作為一個歐洲人,你會更喜歡美國的醫(yī)療體系嗎?
As a European, would you prefer the US healthcare system?譯文簡介
網(wǎng)友:我在美國居住過幾年。有一次,由于做晚飯時分心,我不小心切到了手,差點把手指切斷。在醫(yī)院,我需要進行多次縫合,但我的醫(yī)療保險公司卻找借口不予理賠。結(jié)果,我不得不自費近12000美元,只為了縫合傷口、包扎、抗生素和一些麻醉藥。相比之下,我在英國生活了將近二十年,醫(yī)療上的總花費還不到1000美元;我只需要支付處方藥的費用,其它費用都不用支付。我實在無法理解,理智的人怎么會認為美國的醫(yī)療體系更勝一籌。
正文翻譯
As a European, would you prefer the US healthcare system?
作為一個歐洲人,你會更喜歡美國的醫(yī)療體系嗎?
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I lived in America for a few years, and one day through lack of attention while making dinner, I cut into my hand and almost sliced off a finger. In the hospital I required numerous stitches, and my health insurance provider found a way not to pay. I ended up having to go out of pocket by nearly $12000 for a dozen stitches, a bandage, antibiotics and some anaesthetic. By contrast, almost twenty years of living in Britain cost me less than $1000 for medical treatments; I have to pay for prescxtions and nothing else. I cannot fathom how any sane human could believe the American system to be superior.
我在美國居住過幾年。有一次,由于做晚飯時分心,我不小心切到了手,差點把手指切斷。在醫(yī)院,我需要進行多次縫合,但我的醫(yī)療保險公司卻找借口不予理賠。結(jié)果,我不得不自費近12000美元,只為了縫合傷口、包扎、抗生素和一些麻醉藥。相比之下,我在英國生活了將近二十年,醫(yī)療上的總花費還不到1000美元;我只需要支付處方藥的費用,其它費用都不用支付。我實在無法理解,理智的人怎么會認為美國的醫(yī)療體系更勝一籌。
It's absolute insanity. That a cut finger can end up costing that much. The American healthcare system is one of Worst aspects of life in the states. Seriously, how they can charge that much for such a simple procedure?
I live in Sweden. You pay a base rate evrry time you see the doctor. No matter what your ailment, gross income, or social stature its always the same Price - for everyone.
They give citizens a medical card, to be stamped upon visiting a facility. After ten stamps, your visits are free until the card expires. Health insurance in the US is nothing more than a money racket.
這絕對是瘋了。一個手指的割傷竟然要花費那么多錢。美國醫(yī)療體系是美國生活中最糟糕的方面之一。說真的,這么簡單的處理,他們怎么能收那么多錢?
我住在瑞典。每次看醫(yī)生,都是支付一個基礎(chǔ)費用,不管你的病癥是什么,收入多少,或者社會地位如何,價格總是一樣的——對每個人來說都是如此。
他們給公民一張醫(yī)療卡,每次訪問醫(yī)療設(shè)施時就蓋次章。蓋滿十個章后,你的訪問就免費,直到卡片過期。美國的醫(yī)療保險只不過是一個變相的斂財手段。
It's an extortion racket.
這是一個勒索性的騙局。
The American Health System makes Al Capone look like a Decent citizen……..
美國醫(yī)療體系讓艾爾·卡波尼(美國著名的黑幫頭目)看起來像個守法的公民……
原創(chuàng)翻譯:龍騰網(wǎng) http://flyercoupe.com 轉(zhuǎn)載請注明出處
That's interesting! . May I ask how much this base rate is? I would have imagined Sweden to have a totally free system, like Canada or like the nhs
那真有趣!我可以問一下這個基礎(chǔ)費用是多少嗎?我原以為瑞典像加拿大或國民保健服務(wù)(NHS)那樣,有一個完全免費的系統(tǒng)。
The going rate is SEK 350 for a visit to your designated general practician or a specialist doctor, SEK 200 for physical therapy and SEK 100 for other services such as a session with a psychologist. When your yearly total has reached the cap of SEK 1100 (about US $135) any other appointments in that 12 month period is free. Same goes for medication, but the cap is SEK 2400 (I think), and as your total paid amount adds up, you pay successively less in steps (50%, 75%, 90% and finally 100% subsidised (again, I think)). There is also a fee for in-patient hospital care of SEK 80 per day (US $10) which is to cover your meals, TV, your internet access and so on. The rates may vary slightly between different parts of the country, but very little. That’s it. I never, ever pay more than the equivalent of about US $450 per year for any number of healthcare visits, any kind of medication and any kind of rehabilitation. Which is lucky for me, who due to some genetic and chronic issues need medication at a market value of around $10,000 per year. I couldn’t afford to live in the US. Not if I wanted to survive. Also, if for some reason I couldn’t afford to pay, you are always extended a credit and offered a payment plan. No one is ever turned away at the door or refused treatment of any kind, no matter how expensive to the state, because of lack of funds.
