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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

Sandy B
I think no matter what country you are in- we need to be informed consumers.  We are the ones who pay the price.  There are bad Drs everywhere.  Ask questions.  One thing I like about the pediatrician I have now- even though he is sooo busy- once you are in, he will act like you and your child are all that matter.  He answers all questions and makes sure you are comfortable before proceeding.
By Sandy B on 09/16/2009 10:11 am
S A

yes. On my honeymoon 7 years ago I developed a terrible bladder infection while in Florence Italy. The official treated me and it appeared that I was on the mend when we made our transition to the Alps in France just 24 hours later. On the train the pain became nearly unthinkable. Upon debarking in some small town in France (I don’t recall the name but my husband told me it was a small town) it was discovered I did indeed have a bladder infection secondary to a kidney stone.

My unhappy honeymoon experience turned out to be the best medical care I have ever received anywhere. Koodooos to France and her excellent medical professionals!

By S A on 09/16/2009 11:04 am
Carol Savoie

I think it might be noted that many of the above experiences were with "hotel" doctors.  Good hotels have good doctors on call as a rule.  And they, no doubt, pay something extra to have the immediate service.

But if you have to depend on the health care available to regular citizens or visitors, you don’t have quite the same experience.

I became aware of that when visiting friends in Prague, in Leeds (England) and again in Gerona (Spain).  We all discussed, at one time or another, medical care, and it often is not a nice story.

I still don’t understand why there can’t be a program developed for those who need health insurance and can’t afford it, or are not eligible for it, and leave the rest of us alone.

 

By Carol Savoie on 09/16/2009 11:09 am
B Clark
Is there any hotel in the US that has a hotel doctor?
By B Clark on 09/16/2009 11:39 am
Lady Bug
Most good hotels in the U.S. have doctors on call.  5-stars and up - some have resident doctors.  Most, however are on call, as in Europe, etc.
By Lady Bug on 09/16/2009 10:36 pm
R.J.B. Reed

Well, the first proposals put on the table were to include a public option for those who needed health insurance and couldn’t afford it and none of them would have affected people’s existing health options.  But the ignorant hysteria about how there would be death panels and how people didn’t want to pay for "those lazy bums" have removed this as an option.

But, as for the difference in health care between here, the Czech Republic, Enelgand and Spain, it’s important to look at hard numbers rather than comparing stories as a person’s preception and biases will color how they view everything.

 https://www.cia.gov/library/publications/the-world-factbook/rankorder/2102rank.html

https://www.cia.gov/library/publications/the-world-factbook/rankorder/2091rank.html

Life Expectancy (rank,country,year)

23 Spain 80.05 2009 est.
36 United Kingdom 79.01 2009 est. 
50 United States 78.11 2009 est. 
61 Czech Republic 76.81 2009 est.

Infant Mortality (rank,country,deaths/1000 live births)

211 Czech Republic 3.79 2009 est. 
208 Spain 4.21 2009 est. 
192 New Zealand 4.92 2009 est. 
180 United States 6.26 2009 est. 

 I’ve included both life expectancy and infant mortality because while there is a strong correlation between health care and life expectancy, the lifestyles of the people in question also have an effect.  (i.e. people who eat better and exercise can offset worse health care.)  However, infant mortality is almost 100% correlated with health care availability as babies generally haven’t had time to acquire bad eating habits….

By R.J.B. Reed on 09/16/2009 2:56 pm
macwoof woof
wow carol you must be rollin’ in it. i mean, they won’t kick you off for some pre existing condition like acne would they? ohh and then you are stuck out there on your own. well , so sorry. we can leave the rest of you alone. forever and for good.
By macwoof woof on 09/17/2009 12:47 am
Lady Bug

I think Carol’s point, woof woof, is that there will be thousands, possibly millions, who do not want to be forced to buy any kind of insurance.  It goes against the grain of Americans to be ordered to buy anything. Sort of like having a dictator, don’t you think? 

Americans have, for several hundred years, thought of themselves as free.  To do, to buy, to save, to spend, to accumulate wealth.  And that spirit still exists in most Americans.  Therefore, even a hint of dictatorship is quite repulsive. 

We have seen that "reducing everyone to the same level" does just that.  Reduces.  And eventually destroys, except for the select few running the dictatorship.  We’ve seen it throughout the communist world.  Even China is slowly westernizing itself, in order to promote a strong economy.

Hard to believe anyone would wish even a weak kind of dictatorship on the United States.

By Lady Bug on 09/17/2009 5:31 pm
Heather Cariou

I had a severe kidney stone while visiting my parents in Canada.  I spent the day in emergency, was given care by a kidney specialist, had two ultrasounds, an xray, morphine, and was given exquisite care by the staff.  The entire day cost me $300.00.  When I offered my credit card before leaving the hospital, they said not to worry, they had my address and would just bill me, which is what happened. 

