Ask Lemmy

Australia, Canberra

Zero cost, 10 to 20 minute wait, no wait if my appointment is early in the day, 20 minutes if it's in the afternoon

Thailand. Private pay.

Take a ride share car to the private hospital.

Greeted by concierge when I walk in. She asks why I'm here and then directs me to another desk on another floor.

Entering the next room feels a bit like a hotel lobby. There are big sofas and comfortable lighting. It feels cozy even though it's a large space. There's a Starbucks. Another concierge approaches me. I explain why I'm here and I'm sat down and handed an iPad where I can fill in some medical background. They have my record from a previous visit so it's quick. I confirm that I will pay with a credit card instead of using any insurance.

In about 10 minutes I'm brought to a room where a nurse catches my weight and blood pressure. Then I'm brought to the patient exam room.

A few minutes later the doctor comes in and performs his examination. He makes his diagnosis types some notes into his computer. He asks me to come back for a follow-up in one week and pick up my prescription on the way out.

Leaving the exam room, another nurse catches me to hand me the diagnosis paperwork and points me to the pharmacy.

I walk to the pharmacy and hand them my paperwork. They collect my payment for the whole visit and ask me to wait until my name is called to pick up the prescription.

About 10 minutes later the prescription is ready and I'm out the door with a small bag of drugs and about $125 out of my wallet.

The service is comprehensive and everything is available in one building. For this country it's a bit expensive but you feel like you're very well taken care of and it's instant.

If it's urgent, I go down there. If not, I schedule an appointment (how soon usually depends on the severity. Can be the next day, or the next week).

Example: My oldest kid (12 years old at the time) fractured his arm while in school last spring. I was notified right away, so I picked him up at school and took him to the local clinic (3 minutes away) . The doctor wanted some xrays done, so he referred him to the local hospital and gave him some painkillers for the one hour trip (we live kind of in the middle of nowhere).

We arrived at the ICU (it was after "office hours"), so we had to wait 30 minutes for the x-ray tech to be available. Turned out a titanium rod insert was needed, which requires anesthesia, so they couldn't do it the same day because of fasting requirements. Operation "scheduled" for the next day. He was given a temporary cast.

Day arrived, and while there was a bit of wait since it was something they'd just have to insert into the schedule for the day whenever possible. Surgery went according to plan, and he was given a sandwich upon waking up, as he hadn't eaten since the day before. He had a new cast on that he had to keep for a couple of weeks. The local clinic could remove it, but they wanted to do it at the hospital so they could do a follow up xray to see that it was healing properly.

A few weeks later, and things looked good. Cast removed.

A couple of months ago he had the titanium rod removed without much ado.

My only expense was the fuel cost for driving to the hospital.

The only negative feedback I have is that my son didn't get to keep the titanium rod as a souvenir after they removed it. I guess the doctors have better things to do than washing gore off of scrap metal.

Germany. It has gotten worse over the last decade regarding waiting times but for regular appointments it might mean waiting 1 week to almost a year. Less, depending on your urgency or precondition. Usually it's still OK.

Regarding the finances it's still great in international comparison. I was resuscitated and taking quite a lot of medicine and am not broke but you still (might) pay a (very) small part on hospital stay and regular medication. Compared to.the full price on both that is neglegible though.

AMA!

In short: you go to the doctor based on medical requirement and not Financials. You call the ambulance whenever urgency is needed.

UK and Australia I’m originally from the UK but lived in Aus for 20 years. I returned to the UK a year ago due to my Mom getting a terminal diagnosis.

In the UK I’ve had two GPs this year due to moving around. First GP you’d request appointments via an online form that was available for about an hour at the start of every day and they’d send you a date and time once they’d triaged all the requests. Usually got in within a day or two. Second GP requires a call, and you can book an appointment provided it’s not a busy day, again usually 2-3 days depending on how busy they are. Both GPs were via the NHS, so no upfront cost, just a small amount taken from your pay each month.

In Aus, my GP was free at the point of delivery. It was pretty easy to get appointments and if you really wanted to see him, you could just turn up and wait until he could fit you in. Sometimes a 2 hour wait, but you could put your name down and return in 2 hours. I’m planning to change GP when I get back so will probably end up finding one where you pay an additional fee. There’s almost no doctors where you don’t pay extra any more.

Netherlands. I can call to make an appointment, or do it online. Then i walk/bike there, its in the neighbourhood. We have about 10 minutes for an appointment. The doctor either refers me to a specialist, prescribes drugs (most doctors have a pharmacy attached), or does small procedures. For jabs, check ups, stool samples, that type of stuff, the assistent takes care of it most of the time. You can leave without paying.

We pay a monthly insurance that pays for everything, basically. im over simplifying, its not that straightforward, but its what it boils down to.

