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The truth is that the NHS is very bad not due to funding, but for structural reasons.

The fact I can't even see a GP I'm not registered with (not even an option to pay extra) is ridiculous. You have absolutely no control over your health at all.

With private, you get exactly what you want, whenever you want it.

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> With private, you get exactly what you want, whenever you want it.

In the US this isn't how it works. You can't see whoever you want unless you have a really, really good plan. Otherwise, you need referrals. And lots of specialists won't see you without a referral anyway.

And, the wait is often on the order of months. I know that's something people complain about in the UK but I assure you, it happens that way in the US too even though we're paying 10x as much.

I know private in the UK is quite good. What you need to understand is that the only reason it's any good at all is because of the NHS. It has to remain competitive. If you go full private, then it very quickly decays.

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A specialist also requires a referral in the UK. There are also much more medicines which are prescription-only than in the US.

That's why in practice we have all these (private) services to get easy GP appointments via phone, video or even online forms. While everyone knows those appointments can't realistically do any real medical work, they serve to give you prescriptions and referrals.

It's just a gatekeeping mechanism, that you can more easily bypass if you have money. The more you pay, the more they care about your user experience and how streamlined it is.

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In the US if I want to see my primary care doctor I need to wait 2 months for the appointment.

I pay $500 per month for the privilege (and a $50 copay)

So I’m paying $1000 in the time period where I’m getting no service.

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Where in the US are you? I was able to book a visit with my primary the very next day less than a month ago.
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Not the person you replied to but I'm in North Texas and I just recently had to reschedule my physical. And yup, the next appointment is 2 months out.

I also had cancer in the past and you might think that that would mean I get faster appointments. I do not.

And I have a very, very, very good PPO plan.

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> I also had cancer in the past and you might think that that would mean I get faster appointments. I do not.

Sadly you do not may be because lower life expectancy -> lower return on treatment "investment".

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As usual when people say "the US", we're papering over the fact that the United States is really 50 countries in a trench coat.
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> the United States is really 50 countries in a trench coat.

Appropriate attire... when you're in a trench :)

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That was my thinking... even for specialists, I can generally get into a new one within a few weeks.

My SO is on state Medicaid (cancer) and does experience the kinds of waits mentioned above... so I guess it does follow similarly for government/state backed healthcare, where I'm mostly out of pocket.

But even when I had relatively typical coverage, I didn't have issues getting into a doctor more often than not. I think getting my sleep study was the longest wait I had for anything, they were months backed up with appointments... but my kidney and retina specialists were somewhat easy to get started with.

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You can call any GP surgery to get emergency treatment for up to 14 days if you're not registered with a GP surgery or are away from home. https://www.nhs.uk/nhs-services/gps/gp-appointments-and-book...
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While away from home, my son (5 yo) cut his finger and was in need of disinfectant and a bandage (steri strips).

Pharmacy was useless, no medical skills or knowledge of their own products. Asked me to figure out myself what I needed and put it on my son myself.

Local GP surgery sent us away: no registration, no visit. Me saying this was an emergency just made them suggest A&E.

A&E is where we ended up, and while that definitely works, going to the emergency services of a large hospital for every little thing is not only a waste of my time but also of resources. It seems however to be the NHS way: whenever the littlest of troubles arise, just go to the hospital, or even call an ambulance.

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You call 111 if you don't want to bother the 999 guys. 111 will tell you what you need to do, including "go to A&E".

What is wrong with going to A&E for an (as you said yourself) emergency?

A pharmacist dispenses medications and should know about their safe usage. They won't tell you how to bandage a wound.

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[delayed]
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Sorry for being too American to understand, but why would you need to talk to any medical professional to put a bandaid on your kid? Is this about NHS being paying for the bandaid? About medical expertise to apply a bandaid?
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Not all disinfectants are child safe, and the wound was serious enough to require steri-strips (an alternative to sutures) -- it was not a matter of a bandaid.
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You can absolutely see a GP you’re not registered with if you are travelling and need to. I have done it multiple times. I have been offered it same or next day after calling 111.
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With private, you get exactly what you want, whenever you want it... If you can afford it.
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Pending availability of specialists, willingness to travel, etc.
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If you're in a major metro area it's generally not too bad.
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Compared to the system of no access
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Same system, for the not-wealthy.
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So naive. Private only works this way in Britain because it doesn’t have to be responsible for anything. It’s a luxury good and works accordingly.

We have insurance, it’s amazing! But it’s fake. If you want to know how a whole system of this would work, look at the US

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* if available in your area or within your means of travel, which may include flying to another state
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If only there were some system where the incentives could freely flow through and permeate every level of the sector. Where those organisations that provide sub-standard care die and those that excel receive outsized funding...
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Unfortunately, a system with these qualities doesn't exist in practice. You just end up with the same too-big-to-fail macro organization minimizing their point-of-care labor spend and maximizing their management spend either way.
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As someone who largely worked at startups and smaller companies before joining the NHS it genuinely confused me how no one would ever say no to anything when I first started working there.

The projects I worked on were genuinely absurd... My team alone spent millions on things that literally wouldn't have made any difference to the quality of healthcare in the UK.

Apparently we were given a budget and we had to find a way to spend it otherwise it would be cut. At any normal company we should have all immediately have been made redundant.

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The rate of increase of healthcare funding for the UK is 2,000% higher than France's rate of healthcare funding increases from between 2010 and 2019, according to World Bank data.

The UK healthcare system is uniquely incompetent, administratively bloated and drives very suboptimal value for money.

UK citizens appear to be in a collective delusion about the NHS that allows them to continue ineptly bumbling through mediocrity while perpetually fleecing more tax money to line the pockets of administrators.

Meanwhile actual frontline workers in the NHS are completely ripped off in salary. Nurses get paid peanuts, while even neurosurgeons earn less than 1/6th of their American counterparts.

To plug the gap by skilled healthcare workers bailing over these horrific conditions, the UK has been importing people to fill these gaps, often with severely lower competence (usually because of completely faked qualifications or outright fraud [1]).

[1] https://www.hrmagazine.co.uk/content/news/hundreds-of-nhs-nu...

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