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Question of the Day | 09/16/2009 5:00 am

Have you ever gotten sick and then experienced health care in another country?

© Shutterstock
Joan Juliet Buck

Joan Juliet Buck | 09/16/2009 12:00 am

Joan Juliet Buck on Italy's Health Care

Sure. It works. Except in Italy where they use words like cistifellea and throw nuns at you.

Joan Ganz Cooney

Joan Ganz Cooney | 09/16/2009 12:00 am

Joan Ganz Cooney: Shingles in Florence

I got sick a number of years ago in Florence and the hotel sent a doctor. Since I had had previous experience in other countries, I told my husband that he would immediately want to give me an injection (always unnamed in non-English speaking countries) and that I was going to refuse, which I did. He gave me something to stop my violently revolting stomach but he had no way of telling what was causing the nausea. Fortunately, we headed for Milan the next day and then came home — where I was diagnosed with a bad case of shingles and stayed in bed for a couple of weeks. I don’t think the doctor could have done any better because the rash didn’t start until a few days later.
Julia Reed

Julia Reed | 09/16/2009 12:00 am

Julia Reed Recommends This Hangover Cure – Sold in London

I have never been sick in another country, but I always stock up on the best over-the-counter headache medicines when I’m in Spain, and D.R. Harris’s "Pick-Me-Up" (excellent for hangovers) when I’m in London.

As for foreign doctors, the only experience I’ve ever had with one was on a ship. When we were in college, my first cousin Frances and I took my grandfather on a cruise through the Caribbean (for reasons I now cannot fathom — I imagine so that he would pay for it).

DeeDee (the name we called him) had been an officer in the Navy during World War II and I think the last cruise ship he’d been on was the Andria Doria. So he was used to being in white tie at the captain’s table and there we were on a giant Cunard that was like a slightly nicer floating Holiday Inn and sharing a table with some really, really nice (and very patient) people from Waco, TX.

DeeDee was a pretty good sport until we got off one morning in Venezuela, and an unsuspecting waiter told DeeDee he was not allowed to serve him a martini until noon. For a scary moment I thought he might literally break the poor man’s neck. He started off every day with martinis anyway, but on this particular occasion he was also self-medicating — he had bursitis in his shoulder and it was driving him crazy, but he refused to see the ship’s doctor. "He wouldn’t be a doctor on a ship if he weren’t a bum" — bum being the worst epithet in his lexicon, worse even than "s.o.b." The bum seemed pretty okay to us — he was tanned and English and so good-looking that Frances and I shamelessly flirted with him every night in the bar.

Anyway, the shoulder got so bad that we finally forced DeeDee into the doctor’s office. The guy gave him a shot of cortisone, the shoulder instantly felt better and the bum was elevated to: "You know, I think that ship’s doctor is one of the finest physicians I’ve ever encountered — and don’t you find him remarkably attractive?"

86 Reader Comments (so far…) Sign In or Register to comment

B Clark
Interesting question.  If you got sick while abroad, how were you treated?  Or, if you got sick, would you travel abroad for treatment?  Medical tourism has been a big business for years.  While there are people who come to the USA for some procedures, a great many Americans go to other countries for treatments they can not afford here no matter whether they are insured or not.  Global competition is something US insurance companies do not want to think about - it totally upsets their pricing structures.  If medical care becomes outsourced and/or off-shored, who needs medical insurance when you can find what you need for an affordable price.
By B Clark on 09/16/2009 7:33 am
B Clark

In 2008, it is estimated that approximately 1.3 million Americans traveled abroad to seek healthcare and this figure is expected to double by 2010.