去看指定的全科醫(yī)生或?qū)?漆t(yī)生的費用是350瑞典克朗,物理治療是200瑞典克朗,其他服務(wù)如與心理學家的會話是100瑞典克朗。當你的年總額達到1100瑞典克朗(約135美元)的上限時,在那12個月的剩余時間內(nèi)的其他預(yù)約都是免費的。藥品也是如此,但上限是2400瑞典克朗(我是這樣認為的),隨著你支付的總額增加,你支付的比例逐漸減少(50%,75%,90%,最后是100%補貼(我是這樣認為的))。還有就是每天80瑞典克朗(約10美元)的住院治療費用,這包括你的餐食、電視、互聯(lián)網(wǎng)接入費用等。不同地區(qū)的費用可能略有不同,但非常少,就是這樣。我每年為任何數(shù)量的醫(yī)療訪問、任何類型的藥物和任何類型的康復(fù)支付的金額從不超過大約450美元,在我看來,這很幸運,因為由于一些遺傳和慢性問題,我每年需要的藥物市場價值約為10000美元,我在美國是無法負擔的——如果我想活下去的話。此外,如果出于某種我付不起的原因,你總是可以延期支付并獲得分期付款計劃。對國家來說,無論有多貴,沒有人被拒之門外,也沒有人被拒絕任何形式的治療。
During my lifetime of 66 years, married for 43, raising two children, despite two births with problem pregnancies, multiple surgeries, some medium chronic conditions, we have never had a bill any where close to this. Even with a high deductible plan we never spent anywhere close to $12k in a year. I suppose if someone deliberately decided to not have any coverage it could happen, but if you want coverage it is easy to obtain either by getting a job, qualifying for Mddicaid (low to moderate income), Medicare (almost everyone over 65 gets this), or buying on the open market.
But if you decide to leave youself at risk by not figuring out the system or just assuming it is the same as some other country, you could lose badly.
在我66年的人生中,結(jié)婚43年,撫養(yǎng)兩個孩子,盡管兩次懷孕有問題,多次手術(shù),一些中等慢性病,我們的賬單從未接近過這個數(shù)字。即使有高免賠額計劃,我們也從未在一年中花費接近12000美元。我猜如果有人故意決定不參加任何保險,可能會發(fā)生這種情況,
如果您希望獲得保險,可以通過以下幾種途徑輕松獲得:找到一份工作、符合Medicaid(面向低至中等收入群體)的資格、幾乎每位65歲以上的人士都能享受的Medicare,或者在開放市場上購買保險。
但如果你決定不搞清楚這個系統(tǒng),或者只是假設(shè)它和其他國家一樣,讓自己處于危險之中,你可能會輸?shù)煤軕K。
I get really annoyed with the stupid questions on this site. Why Americans think their country is the best in the world is beyond me
我對這個網(wǎng)站上的愚蠢問題感到非常惱火。我不明白為什么美國人認為他們的國家是世界上最好的
I agree with you but if you want to know why and how they can charge so much, do nothing other than see how many bankruptcies' are a direct cause of medical expenses. The USA already has the greatest number of bankruptcies both by absolute number and per 100,000 people.
Although this is not the single reason Hospitals and Clinics have to charge so much it is the greatest part of the cause.
