Today I got my first glimpse of privatised medicine. Somebodyhan't been well for a week or so,running fevers and with various aches and pains so he was finally pushed into a visit to the doctor, for an antibiotic script.
It was interesting to see the difference between our various health care systems so I thought I'd compare and contrast it to our Australian one. His employer pays a huge sum of money each month for his health care (around $800 a month, I believe) but this covers family as well, which unfortunately isn't me. He is what is known as a 'co-payer', which means that every doctor visit or prescription purchase or medical test has a certain amount that he must pay at the time. For his doctor visit it was $15 (total cost probably up there in the low hundreds), for the prescription it was $10, otherwise around $90.
He made an appointment yesterday morning, with his doctor of choice, and got one for 11.15 the same morning. I don't know how it is all over the rest of Australia but where I come from you called to get an appointment to be even put on the waiting list for any spare slots, with any doctor at all for that day.
I have developed a medical phobia over the last year or so, due to little things like misdiagnosis, accusations of drug seeking and being locked up 'for my own good' so I'm not too keen on anything medically oriented. I have developed the nasty habit of panic attacks in medical situations so I wasn't keen on going but equally, I wasn't going to let him go by himself because he was so unwell.
It was totally different to what I was expecting. The building itself looked nothing like a medical centre. We walked in and the first thing you saw was a great big coffee shop and the air was full of the scents of fresh brewed coffee and muffins. The actual waiting room had very few people in it and they they didn't look sick at all. There was a kid's play area but no children at all. Flowers, hardwood floor, soft carpet, high brow magazines..... very like a specialist office rather than a GP's suite.
$15 up front to the receptionist (by the way, all staff were dressed extremely casually, fleecy tops and jeans type of casual, no makeup etc. In the States they seem to be lot less dressier for work than Australians in the equivalent jobs would be), asked to take a seat, and then 2 minutes later we were called. According to the somebody, this time frame is usual.
We were taken to a tiny examining room where there was one half sized examining couch, and two chairs, a total space of around 4 metres square. A nurse took a blood temperature, pressure and symptomatic history. She then left and the doctor came in, around 3 minutes later.
This guy was the somebody's doctor of choice, a middle aged man inhis fifties. He immediately endeared himself to me by shaking my hand and introducing himself as he came in. He asked the somebody his opinion of his illness and was appreciative of some of the history I gave him about the illness and any treatment I had undertaken. He positively welcomed the proactive approach, something which hasn't happened very often in my own experience.
Then a prescription for antibiotics and a medical certificate for time off work.
This was a great medical experience for me, so different to anything in Australia, and totally makes me see why the issues of employer funded health benefits as part of an employment package are such a big deal here. I can't actually afford to get to a doctor myself, though. I do have comprehensive travel insurance that will cover the costs but I have to pay up front and then reclaim and we just don't have enough money.
So my little infection is still cooking and I'm hoping that Mother Nature can get her act into gear at some stage soon. Low grade fevers really suck and they give me such nasty dreams. The highlight of those nightmares is the one that involved me being chased around our kitchen counter by a beaver! It was a scary beaver, with a large thwappy tail, and very big front teeth; all gnashing and grinding and snapping and thwapping at me. Bizarre.