Most U.S. citizens traveling abroad for medical services usually choose the following categories of medical tourism procedures:
  • dental
  • cosmetic
  • orthopedic
  • cardiovascular

http://www.health-tourism.com/medical-tourism/statistics/

By B Clark on 09/16/2009 8:50 am
Patrice Baldwin

B Clark, I’m staying close to our southern border. When I lived for ten years in Mexico, I found the doctors, dentists and hairdressers to be of the highest quality. I lived in San Miguel de Allende, a smallish town in the center of Mexico, where  the local small hospital was competent, and we could go to Mexico City or San Luis Potoci and receive excellent care.

Then there was the (very funny story, now) about having a hemmeroidectomy in the small clinic there…. but that’s another subject altogether. Some other time, folks.

By Patrice Baldwin on 09/16/2009 4:31 pm
michele T
Was pregnant in Germany while my husband and I lived there  for 3 years with the army.  I had some sonograms done.  Needless to say I had a family er and came back to the US   at 7 months.  The sonograms were so out of date my doc. was shocked and had to re-do everything.  It could have been the location of the place in Germany, but I was happy the I had my baby in the states after finding out everything that was wrong.  I was given pills in Germany to take to stop some pre-labor pains that my ob-gyn said could have actually caused major damage.  I always see on TV when major medical problems arise they seem to send people to this country!  The cost is a issue yes, and needs to be fixed, that is a given!
By michele T on 09/16/2009 7:41 am
Debra Cloud

I was in Germany, but could not afford health insurance.  My "huge mistake" was being an entrepeneur.  Once you are an entrepeneur, you are no longer entitled to participate in the government program.  I had health insurance until 2001, when, as a result of 9/11, the computer programming industry bottomed out.  Although I was a permanent resident, I could not get the so-called "health insurance for all".  As a result, my endometriosis worsened. 

That’s why people must be careful of the European health care systems.  For emergencies in Germany, you might be ok, because you will get treatment, but then, later, you will have to pay for it.  And maybe go broke doing so.  For non-emergencies, if you have health insurance, you get only limited coverage, unless you pay high fees.

By Debra Cloud on 09/16/2009 7:50 am
phyllis Doyle Pepe
Sorry to hear you, Debra, and the above poster had negative experiences in Germany. One of my sons and family live there. My daughter-in-law’s brother and father are both doctors and from what I understand it is an excellent system. Mention European health care to an American, and it probably conjures up a negative stereotype — high taxes, long waiting lines, rationed care.

It’s not that way in Germany. Very little tax money goes into the system. The lion’s share comes, as in America, from premiums paid by workers and employers to insurance companies.

German health benefits are very generous. And there’s usually little or no wait to get elective surgery or diagnostic tests, such as MRIs. It’s one of the world’s best health care systems, visible in little ways that most Germans take for granted.

P.S. didn’t Farah go there for her treatments? 

By phyllis Doyle Pepe on 09/16/2009 8:33 am
michele T

I lived there for 3 years, I didn’t read where you have.   I know what my doc. here said!  P.S  My son would have died, maybe farrah is not the best person you should have chosen to use she went there for treatment yes, but…. I have no reason to slam the German docs, I said maybe  it was the LOCATION in Germany!  I am a proud American, and I love my country for all the wrong and right.  No country is perfect!  

 

 

By michele T on 09/16/2009 9:06 am
R.J.B. Reed
My cousin is living in Germany with his wife and newborn daughter, and he says that the medical care they’ve received is phenomonal compared to what was available to him here in the States.
By R.J.B. Reed on 09/16/2009 11:57 am
SURA B

I have family in Great Britain, and my brother-in-law who suffered from ulcers and other medical problems was often ill and treated by their health service, and though he had to wait for the appropriate surgery, his treatment and hospitalization, fully paid for, and post-surgery care were impressive, and surpassed what we  have receive here.

An American friend visiting Ireland fractured her leg told me that the immediate care and followup surprised her. No questions asked, they took care of the emergency. 

 My 2 nephews were born in London, and the delivery, hospitalization, followup care lasted 3 weeks with home visits to aid their mother.

