Which country are you in and what’s a typical doctor visit like? How much? Wait time? Etc
East europe: Just use government level 2fa to sign into a health portal and send a message about your problem. It usually is answered within a few hous and you either get prescription or a checkup in a few days. If a specialist doctor is needed, wait times can be up to a year, unless you go the evil hypercapitalist route and pay them the price of happy meal to get a visit at a private clinic. All procedures are free or practically free. ER now costs like a tenner cause idiots would not fucking stop wasting their time with things like “oh I have a tick” and “oh my kid sneezed once”
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)
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!
Honestly depends.
If it’s life or death urgent, an ambulance arrives, takes you away and with any luck, fix you right up. Visitors will likely have to pay to park at the hospital, and that will be your biggest expense. When my dad had a cardiac arrest, it was during covid, so the parking was free. The biggest expense was cleaning his blood off the carpets and putting their cat in the cattery for a week.
If it’s something non-urgent, and the cause isn’t immediately found by a doctor, then you might go on a waiting list and be seen in a few months maybe. And even then it might not get sorted. It’s not like House.
The most annoying bit is the 8am phone roulette to try and get an appointment.
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
Canada, I make an appointment with my family doctor, usually within a week, free. Specialists are more annoying because our right wing provincial government keeps chipping away at public healthcare and justifying it with its own results, but generally goes pretty quick too.
France, not a big city. If I’m sick. I call the doctor office, in another city because all doctors here have no places. I may book an appointment in two or three weeks. If I really need a doctor, I can book an appointment to “sos doctor”, that I will pay for a part (and part healthcare), or go to a non-vital emergency doctor at night, which is expensive (for a doctor in France) but reimbursed by healthcare. I can have access to this because I’m still in/near a city.
The waiting time in a doctor office can be long, depending if they take time for their patients or not. I’m ok with that. If I have an appointment to my usual doctor, I don’t pay or I only pay a little part which will be reimbursed minus 1€ (50/year max). There are doctors with exceding fees, like “sos doctor”, those feeds are out of my pocket. Most of the time, we have healthcare AND private insurance, but there is a health insurance for poor people.
For medecine, most of the times we don’t pay anything but there are fees, 1€/medecine box (50/year max, but not the same as the 50 for doctors).
Germany:
I call the office
I schedule a time (and maybe a date if it’s not urgent)
I go there
I get my treatment (advice), a prescription and if needed when to reschedule
I go to the apothecary and redeem my medication (usually without extra charges. But some arent subsidized 100% and you need to pay the remaining)
I get better again
I start workingSweden.
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.
i just go 😊
Germany,rural area.
I call my GP. It might take a few tries to get through. Tell the receptionist what I’ve got, she is more or less trying to triage me. When it’s urgent enough and I am calling early enough I can usually get there on the same day but have to wait longer at the office,if it’s less serious it’s mostly one or two days,but with less waiting time at the office. To check in you hand them your insurance card. Medication is prescribed electronically, so you just hand the card (or do it online) at the pharmacy. The GP visit is free, medication has a small, limited copay. You get fully paid for 6 weeks of sickness per diagnosis by your employer, reduced pay for up to 2 years by the health insurance.
If it’s an illness requiring a specialist I can also try to book an appointment for that directly - but while that works well in larger cities it is totally impossible here, you simply won’t get an appointment, not even in a year. The same happens when your GP refers you to a specialist,but there are mechanisms to give you a more urgent appointment - which works sometimes,sometimes they don’t.
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.
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.
I think your definition of “urgent” might be off if you think that it can wait a week or so.
“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.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.
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…
Dude shut up this comment was so unnecessary
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
Germany: If I’m sick and want an appointment asap I just go. They tell you to call in advance but if you do they give you an appointment for another day and if you just rock up they tell you to sit down and wait for the doc. Which can take anywhere between 5 minutes and 5 hours, at least that’s about the range I’ve experienced. Oh and not sure if that’s only a thing here but it’s common to awkwardly greet the other patients when you get into the waiting area.
Seeing the doc would be similar to the US I guess, except there’s no need to discuss money. Doctors shake hands here, maybe that’s different from you but Idk. After the appointment you check in with the front desk again to fetch any prescriptions (although those are mostly digital since last year) and notes you may need for work. That’s also the time to book a follow up appointment if you need one.
Cost depends on what you got. Getting extensive bloodwork or some less “necessary” exams for example aren’t covered by insurance. There’s a flat 5€ fee for prescription meds and 10€ per day in a clinic. If you don’t have enough money you can let the insurance company know and they’ll cover some of those fees too.
Also Germany: I live rural. Most times I’ve gone I see the doctor itv takes than 30 minutes, but it depends on who else is there obviously. First come first served.
Interesting that they ask you to call in advance. I’ve never had that. We can, if we want an after midday appointment for something specific.
Yes, the awkward “Moin”. Definitely!
There used to be a 15 euro per quarter charge when using the local doctor. They scrapped that a few years ago.
All the blood work I’ve had has been free. But I’m not sure what you meant by extensive. I take a lot of anti biotics, so they check my liver numbers occasionally.
But yeah, generally a similar experience to you.
Yeah, I’ll pass sitting in a small room with more sick people.
Don’t you think if this was an issue we’d have addressed it by now? 😅
Call ahead and schedule an appointment saying you are sick and need the AU for the employer?
There’s a flat 5€ fee for prescription meds and 10€ per day in a clinic
Jesus… As an American, we already pay $1,200 a month for the privilege of paying $50+ just to walk into the doctors office. Forget prescriptions or testing…
We do also get money taken directly out of our pay check for health insurance. So it isn’t just the 5 euro fee. But I think it manages to be considerably less, since everyone is required to have insurance. I think that brings down the cost for everyone.
Yes, average healthcare costs per year in the US was $ 13,432 per capita and in Germany was $ 8,441 per capita in 2023 (PPP adjusted). Germany is the third most expensive comparable country, second most expensive was Switzerland with $ 9,688.
UK national healthcare btw. was $ 6,023, so less than half of US costs.
compared to the average healthcare costs in all US-comparable countries of $ 7,393, the US manages to spend nearly double.
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.
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