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Least bad private Health System ?!?

(60 Posts)
jura2 Sat 01-Jun-19 17:10:28

So hope we will soon have a Government who strongly believes in proper funding for the amazing and wonderful NHS. But would be interested in hearing about different insurance systems from around the world. We all know the USA is a total disaster.

Perhaps the Swiss system is the 'least bad'. Everyone has to have Health and Accident insurance, and there is a whole array of different insurance companies offering different packages. They all have different 'franchises' on offer- that means the minimum sum one has to pay before the insurance kicks in. If you are young and healthy, you can choose a high 'threshhold franchise' and if you have health conditions, a low one. Insurances have to take you on for basic insurance, whatever your health or pre-existing condition. And then they all offer a variety of 'top ups' for extra on top, choice of consultant or Hospital, private room, massage, etc. Problem being that if you want those extras, you have to declare all your medical conditions - and anyone older than 40- and certainly 60- is turned down, especially if they have had illness or accidents, etc, in the past. Our case, for instance.

OH has to have minor op in 2 weeks- 20 minutes, 2 days in hospital - the forecast bill 'CHF8000.-- so about £5000. As he was referred by the local hospital to specialist in different County- it won't be covered. Can you imagine the stress if you haven't got any savings???

Callistemon Mon 03-Jun-19 19:06:20

So far so good too, paddyann, although sometimes the waiting lists in Wales are far longer than those in England (or probably Scotland) for non-urgent operations. Hence we have used our 'back-up' insurance a couple of times.
And I have heard that the care on the wards in our local hospital can leave a lot to be desired, although that has not been my experience, only anecdotal from friends.

jura2 Mon 03-Jun-19 19:06:05

The Regulations have actually changed- State UK retirees with NO income from the country where they live, do have the right to access NHS in UK- this was not previously the case, can't remember exactly when that changed. Having a property in the UK makes no difference, it depends on where you are 'ordinarily resident'. 1000s of British retirees cheated in the past, giving relatives' addresses, etc. But OH would NEVER brake the Law or take advantage.

We had relatives over from the USA, and after we picked them up from the airport to take them to the Cotswolds- we stopped for coffee. she totally forgot our car is very high up and fell forward, scraping all the skin from her shin from ankle to knee. OH put skin back as well as poss and we called 999- ambulance took her to Bedford Hospital A&E. On departure, she insisted that she had Gold Star holiday insurance cover, and wanted to leave details so NHS could claim back. She was just waved away with a smile. Not the fault of the 'foreigner'- she was shocked and quite annoyed as the cover had cost her a lot of money (both in 70s and with pre-existing).

Urmstongran Mon 03-Jun-19 19:00:59

(sorry, pressed post message too soon)

.... non-urgent minor op as a ‘temporary resident’ quite legally with the relevant paperwork.

A choice they could make.

But they have decided to choose to pay €5,000 in Switzerland on their health insurance instead.

Urmstongran Mon 03-Jun-19 18:56:58

Dinahmo your comment:
“You are not entitled to have treatment in the UK unless you pay for it.”

Quite right.
I agree that’s how it should be.

But the reality?
Not so clear cut.

At the hospital I worked the A&E would treat (of course) anybody who walked through the doors.

Not everyone provided insurance details (if a visitor).
And not everyone who was resident (some off grid) could provide an NHS number.

Result?
A department within the hospital chasing up payments for treatments from other countries.

As you can well imagine, not all (or even many) claims were successful. Deficit to the NHS then.
?

Regards jura2 I was merely suggesting that with her property here in the U.K. and an extended holiday time to accommodate treatment, her husband could access a non-

Urmstongran Mon 03-Jun-19 18:47:47

Fantastic endorsement of the NHS paddyann and with a bit of luck (and it’s looking that way) none of those medics will ‘have’ to leave unless they choose to.
?

paddyann Mon 03-Jun-19 18:41:53

ShockingAbbey I must say I and my family have recived exceptional treatment from NHS Scotland.From the smallest member of the family with her broken wrist to my OH 's heart attack,my mother and fathers care in old age and my own problems with menopause and gynae issues.I cant fault it .
Strange thing is a lot of the doctors in the hospital are from the EU,Greek,Dutch. German French and Indian..oh and the fabulous Egyptian doctor who I saw last week .The NHS will suffer if they all have to leave post Brexit.

Dinahmo Mon 03-Jun-19 17:56:58

Urmstongran - the rules about where you have an op if you are non resident are quite strict as regards those who live in the EU. Your country of residence is paid for your healthcare by the UK. That is as it should be for those of us who paid UK taxes and NIC. You are not entitled to have treatment in the UK unless you pay for it. We had a neighbour whose wife had cancer and because she didn't speak French she flew back to the UK for her treatment on a regular basis. The NHS discovered this and told her to chose. She was also told that they could prosecute her. she move back to the UK and she wasn't prosecuted. She died less than a year later. You can imagine the outcry if she had been prosecuted. She was also receiving treatment in France.

I have some friends who decided to become resident in the UK again. They have a house here and also in the UK. He needs a knee op. I asked how long that would take and the response was that they would have it done in France because it would be quicker. When told that they weren't supposed to do that they effected not to know and said that they'd still got their carte vitales. So, it's not just foreigners who misuse health systems.

Someone else mentioned private health insurance in the UK. That's all very well except that if you have a long term illness you will be thrown back on the NHS. Our neighbours in the UK had a son who developed lymphoma and this was dealt with by BUPA. He had regular checkups and was declared to be in remission. About a month after his latest checkup he felt something was wrong and went for a second one. The cancer had returned, with a vengeance and he had to go to an NHS hospital because the private healthcare would no longer cover him. Sadly he died within a couple of months of the diagnosis.