Today, I’m purchasing T.R.Reid’s new book, "The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care." I’ve heard him speak of his experiences in 10 different countries, and how the US measures up in health care. 

It’s worth thinking about. We certainly don’t have the level of health care most industriialized countries have, and our infant mortality rate is high. And, in most cases, abroad everyone  is covered. Health care in the US varies considerably because of income, location, coverage, and other factors. And Part D in Medicare for drugs is a scandal, for we pay 3 times more  for drugs than under other plans. If you’re wealthy, you’re fine here, but if you are poor or middle class, watch out! Spending 1 day in the hospital after giving birth or after a mastectomy is not rational or recommended.

False pride about our country does not improve health care; it promotes indifference and poor care. Whatever your political inclinations are, do promote health care change in our country. I’ve had many emergencies at our local hospital, as well as elsewhere in the U.S., and were it not for Medicare, I’d be broke and disabled. And, if it weren’t for my doctor who is conservative about prescribing medications, I  would be doped up and treated with too many antibiotics, statins, painkillers which U.S. medical practitioners resort to as soon as they hear you cough! Isn’t it time for us to adopt universal care, and also focus on preventive care?  

 

 

By SURA B on 09/16/2009 7:51 am
Rita@ Goldivas
"False pride about our country does not improve health care; it promotes indifference and poor care." Sura, you are absolutely right. I hear so many opponents of healthcare reform insisting the the USA is FIRST in healthcare! Obviously, the numbers show otherwise. We need to look objectively at healthcare systems around the world, and then decide what would work for us. But in order for that to happen, one must first admit that we aren’t the BEST in everything and it is not unpatriotic to say so.
By Rita@ Goldivas on 09/16/2009 9:52 am
phyllis Doyle Pepe
Count me in on your assessment of Sura’s comment. Sometimes the word patriotic seems to mean just the opposite of its actual meaning which is loving your country, but trying at the the same time to make it the best it can be. That means able to criticize  and speak up when it falls short and it so often does, but then working like the dickens to make it better.
By phyllis Doyle Pepe on 09/16/2009 10:55 am
Debra Cloud
Michele T:  Spot on!  When I was in the USA, I had a diet of sweets and junk food, but I cleaned my teeth normally and never had a cavity.  When I moved to Germany, I started eating "healthier" German foods, like the hard German breads.  As a result of eating those horridly hard breads, I developed caries in one of my teeth.  The German dentist used "state of the art" ceramic filling machines… improperly!  i found out that the dentist drilled out extra space in my tooth to make room for the ceramic filling.  This, i later found out, is a no-no with the new electronic machines, which make the filling to exactly match the tooth.  Because the new filling didn’t fit, I lost even more tooth mass.
By Debra Cloud on 09/16/2009 7:56 am
phyllis Doyle Pepe
The plural of anecdote is not evidence.
By phyllis Doyle Pepe on 09/16/2009 10:46 am
Debra Cloud

Sorry that this is my third post, but it’s important!  The "problem" with health care in the U.S. is not the quality, nor "just" the cost, but that people cannot afford it.  Maybe we need to do something to improve our productivity - like better education at a younger age, less focus on college, more focus on teaching the population everything they need to know in high school, and leaving college for advancedd studies.  Then, the person enters the job market faster, gets a higher income, and can afford to pay for health care.

We should ignore the general European model of everything (except waste management and public transit, where we need to learn from Germany).  We need to learn from Finnland and Canada how to be more effective in education, and then… beat Finnland’s performance.  At that point, we are the most well-educated, and we are educated at the youngest age,and we can be more productive. And thereby easily afford health care.

By Debra Cloud on 09/16/2009 8:02 am
michele T
That was the point I was trying to make!  There is a problem with the cost, but..We are by no means "behind" as some of the other posts were trying to say!  People also need to think, we are how much bigger than Germany, and the rest!  We are a huge country!  I agree with your post 100%…
By michele T on 09/16/2009 9:14 am