US expat in Colombia

For the general population, if you're sick you go to urgent care and maybe wait for several hours. If you need to see a specialist, those appointments can take a couple of weeks to a couple of months, depending on the type of specialty. Either way, the cost is about $3 (all prices are rough equivalents in USD) per visit to see a doctor.

My employer signed me up for private insurance that gives me "concierge service," so I have access to a different network of doctors with shorter wait times. If I'm sick, I can get a same-day house call. If I need a specialist, I can usually get an appointment in a two-week time frame. I pay about $50 per month for that (in addition to my normal taxes, which are used to fund the public system). My copay per visit, regardless of the type of doctor or procedure (exams, MRIs, etc.) is about $10.

One time, I paid out of pocket for an ultrasound because I didn't want to wait for the insurance company to approve it and go back for a separate appointment. It cost me about $25.

I was on vacation in Portugal and twisted my ankle badly. It was in remote area, so hospital was not the best. But experience was ok. It was in a town with around 25k people. 2 hours of waiting. x-ray and doctor visit costed me 55 euros.

In my home country I pay 20 euros per month for private health insurance. This includes basic dental insurance. I guess, most expensive procedure I had is MRI of brain, but it was also fully covered so I’m not sure what was the price. There is free healthcare but I only had to resort to it once

Germany

Had 3 surgeries (wisedom teeth, nose bone correction and a refilling tooth surgery), an X-Ray, MRI, and i think 4 doctor visits plus all 3 months a psychiatrist to get my adhd medication.

The only thing i had to pay was 50€ for a none concret filling on my tooth, and 30€ for 6 days in hospital.

Hospital food was better than i expected and always heared about.

Had to wait a year for that surgery but the other specialist appointments were really quick in only a few months. Especially the wisdomtooth was in 2 weeks after the call for an appointment

Wait time was only a few minutes.

But had an appointment at a dermitologist and there i waited 3 hours!! Almost walked out. And i wanted was more info about my skin type and laser hair removal.

Everything is covered by the insurance though it needs a huge reforms. There is a two class system and government workers dont pay into it at all but get the Premium benefits. And that the insurance companys are covering less and less with dental now only 1 check up every half year.

Yes i am outrages that only concret to fill holes or build up a tooth is free. Fucking concret!! It is an outrage!

Ireland here. I have been relatively lucky with my health since I've been here (last 10 years). The GP I go to gives a small discount because of where i work. I pay 50 euros a pop to see the doc (usually 60 I think) but the last two times I needed to see the doc it was a same day appointment. I paid for insurance the first year I was here, tried to use it when I saw a GP and they laughed in my face. Also frequently had my daughter seen (for free), they seem to keep increasing the age for which kids are seen for free, now up to age 7?

Canada

Wait 7 years to get a family doctor. Wait 3 months to get an actual appointment. Lose family doctor. Rinse and repeat.

Depends. When I broke my leg I had to wait a couple hours to get in to see a doctor, then surgery was a couple days. Even without a family doctor though if you’re just sick and need like some penicillin or stitches or something as long as you don’t go in a major city it’s like 15 minute wait times, usually no longer than an hour. Then you go in, tell em what’s wrong, they deal with it and prescribe you some drugs, then you leave and go get your drugs at the drug store. You gotta pay for the drugs unless you have benefits at your job though. Everything else is free.

Edit: am Canadian.

I'm in France in a small village but I'm quite lucky with the doctor situation.

If I'm sick I go online, see what shot is available for my doctor and book it, usually in the best few days. If it's urgent I can call or go there and I'll usually get an appointment during the day with my doctor or one of the other two doctors working there.

Then I walk there since it's 400m away.

Canadian here.

This one time 10 years ago I drove to my family doctor's office without an appointment and got lucky that it was a walk in day.

I saw my doctor within an hour of arriving and it cost me nothing.

France

Most GPs afaik are liberal -they have their own private office instead of working in the confines of a hospital-, and there's three different possible cost levels, whether or not the GP adheres to what's called the "convention" with social security (which fixes prices for typical medical acts), adheres partly, or does not adhere at all (pretty rare). Full adherence to the convention means the base consultation costs 30e, and makes sure the patient is reimbursed to 70% of that cost with basic universal healthcare (=you have to pay 10e from your own pocket), the rest being covered by their (highly regulated) private insurance if they have one. I have a pretty standard one at 37e/month which ensures I get reimbursed for pretty much all acts. I am getting treated for a cavity and a fill replacement next week at no cost for me.

Like going to a post office.

You walk in, show your health ID, get treated, then leave.

Edit: Assuming you're going to a hospital. Family doctor care is similar, although in my province they're contractors, and it can be hard to find one with an opening for new patients right now.