我同意你的觀點,但如果你想了解他們?yōu)槭裁茨苁者@么多錢,什么都不要做,只要看看有多少破產(chǎn)是醫(yī)療費用的直接原因就行了。美國無論是絕對數(shù)量還是每10萬人的破產(chǎn)數(shù)量都是最多的。
雖然這不是醫(yī)院和診所收這么多錢的唯一原因,但它是最主要的原因。
在美國,如果你經(jīng)營著一家醫(yī)療企業(yè),就必須盈利。因此,任何形式的欠費都必須計入你收到的賬單中。更糟糕的是,這些以盈利為目的的企業(yè)不能拒絕對任何緊急情況的患者進行治療,我認為這包括未成年人。他們可以試圖扣留這個人以獲取詳細信息,但除非報警,否則阻止他離開是非法的。說實話,雖然他們可能會報警,但警察到達時,病人可能已經(jīng)遠在地球的另一端了。
設(shè)想一下,如果有家企業(yè)的客戶中有很大一部分要么破產(chǎn),要么拿了商品和服務(wù)后就一走了之。一家快餐店能否將漢堡的價格定為20英鎊來彌補那些不支付或無法支付的人帶來的損失?不行,這樣的商業(yè)模式是不會持久的,因為那些有能力支付的人會選擇自己在家做漢堡。但醫(yī)院不同于普通企業(yè),它們提供的服務(wù)通常是家庭無法自行完成的。此外,醫(yī)院還必須遵守某些法律規(guī)定,即使有異議,也必須保持開放并運營急診室。
我認為美國對醫(yī)療保健的死板態(tài)度非?;闹?,但這并非唯一原因。我不愿意責怪醫(yī)生和護士,他們和英國的同行一樣,在困難的條件下辛勤工作,而且他們中的大多數(shù)人確實關(guān)心病人。
我的看法是,美國醫(yī)療體系的改革不會源自那些同樣無能的政府派別,而是會來自于那些已經(jīng)受夠了的醫(yī)生和護士。他們厭煩了應(yīng)對那些直到病情嚴重到無法挽回時才來求醫(yī)的病人,這些病人本來可能只需要簡單的縫合,卻因為病情延誤而需要重癥監(jiān)護來治療敗血癥。
原創(chuàng)翻譯:龍騰網(wǎng) http://flyercoupe.com 轉(zhuǎn)載請注明出處
您是否知道,超過80%的美國民眾希望建立一個社會保障型醫(yī)療體系,大多數(shù)人偏好英國國家醫(yī)療服務(wù)體系(NHS)的模式。然而,由于兩大政黨按照歐洲標準來看都屬于右翼,他們并不關(guān)心80%民眾的意愿,更傾向于將資金投入到軍事上,打造一個強大到足以對抗全世界的軍隊。
我認為美國人需要做的第一件事,就是擺脫那個允許“世界上最好的”醫(yī)療服務(wù)收取天價費用的利益集團,這最終讓美國變成了“世界病夫”。
大多數(shù)美國人會告訴你,美國的醫(yī)療結(jié)果是世界上最好的,在某種程度上他們是對的,這就像阿聯(lián)酋,醫(yī)院/診所/醫(yī)生對那些能付得起賬單的人來說是一流的,但對其他人來說,他們就得在家里死去,他們的尸體被悄悄地遣返回國,沒有人關(guān)心。我的孩子們住在迪拜,我有關(guān)于那個系統(tǒng)的故事,甚至讓我起雞皮疙瘩。
在美國,有太多人,可能有數(shù)百萬,因害怕失去一切而從不去看醫(yī)生,結(jié)果死于那些在英國即使是私立醫(yī)療也只需不到500英鎊就能治療的醫(yī)療事故。他們?yōu)榱讼喈斢谝慌_電視的費用死去。哦,沒錯,我剛才用了臟話,但如果我接著告訴你,大多數(shù)因微不足道原因死去的人并非以英語為母語,你或許能理解我為什么語言變得更加粗俗。雖然沒有統(tǒng)計數(shù)據(jù),但我在想,多少孩子僅僅因為他們的英語不好、膚色不是白人或是移民身份,而失去了一個或兩個父母。如果有人罵另一個人一句臟話,結(jié)果會引起軒然大波,但當同樣原因?qū)е碌乃劳霭l(fā)生時,卻沒有人討論這個問題。
The USA and Sweden are so dramatically different in population that you can’t reasonably expect the same system of healthcare to work for both. Not even just talking population size, but other factors including general health of the individuals as well. I’m not excusing the total rip off perpetrated on the US citizen by the incestuous relationship between hospitals, insurers, and politicians either. I’m just saying the US has to have a much different system that I’m not sure is possible to construct well.
美國和瑞典在人口上差異巨大,因此不能合理地期望相同的醫(yī)療體系在兩國都能有效運作。這不僅僅是人口規(guī)模的問題,還涉及到其他因素,包括人們的整體健康狀況。我并不是在為美國公民遭受醫(yī)院、保險公司和政客之間勾結(jié)帶來的剝削辯護。我的意思是,美國必須建立一個完全不同的醫(yī)療系統(tǒng),而我不確定是否能夠成功地構(gòu)建一個行之有效的系統(tǒng)。
Population wouldn’t matter, you simply scale it. We already have an infrastructure of providers and healthcare facilities, so simply shift the billing aspect to a single biller, just put everyone on Medicare and institute the appropriate compensation guidelines and prescxtion medication profit limits.