I grew up in Canada under national health care and have lived in the US for almost 30 years.  I have pretty good insurance through my husband, but the Canadian system is so much better overall, in spite of needing a few improvements here and there.  My parents were the founders of the Canadian Cystic Fibrosis Foundation, and the care my brother and sister with CF received was impeccable and cutting edge, while never bankrupting my family.  There is a woman named Kristan Hawkins in Texas who is insisting her CF baby will die waiting for care under a national healthcare system, and points to long waits in Canada for care.  My siblings with have NEVER had to wait for care in almost 50 years, nor has anyone I am aware of in the CF community.  Granted, my Mom had to wait an extra few months for her knee replacement, but when it came her turn, she was beautifully cared for pre-op, in hospital, and post-op at home without paying a cent.

In the battlefield and in emergency rooms all across America and around the world, there is a term:  triage.  That means the ones who need critical care get it and get it fast, leapfrogging over the ones who are not in the greatest need.  This is also how national healthcare works.  Anyone who needs critical care gets it fast, and sometimes that means others have to wait a little longer, but no one in Canada is dying for lack of care, while people here are dying left and right because insurance runs out or refuses to cover them.

I’ll also note that while in Ireland this year, my husband and I both had to see doctors when we had the flu.  We were seen promptly at a cost of $65.00 each.  A visit to my physician here for the same reason would probably cost me $500.00, only part of which would be covered by insurance.

By Heather Cariou on 09/16/2009 11:09 am
canuck canuck

Well isn’t this a ‘baited’ question! Triage = EMERGENCY CARE! Unless you are in the middle of a desert I would hope good care would be offered …..

AS FOR CANADA the system is underfunded and falling apart. I am glad to hear you got good care and members of your family get good care …. members of mine DO NOT - right across the country. The care in America is exceptional and people are not dying in the streets of this country. EVERYONE who needs it gets care.

This is just another ‘bait and switch’ effort on a far left website to promote their propoganda ….

The best care I ever received in my life is in America ….

By canuck canuck on 09/16/2009 1:32 pm
R.J.B. Reed

As I’ve posted above, the numbers do not agree with your story.  I’m sorry that you believe that the facts have a liberal bias.

By R.J.B. Reed on 09/16/2009 2:57 pm
canuck canuck

I do not beleive anything that comes from any government agency. I work in the health care industry and rely on my own eyes, ears and experience to tell me the real story of health care in America. I do however appreciate the calm argument that you offered. It is refreshing to be able to debate this way!

By canuck canuck on 09/16/2009 3:51 pm
Maggie W

I received excellent care in Cozumel.  A few years later, my friend received excellent care in Ixtapa-Zihuatanejo.  The doctor came to the hotel and stayed for over an hour.  This was shortly after midnight. No paperwork.  The next afternoon, his office called to see how she was doing.

There is a reason so many Americans and Canadians live around Lake Chapala in Mexico.  It’s beautiful, and it costs about half of what that lifestyle would cost in the USA.  Also, there is quality medical care. 

I have crossed the Texas -Mexico border many times.  All border towns have trailer parks, filled with in-state and out of state license plates.  All there to cross for medical/dental care and for prescriptions.

By Maggie W on 09/16/2009 1:11 pm
barrett etc

yes, i developed pneumonia while visiting quebec.

the care i received was prompt and there were absolutely no problems.

By barrett etc on 09/16/2009 2:38 pm
New Yorker

I suffered a medical bankrupcy in 1988.  I was struggling, a waitress fresh out of college with a mountain of student loans, and a simple operation tossed me into overwhelming debt (and depression.)  I was not offered any medical aide, Medicare, healthcare or what-have-you and lost my job because of my illness.  (Of course, as a waitress, my job didn’t offer healthcare.)

Fast forward to today.  I am gainfully employed and mildly successfull, but am yet living paycheck to paycheck because of (you guessed it) medical bills.  A diagnosis of Thyroid disease cost me over $1,500 - I have insurance, but they do not cover doctors outside their ‘network’ and I have a huge $5,000 deductible thanks to the same chronic disease which bankrupted me in 1988.  My HSA is drained the instant it has money deposited to cover my on-going treatments.  Essentially, I feel as if I’ve made a few rich people in an insurance company or two in the USA.

Two years ago, while travelling in Spain, my husband became violently ill and we went to the emergency room in Vitoria-Gasteiz.  He was treated immediately and efficiently.  The hospital staff was wonderful and the facilities were definitely state-of-the-art.  The bill was $100.  When we went to the pharmacia to pick up his prescription, the pharmacist apologised that she would have to charge us the full price since we weren’t on the national health care.  The pills cost 6 euros.

Last year, we had another emergency room incident in Pozuelo (a suburb of Madrid).  My husband loves Spanish food, and apparently it doesn’t like him… and he once again visited an emergency room.  Again, the facilities were state-of-the-art, the staff professional, and no ‘pre-screening process’ asking for our insurance and how we’ll pay for our services.  He was more ill this time than the last time and ended up having to miss our flight back to the USA.  The hospital actually helped me reschedule his flight, and made certain he had a place to stay during the delay.  The cost this visit?  Free.

These experiences outlined my ‘retirement plan’ = If the USA does not address healthcare, I am definitely moving to Spain.

By New Yorker on 09/16/2009 3:25 pm