Oh, I just noticed it wait time was requested. It varies for family doctors; the local one that sucks can pretty much always get you in immediately. I'm with one that needs a couple days notice now, haha.

If you get referred to a specialist it's a long wait, like many months, and when you do go it's a human production line coordinated down to the second.

I go there, try to explain what I have (I don't speak Korean and the doctor is not very good in English). Then the might give me a shot and let me inhale some stuff. Then I pay some mony (don't remember exactly how much, but not so much) and they give me a prescription and I go away. Most of the time it takes about 10 minutes.

Switzerland

Depends a bit on the plan you have. Generally I would call the clinic registered with my health insurance or fill in their online form to make an appointment. Depending on what it is you get an appointment within the week, but for more pressing issues it's usually on the same day.

If it's an emergency I can go to any hospital or clinic, but depending on my insurance I would be transfered after the acute symptoms are taken care of.

If for some reason I'm not anywhere close to my registered clinic, I have to call a 24/7 number to get a referral to a doctor nearby.

Prices are reasonable for the high level in Switzerland. Deductibles limits handle how much you have to pay out of pocket, so it rarely fucks you up.

The real issue is the ever increasing insurance premiums. They are not tied to your income level, but to where you live, your gender and age. Poorer people get support by the government, but that's just tax money flowing directly into private insurance companies.

Canada, I make an appointment with my family doctor, usually within a week, free. Specialists are more annoying because our right wing provincial government keeps chipping away at public healthcare and justifying it with its own results, but generally goes pretty quick too.

Canada. It's generally easy and free (no direct cost to me). I try to avoid having to go to my doctor whenever possible and I live with a nurse (and my doc knows that). Usually when I send him a message, either by email or by calling, he'll have a follow up question or two (sometimes none) then decide a course of action and move right to implementation. Sometimes that's sending a script to my local pharmacy, sometimes that's a referral to a specialist. Who knows? I haven't seen the guy in years. But if he made the request for me to go in, I would without hesitation.

I know my experience isn't the same as others, since my doctor and my spouse have actually worked together; but still. It's all free and there's usually minimal waiting.

The only significant delays I've heard of in Canadian healthcare relate to major procedures when the issue is non-critical. Like getting an MRI as a precaution, to make sure things aren't messed up or something (IDK what MRIs are used to diagnose, I am not a doctor).

Everything is triaged, so if you're not actively dying from a thing, and you need a big piece of equipment to scan you to figure something out, you're going to be waiting a while.

One of the few things I liked about Russia is the healthcare system.

If you have money, and I don't mean like you're in the top 1% or 10%, you just have an average salary, you can get any doctor any procedure within 2 days. Neck MRI is $120; ultrasound is about $30; regular appointment is also $20-30; PET $400.

When it comes to the free healthcare tier, it's kinda tricky. In an emergency you could be delivered either in a new medical center with boxes and wifi, or they could throw you in an old hospital where various infections were living for centuries and doctors just hate this place and everyone who's around.

Haven't been there for almost 5 years, if we exclude a short two month period where I haven't interacted with the healthcare system. I heard that due to sanctions there's a lack of basic medicine right now: antibiotics, infusions, and even paracetamol.

Swede here, if it's something minor I can get an appointment within a few days, if it's more major there's some open clinics I can turn to, but if I have to see a professional I have to get in a months-long line.

Germany.

Well, the health system is great, as long as you don't get sick. Or need life-saving emergency care immediately.

But not for many things in between.

Example ADHD: The GP can write a referral to get diagnosed, for free, but no psychiatrist or psychological therapist (the only ones allowed to do that) will take you. So best bet is to pay out of pocket in a practice that does it over video and is recognised in Germany. Can be done under 1k EUR that way, at least (~ 2k EUR with a private, out-of-network therapist). Recurring prescription and private doctor is about EUR 150 per month; a therapy session costs EUR 200. It is absolutely realistic to get the prescriptions and meds covered by a doctor in the insurance network, though. Therapy through insurance is also a possibility if it's not urgent and you don't ACTUALLY have ADHD or depression so you can do many phone calls, like 6 - 12 months, and you don't care who treats you.

Glasses are also not covered, e. g. workplace glasses > EUR 500 out of pocket. But, randomly, a write-off. Treatment by a homeopathic practitioner - covered, just for the lulz.

But yes, about to die within 48 hours? As long as you can convince them that this is the case (got to self-diagnose and be a persistent ass if it's not obvious), you'll get help, it might be at a very decent level even compared to many other 1st world countries, and it'll be completely covered by insurance.

Also, the monthly premium is EUR 1100 (includes nursing care insurance; there isn't much nursing happening either way though). Employer pays half, freelancers pay full. It's not legal to quit and be "uninsured". Also, you can have it lowered if you can prove that you make under 66k per year (to 19 % of income).