人口數(shù)量不是問題,關(guān)鍵在于適當?shù)財U大體系。我們已經(jīng)有了醫(yī)療提供者和醫(yī)療設(shè)施的基礎(chǔ)架構(gòu),所以只需將賬單處理統(tǒng)一到一個計費系統(tǒng)中,讓所有人都能享受醫(yī)保,并建立合適的補償標準以及對處方藥利潤的限制就行。
And tell people how much your taxes are compared to Americans. See this is what people dont get. Americans dont want to pay for anything. Even our com...sts dont want to pay for shit lol
告訴人們你們的稅收是多少,與美國人相比如何。你看,這就是人們不明白的地方。美國人根本不想為任何事情付錢。就連我們這些自稱GCZY者的,也不想為任何東西掏錢,哈哈。
Ur totally wrong how majorly of Americans want. Many Americans don’t mind to pay taxes as long as the accessing to very affordable healthcare is guaranteed. US is the only developed country with no universal healthcare for all Americans & residents. Wealthy people don’t want to pay more taxes & because potentially paying more taxes to help other poorer Americans. Especially in terms of healthcare, most Americans including healthcare workers believe US is one of the worst.
你完全錯了,很多美國人并不像你說的那樣。許多美國人愿意繳稅,只要能確保獲得負擔得起的醫(yī)療保健。美國是唯一一個沒有為所有公民和居民提供全民醫(yī)療保健的發(fā)達國家。富人不想繳更多稅,因為這意味著他們可能需要為幫助其他貧困的美國人支付更多稅款。尤其在醫(yī)療保健方面,大多數(shù)美國人,包括醫(yī)療工作者,都認為美國的醫(yī)療體系是最差醫(yī)療體系之一。
There are a couple issues: 1) that is waaay overprices but was necessary so they screwed the OP over and 2) insurance only serves to drive up costs for the finger. We went through a period of self-insurance and you find that the amount that is BILLED for a procedure is astronomically high (and the self-insured or effectively uninsured like the OP) have to pay that top line number. Insurance companies pay only a fraction of that huge amount. Probably that $12k would have been under half and maybe much, much less) with insurance.
這里有幾個問題:第一,價格高得離譜,但又不得不接受,結(jié)果就是他們讓發(fā)帖的人吃了大虧。第二,保險實際上只會推高手術(shù)費用。我們曾經(jīng)經(jīng)歷過自我保險的階段,發(fā)現(xiàn)手術(shù)的收費高得驚人——像發(fā)帖者這樣自我保險或?qū)嶋H上沒有保險的人必須支付全額。而保險公司只支付那巨額費用中的一小部分。所以,那12000美元的費用,如果有保險的話,可能實際上會少很多,甚至可能遠遠低于這個數(shù)字。
Terry where are you located? Reason being insurance companies pay top line here, but if you self pay the fees are often 70% less than what they charge insurance companies.
Terry你在哪里?因為在這里,保險公司支付的是全額賬單,但如果你選擇自費,費用通常比保險公司支付的費用要低70%。
We have insurance! It works great for us, we pay very little on every visit. about 88–90% of Americans actually have quite good insurance, the press literally lie about our healthcare, it's excellent! We've had many hospital visits and many doctor visits for our family of 5 over many years, never a problem. This is actually what it's like for almost everyone. We actually have a great healthcare system with top notch facilities and Doctors! We only need to increase help for the unemployed and underemployed, that is really the only weakness and we have improved that over the last 14 years drastically. Also, anyone can ALWAYS be treated at our emergency rooms if needed at ALL public hospitals.
我們有保險!對我們來說,保險效果很好,每次就診時我們幾乎不需要支付什么費用。大約88%到90%的美國人實際上都有相當不錯的保險,媒體對我們的醫(yī)療保健體系的報道完全不真實,實際上我們的醫(yī)療體系非常好!我們一家五口在過去幾年里經(jīng)歷了許多次住院和看病,從來沒有遇到過問題。這實際上是大多數(shù)人的真實情況。我們確實擁有一個很棒的醫(yī)療系統(tǒng),設(shè)施一流,醫(yī)生也很優(yōu)秀!我們唯一需要做的就是加強對失業(yè)和就業(yè)不足群體的幫助,這是我們的弱點,但在過去14年里我們在這方面已經(jīng)取得了顯著進展。此外,任何人在需要時,都可以在所有公立醫(yī)院的急診室得到治療。