Abbey - your story is very sad but it isn't always like that. My brother in law, who had Parkinsons went into a private nursing home. My sister in law had to negotiate with the DHS for the costs to be paid by them and they would take a charge on their house which would be recouped when she dies. Sadly my b in law only lived for a couple of weeks after going into the home.

GabriellaG54 Mon 03-Jun-19 14:23:41

Having watched the recent programme on the NHS my conclusions are that we should all either:
1) Pay for private health care/ insurance separately from that which we pay through NI and IT or
2) Pay more NI part of which could be NHS ring-fenced.
It's a drain on the economy when people who will, through illness and/ or disability, never contribute to the economy yet often require massive amounts of funding just to exist.
Eg: One person needed £1300 per week which the LA couldn't afford and had to make cuts to childrens services and libraries in order to meet that need.
Of course, quantative easing is still in place but buying bonds and using interest to print yet more money has not solved the problem. The divide between haves and have nots is widening and our economy remains on life support.

jura2 Mon 03-Jun-19 14:04:05

However, could you point out a time when we had too many doctors and nurses. When???

jura2 Mon 03-Jun-19 14:03:11

.. and now they are emigrating for different reasons altogether.

Callistemon Mon 03-Jun-19 13:53:34

Redtop1 I know, having spent a lot of time there myself.
Every other doctor or nurse and midwife we came across seemed to be British.
I know that the system changed here years ago and, when the doctors qualified, there were no places for them so many emigrated then.

jura2 Mon 03-Jun-19 13:21:22

Again- sorry if you got confused Callistemon- I think the NHS is by far the best system in the world.

But ... interesting to compare with other systems that work differently.

Redtop1 Mon 03-Jun-19 12:58:43

Callistemon I am back living in the UK now, moved back August 2017. It was amazingly sad the amount of UK trained doctors and nurses we had in Australia (I know this was due to issues within the NHS). Things have changed recently with regards to migration and there is now only a specialist skill requirement as home breed doctors and nurses were unable to get jobs after their training.

All 4 GP’s I had were from the UK, the last one had only been out there for 9 months and she said she would rather be back in the UK but the salary and family benefits/time were so much better in Australia.

Callistemon Mon 03-Jun-19 12:38:59

Well, forgive me if I became rather confused, jura, as I thought you were asking for suggestions about the future of the NHS in the UK and wondering which health systems around the world work well. I assumed that you were including the NHS amongst the comparison of worldwide systems, saying that: Perhaps the Swiss system is the 'least bad' therefore a model for the way forward here.

What about the German system? That appears to work well? There was a BBC programme about it a while ago:
www.bbc.co.uk/news/health-38899811

jura2 Mon 03-Jun-19 12:30:30

'Then again, if some people get their hips, knees etc done under a private health insurance, that should ease the pressure on the NHS.'

actually it does NOT- when you have a shortage of doctors, surgeons, nurses, beds, etc, etc.

jura2 Mon 03-Jun-19 12:29:15

NO Callistemon, I do not want a private system at all for the UK- but a properly funded and supported NHS. 100%.
Thought it was clear in my OP.

I am asking about different systems around the world which could be used as good models ... as it is clear many Conservatives and certainly Farage- working for Trump Ltd- have every intention of privatising the NHS. That was also confirmed by the USA Ambassador on the Marr show yesterday- a Trade Deal with the USA will include the NHS.

Callistemon Mon 03-Jun-19 12:21:08

sorry, first part of post was to trisher!

Callistemon Mon 03-Jun-19 12:20:45

Then again, if some people get their hips, knees etc done under a private health insurance, that should ease the pressure on the NHS.
The father of Carwyn Jones, former Labour Welsh First Minister, had his hip operation done privately, I believe, because the waiting times in the Welsh NHS were far worse than those in England. Carwyn was very much against any privatisation of the NHS - but this was apparently 'more convenient'.

You're quicker on the uptake Urmstongran wink

Urmstongran Mon 03-Jun-19 12:13:43

So .... “It's just another thread damning leave voters.”

I sussed it too a while back.
?

trisher Mon 03-Jun-19 11:52:06

The NHS picks up all the people who need more expensive treatment than their private health insurer is willing to pay for. So as you get older unless you have. 100% gold plated insurance you are going to finish up fein treated in an NHS facility. It only takes a couple of hip replacements in most cases.

Callistemon Mon 03-Jun-19 11:41:54

Perhaps the Swiss system is the 'least bad'.

So you believe in the part privatisation of the healthcare system in this country; that the NHS should work in conjunction with private insurers and providers?

A lot of people may disagree with you, but it might seem to be a practical solution to an over-burdened system.

Callistemon Mon 03-Jun-19 11:39:29

ps I hope his procedure goes well and successfully.

Callistemon Mon 03-Jun-19 11:38:58

So the OP is really nothing to do with enquiring about good or bad health systems around the world then?
Or a chat about your DH and his forthcoming procedure, where some posters tried to help you jura.

It's just another thread damning leave voters.
(of which I am not one but believe everyone is entitled to an opinion.)

Callistemon Mon 03-Jun-19 11:34:53

It could be the same system that we pay into, Blinko, its scope is rather limited but it does speed up the process when NHS waiting lists are long for certain procedures.

Blinko Mon 03-Jun-19 11:03:15

My OH and I are in a system which acts as a back up, should the NHS process take rather longer than one might expect. So when I needed my gall bladder removed a couple of years ago, and the NHS had a waiting list, unable to give me a timeframe, we were able to get the job done within a couple of weeks.

So far, between us, we've had MRI scans, cataracts removed, and various other procedures all for a monthly payment of £10.25 each.

Few people seem to have come across it, or if they have, they may not be fully aware how it works.

For us, so far so good!