There is also a safety net - catastrophe insurance which patients may claim from for a particularly expensive treatment, but this insurance is fairly cheap.
It may sound a little complicated but this system really gives the best of both the US and UK approach with the added benefit of being the cheapest. Patients feel in control of their own healthcare expenditure so they get the benefit of being treated like private healthcare ‘customers’ as in the US, and at the same time those who are in real need are also catered for as in the UK.
Everyone wins, and as a bonus unlike with private medical insurance, if you don’t claim the money in you saving pot is not lost as it can be passed on to your children.
October 18th, 2009 at 1:01 am
America if you’re rich, Britain if you’re poor. Next question
October 18th, 2009 at 1:01 am
american is the answer[if u are rich]
britan’s nhs i say [if u are poor]
October 18th, 2009 at 1:01 am
Having worked in both, both have their issues, The US doesn’t really have a health care ’system’ per se; except for certain people (veterans/very poor people). The health care is financially administered by insurance companies. Money is sometimes more of a concern than patient care.
The UK NHS is in complete need of an overhaul, the goal post has moved, patient care is being compromised by meeting target numbers, is poorly managed and because of this mismanagement of resources, money is wasted. In some areas in the UK, we simply don’t have enough resources per population (the maternity fiasco at present springs to mind) but with that said, it is on the whole equal and everyone is entitled to health care.
The best health care service are what the Scandinavian countries have, for many reasons, they tend to operate better and be more efficient
It’s easy to look at the NHS and think of abdominal (unacceptable) patient waiting times, MRSA/C Diff etc, but don’t be fooled into thinking everything in the US if perfect, everything is too money orientated there. There will always be an issue wherever Doctors put money before patients. in conclusion, I’d chose the UK NHS everytime.
October 18th, 2009 at 1:01 am
The NHS is much better than the American lack of health service. In the UK everyone gets treatment whether they can or cannot afford it.The laser treatment is affordable to 95% of the population in the UK.
October 18th, 2009 at 1:01 am
The NHS is pathetic and badly run by people who have no idea what it is actually like to be on the front line; a bit like the army and our schooling system.
We have long waiting lists, MRSA in our wards.
I would expect that the american health care system is probably better than ours.
October 18th, 2009 at 1:01 am
I’ve never met anyone daft enough to think the NHS is free by any means, but if it does anything right, it’s organised to benefit you equally whatever your current bank balance is. It’s a system meant to keep you alive and relatively content, not give you laser surgery at the tax payers expense when glasses or contacts would work just as well.
Going private doesn’t often mean you’ll be covered for rare diseases either, think of all the stories of families having to travel to find the one doctor in some far off land to treat the latest strain of Ladygardenitis.
Which system provides the best value for money is, as you say, much like having insurance on a car. Crash it often, and it works in your favour (somewhat), but you could pay your dues every month and never have an accident.
October 18th, 2009 at 1:01 am
I would think to be able to truly answer the question you would have had to either work in both health systems or have been treated in both health sytems or indeed both. Without doubt when people go for a job in the States…the pay is NOT the first thing they look at, its the health benefits. Why? well that’s due to the cost of any treatment. Mind you the hospitals are very up to date, and many GPs have certain facilities in their own offices. On a differeent note—we pay here in the UK as many have said..its no free lunch. How could we lower the tax burden or indeed the burden on hospitals? Well one way might be that once a woman has given birth to say two healthy children, if they want more then pay for it. There are other small ways, at little cost to the individual that could still let you feel that its free.
October 18th, 2009 at 1:01 am
However, this Health Care system treats all diseases and does not discriminate people on the basis of how common and how serious their diseases are.
Oh trust me, the insurance companies DO discriminate people and will not treat all diseases no matter how long you’ve been paying. They look for every way possible to get out of paying for anything. Don’t know much about the NHS.
October 18th, 2009 at 1:01 am
I think the world has a lot to do to improve its health system, its our most valuable resource.
Wow so in america u either have to pay health insurance or foot the bill? What about familys who cant afford it? I also come across a lot of people in womens health who have to wait ages for appointments- so although iam sure america has fantastic doctors ect i dont like it for that.
Living in ireland i know a lot of medical expenses are paid for but there is also a lot of claims on the newspaper saying cancer patients get treated by where they live big no no!!
I guess one of the reasons i prefrer the irish systm may be bias i live here its what iv grow up with iam used to it.
We have to pay but its not hugly expensive, we can get insurance which means we can afford the best clinics people on low income can get medical or drug cards to pay for their medical expenses.
Though there is a shortage of beds and cancer units which needs to be improved.
Id be interested to know what the austraillian health service is like i heard pap smears are free there?
October 18th, 2009 at 1:01 am
Well according to the Mirror they are a racist organisation.
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