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1/27/2016 3:58:46 AM
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work visa is very different than becoming a citizen. But getting back on point, If your an Australian tell me how you like your health care system because Ive never heard anyone say it sucks like ours does in USA
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  • Our public health system is what I'd expect of any developed nation - everybody is covered, there is no discrimination whatsoever in terms of coverage. It is paid for via general taxes rather than individuals deciding on a cover limit and paying their own premium. Cover extends to essentially anything and everything that is medically approved (extremely expensive cancer trial drugs in their early stages may not always be covered as one example). Non-essential procedures/surgeries are prioritised as best they can be, but there is often a waiting list (e.g. knee replacements) which can be up to a few years. We also have a heavily regulated private system which supplements the public system - patients are generally able to circumvent waiting lists for non-essential procedures, and choose their treatment specialists etc. The current system is certainly not sustainable however - medical cost inflation is and has been much greater than general inflation for a long time - drivers include constantly improving technology/drugs, increased utilisation of the system where it isn't necessary (e.g. patients being prescribed particular drugs where it isn't necessary, or undertaking surgeries that they don't really need - one large problem here is that our medical specialists are paid by hospitals for services carried out rather than a salary - thus they have an incentive to push their patients towards surgeries etc even when not needed), and our imrpoved ability to keep a terminally ill person alive for extended periods of time. Statistically, most people will cost the system more in their last year of life than they will throughout the rest of their years combined. At some point, if the system is to last, there will need to be some line drawn in the sand about prolonging the life of a terminally ill patient at the expense of the Government - but that's a highly emotional and difficult conversation. Our political climate when it comes to health costs has been to stick our heads in the sand and pretend everything is ok - the next few Governments won't have to personally deal with the issue directly, so they don't bother making it a priority.

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  • Thank you for that answer. Let me give you a first hand example of USA broken system. You get insurance here through your employer. You get cancer and can no longer work but you somehow have to still make the payments to the insurance company to maintain coverage at a time when your fighting to survive chemo and multiple surgeries. And if your lucky enough to work in an "at will" state your employer can fire you at any time for any reason.

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  • I've seen this happen. It's not a pretty picture.

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  • Edited by cnote3349: 1/27/2016 4:02:43 AM
    Im pretty sure Australia spends less and gets better care than we do and everyone has basic coverage. Total health expenditure per capita in US dollars United States 8713 Australia 3866 Germany 5002

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  • Yes the US has some of the highest costs per capita for health services in the world. That's partly due to the factors I mentioned above (generally the more developed the nation, the further these will have progressed) and partly due to medical professionals in the US having obscene salaries (something that unfortunately has become a cultural norm).

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