Oh, and only the insurance premium is a tax write-off. What you have to pay out of pocket (talking about treatment that your GP deemed essential, not dental bleeching) is paid for by your net income.

Some other random things also work out within a month and are covered, such as a quick eye checkup, dental checkup / very basic dental filling (pay out of pocket for most filling materials, but not the time), anything a GP or family doctor can do in 10 minutes.

Australian here from Victoria. Going to the GP will cost me around $80 up front and I get around $50 back from Medicare later. This is for about a 30 minute consultation with a doctor. The wait time is rarely longer than 15 minutes but it really depends on the practice. I've waited 2+hours for a GP that was fully covered by Medicare.

I've lived in multiple places, so I'll talk about all of them.

Brazil

I lived in two places there, essentially you can choose between public or private systems.

Under the private system you would book an appointment with whatever doctor you wanted, usually one or two weeks in advance, pay them (which is relatively expensive depending on the doctor), have the consultation, they might ask for some exams (some of which are paid, others included), possibly get a prescription (that you would have to pay for yourself), possibly go back for a follow up appointment (included in the price you already paid).

On the public system you book an appointment, wait some time (months in some places, days in others), have your consultation (if the doctor is in that day), possibly get a prescription (that you would likely get for free), possibly go back for a follow up appointment.

Ireland

There's a public system, but you have to be below a certain income level to use it, otherwise you have to go through the private system. You have to register with your GP (most of which don't have available spots), for anything you first need to contact your GP (which usually takes a week), and pay €60, explain your problem and if they choose to forward you to and specialist (even if you go and say I need to see a cardiologist they might say "no, you do not", although that's unlikely), then they send an email to the specialist who only then accepts that you book with them (usually for a week or so later), then you have to pay the specialist (which is usually >€300), they might ask for some exams (which you have to book and pay on your own, some blood work I did was €700), they might give you a prescription (which is paid but there's a €80 cap on medicine per house per month, which is the only nice part of the whole system), and if you need a follow up it's usually €150. If you have health insurance (or at least mine was like this) they give you back 50% of all your expenses up to a certain limit.

Spain

I'm not too familiar with the options here because I have private insurance through my work and as you'll see I've had no reason to look elsewhere, but I've been told the public system is fairly similar. Whenever I need an appointment I open my insurance app or call a doctor office and ask if they take my insurance, book an appointment (usually for a week or two in advance), go there, show my id and insurance card, go to the appointment, if they ask for some exams I do them, if they give me a prescription I take it to a pharmacy and pay it out of pocket (this is the only part I know public system exists and is somewhat better because you get the drugs for free, but since I don't take any recurring prescriptions I haven't bothered to check), if I need a follow up I book it and go back. Never had to pay one cent for anything other than medicine. I'm still waiting for the other shoe to drop and getting billed for all of the Dr appointments, but so far it hasn't happened hahaha

Brazil, urban area, with a health plan (private healthcare)

I go to the doctor, grab a little paper with a number on it, wait for the number to be displayed on the monitor, go to the reception desk, give them my health plan card and my ID, they give those back to me, I sit back down and wait for the same number to be displayed on a different monitor. Once it's displayed, I go to the room number shown on the monitor and from there, I discuss what problem I have with an adequate specialist.

For an unplanned visit, the wait time is usually 5–30 minutes, depending on the hour and season (there are a lot of tourists during summer, meaning longer wait times and more people at the hospital).

I don't know about pricing (my parents pay for it), but it's probably not too expensive since we've never had financial problems due to health issues (as far as I'm aware).

I've never not went to the doctor for financial reasons, only for health concerns (worrying about getting sick with something else, specially if the waiting room is full or almost full). Sometimes prescribed medicine can be pretty expensive.

France, not a big city. If I'm sick. I call the doctor office, in another city because all doctors here have no places. I may book an appointment in two or three weeks. If I really need a doctor, I can book an appointment to "sos doctor", that I will pay for a part (and part healthcare), or go to a non-vital emergency doctor at night, which is expensive (for a doctor in France) but reimbursed by healthcare. I can have access to this because I'm still in/near a city.

The waiting time in a doctor office can be long, depending if they take time for their patients or not. I'm ok with that. If I have an appointment to my usual doctor, I don't pay or I only pay a little part which will be reimbursed minus 1€ (50/year max). There are doctors with exceding fees, like "sos doctor", those feeds are out of my pocket. Most of the time, we have healthcare AND private insurance, but there is a health insurance for poor people.

For medecine, most of the times we don't pay anything but there are fees, 1€/medecine box (50/year max, but not the same as the 50 for doctors).