Also if your doing well in America your experience of health care is probably better then the NHS.
Well, up to a point, sure. Bottled water, potted plants, shiny receptionists, landscaped entrance areas…. But they do get sent for unnecessary tests, which can lead to unnecessary interventions. At point of use, they think they’re getting exemplary care, they feel like they’re getting top notch attention and treatment, but some percentage of that is window dressing and arselicking, and a greater percentage is asset stripping at the myriad interfaces between different parts of the system
ETA And as
8ball says, they’ll also strip out the profit from the actual necessaries at the actual point of use.
When I try to engage in this discussion in South Carolina they usually seem to feel like they’ve won the argument when we get to waiting lists and waiting times. (These are wealthy white people.)
Personally, I’ve never been on a waiting list so long that it caused problems, though I know that this does happen (a friend’s wife died before she got to the top of the list). And I always take a book when I have a hospital appointment and never arrange anything for the remainder of the day, cos while it does seem to be better, I’ve sometimes had to wait a while for the appointment.*
I’d wager that more people die as a consequence of not getting proper health care in the States than do from shitty waiting list issues here.
Telling them it’s free at the point of need and that I’ve never been billed for [
list of expensive treatment ], including cosmetic stuff, is so bizarre to them that it apparently barely registers with them. Those with whom it does register find it almost impossible to believe, despite their being one of the very few developed nations on the planet who doesn’t take care of their citizens’ health, with falling longevity, rising infant mortality etc.
They find it unfathomable that I could (theoretically) never be ill enough to warrant high-care treatment while also being perfectly happy to pay taxes, so as to support the entire system. I think this is a cultural and philosophical difference between them and others.
They hedge around the stuff about not wanting to finance people they despise; I suspect that’s partly because their prejudice is so embedded that they don’t even notice it themselves.
One woman gets enraged when I tell her (for instance) that the homeless community in California is predominately made up of white American people, not immigrants. I’ve seen her literally shudder when I told her that a lot of our health care professionals come from other countries, including Empire and Commonwealth nations.
Having been treated in County hospitals in the US myself, I know that it’s largely the poor and the disenfranchised who get treated there, and they’re gritty places for sure. When wealthy white people think of government healthcare they immediately think of the Public Hospitals: they don’t have any other model they can bring to mind. Their reflexive prejudice immediately kick in and gives them a big fat Nope.
I’ve given up trying to talk about the NHS with most of them. Their reluctance to hear how bad their own system is appears to be bare intransigence.
*It’s worth saying here that I’ve never been rushed by a consultant, and I know they’ll often willingly run over time to make sure people understand things properly. I’d far rather wait for my appointment in the knowledge that no one is being hurried out too soon. And this is an important point about the NHS: it’s
our NHS. We support each other as taxpayers, so it makes sense that we also support each other at the point of use, and the nurses and doctors and ancillary workers too. All of this is being undermined and challenged by consumerism and market forces, but it’s worth preserving and I do what little I can to protect it : always saying thank you, being kind and polite to others in the waiting room, being patient, being on time, not missing appointments. Also raising legitimate complaints in the correct manner when necessary.