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New An American's view of the British healthcare system
[link|http://www.opinionjournal.com/extra/?id=110006785|There's No Place Like Home ]

"...We spent almost a full month in a British public hospital. We also arranged for a complex medical procedure to be done in one of the few remaining private hospitals in Britain. My wife then spent about three weeks recuperating in a New York City hospital as an inpatient and has since used another city hospital for physical therapy as an outpatient. We thus have had a chance to sample the health diet available under two very different systems of health care. Neither system is without its faults and advantages.
...
When I covered Latin America for The Wall Street Journal, I'd visit hospitals, prisons and schools as barometers of public services in the country. Based on my Latin American scale, Queen's Square would rate somewhere in the middle. It certainly wasn't as bad as public hospitals in El Salvador, where patients often share beds. But it wasn't as nice as some of the hospitals I've seen in Buenos Aires or southern Brazil. And compared with virtually any hospital ward in the U.S., Queen's Square would fall short by a mile.

The equipment wasn't ancient, but it was often quite old.
...
Having praised the caregivers, I'm forced to return to the inefficiencies of a health system devoid of incentives. One can tell that the edge has disappeared in treatment in Britain.
...
Then there was the condition of Queen's Square compared with the physical plant of the New York hospitals. As I mentioned, the cleanliness of U.S. hospitals is immediately apparent to all the senses. But Cornell and New York University hospitals (both of which my wife has been using since we returned) have ready access to technical equipment that is either hard to find or nonexistent in Britain. This includes both diagnostic equipment and state-of-the-art equipment used for physical therapy.
...
But what of the bottom line? When I received the bill for my wife's one-month stay at Queen's Square, I thought there was a mistake. The bill included all doctors' costs, two MRI scans, more than a dozen physical therapy sessions, numerous blood and pathology tests, and of course room and board in the hospital for a month. And perhaps most important, it included the loving care of the finest nurses we'd encountered anywhere. The total cost: $25,752. That ain't chump change. But to put this in context, the cost of just 10 physical therapy sessions at New York's Cornell University Hospital came to $27,000--greater than the entire bill from British Health Service! ...
New Sounds vaguely correct
Having yet to sample the delights of the NHS, I can't be certain but the article seems about right: dedicated personnel but insufficient budget.

However there are two things that make me think "Doesn't everyone do that?"

Also, British nurses have far more direct managerial control over how the hospital wards are run.


Nurses are medically trained professionals in charge of day-to-day patient care. Of course they have managerial control of the hospital wards. Low skill grunt work is for the orderlies. Nursing colleges don't demand 'O' levels for nothing.

British doctors, nurses and physical therapists also seem to put much more stock in the spiritual side of healing. Not to say that they bring religion into the ward. (In fact, they passed right over my wife's insistence that prayer played a part in what they had to admit was a miraculously quick return of movement to her left side.) Put simply, they invest a lot of effort at keeping one's spirits up.


It's called the placebo effect, as the author appears to know. Possibility of being sued is an excuse to damage patient health? Why aren't US doctors and nurses being sued for being so downbeat, then?
Matthew Greet


Choose Life. Choose a job. Choose a career. Choose a family. Choose a fucking big television, choose washing machines, cars, compact disc players and electrical tin openers. Choose good health, low cholesterol, and dental insurance. Choose fixed interest mortgage repayments. Choose a starter home. Choose your friends. Choose leisurewear and matching luggage. Choose DIY and wondering who the fuck you are on a Sunday morning. Choose sitting on that couch watching mind-numbing, spirit-crushing game shows, stuffing fucking junk food into your mouth. Choose rotting away at the end of it all, pishing your last in a miserable home, nothing more than an embarrassment to the selfish, fucked up brats you spawned to replace yourself. Choose your future. Choose life... But why would I want to do a thing like that? I chose not to choose life. I chose somethin' else. And the reasons? There are no reasons. Who needs reasons when you've got heroin?
- Mark Renton, Trainspotting.
     An American's view of the British healthcare system - (bluke) - (1)
         Sounds vaguely correct - (warmachine)

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