I reviewed the video “Sick Around the World” and I was very impressed by the Health Systems that the five countries that were visited have in effect. I was left with the question why can’t the USA figure out a system like one of theirs. With Obama’s new reform put in place I think the US is definitely heading in the right direction, but it is going to take some time to get it on track and work the kinks out. The five countries that the reporter T.R. Reid visited were; Great Britain, Japan, Germany, Taiwan, and Switzerland. These countries have implemented what I think are great programs, but they are not perfect and have their down falls. But in my opinion the positive out weight the negative. The biggest positives I found to be in these countries were that everyone has health coverage and cannot be denied coverage, no citizens in these countries have ever file for bankruptcy due to medical bills, and there is a longer life expectancy and lower child mortality of a result of these countries health systems. It was a real surprise to me to hear that no bankruptcy is ever filed. Here in the US it is common for people to file for bankruptcy due to medical bills. In Switzerland Reid interviewed the President and asked if anyone has ever filed bankruptcy due to medical bills and he said if they did it would be a scandal. Here in the US it is not a scandal it is a norm.
Some of the negative I saw in these countries health plans was waiting list to see a provider, hospital deficits, gatekeepers and disgruntled medical providers. In Great Britain they have waiting list to see a provider which can delay your medical treatments. As stated in the video though Great Britain has cut their waiting time and it is not as long as before. In Japan one of the worries is that the hospitals are in a deficit because of the low cost of treatment. I was shocked to hear the cost of a shared hospital room was $10 and $90 for a private room a night. One of the doctors interviewed in Great Britain said he experienced the US health system first hand when vacationing in Las Vegas. He had a heart attack and was in the hospital for eight days and was handed a $67,000 bill. In some of these health systems you have to go through a gate keeper before you see a specialist. I see the good and bad in this because I know it can save money, but having to wait to be referred especially when your sick would be frustrating to me. Another negative and the one negative that I thought was very interesting were medical providers not feeling as they are getting paid enough for their services. In Germany one of the doctors flat out said he does not think he is paying paid enough and he cannot raise his prices since they are negotiated by the government. He said he makes half of what a US doctor makes.
The one system that impressed me the most was Taiwan’s Health System. Taiwan looked at other countries systems, picked and chose their plan basing it on the failures and success of the other countries plans. Everyone is forced to join and pay for health coverage and they do not let the rich opt out as in some other countries. There is no waiting list and no gate keeper to refer you from one provider to another and clinics are opened on the weekends. They also issue out smart cards to each citizen that keeps their health history, monitors coverage usage, and is used for billing. The smart card is used basically like a credit card, the doctor takes it and uploads your information to view your history and then automatically bills the government for your visit and the bill gets paid instantly. The smart is also used to monitor your coverage usage and if used more than 20 times a month you have a visit from the government, which I found a little disturbing, but I guess it stops abuse.
I think the US is heading in the right direction with the reform that will take place soon. We have a long way to go, but if done correctly we could be like one of these countries where all citizens have coverage that they can afford, no more bankruptcies, and a longer life expectancy.