RVD said:
ok fine, i'll take the bait.
like most things in life, it's not so simple.
Ain't that the truth. I feel I know a fair bit about this, having received medical treatment in several different countries, including both insured and uninsured in the US.
RVD said:
1) The US has the best doctors in the world. If you don't believe this, every single rich person I know from everywhere in the world comes to the US for their health care. The best Universities in the world are in the US, the best medical schools in the world are in the US, the doctors get paid the most in the US, so the best doctors live in the US. of course there are good doctors everywhere but if you were to take the top 100 doctors in each speciality, by far the majority would live in the US. Amongst ones that don't live here, the majority of them will have been trained in the US.
This is not true. Only Americans think this is true. There are good doctors and bad doctors everywhere. But there are more good doctors here in the US, and there are also more shoddy doctors here in the US. US universities are the best equipped generally, mainly because they charge so bloody much to go study there. My wife is works in a highly reputed bioscience lab in a top American university and the staff is 50/50 American/Foreign. She does not get paid by the university , but from overseas funding, yet she pays tax in the US. The most promising young Phd student connected to her lab is an Asian American doing a double Phd in Medicine and cell biology. He is currently in the UK receiving advanced training.
RVD said:
2) Most of the horror stories that I hear from overseas is from delay of care. If you get into a car accident, break your arm (like ice cube), etc. you will get good care. But if you complain that you have a headache, complain that your stomach hurts, etc. it will take a long time to get an MRI, CAT scan, etc. There are many documented cases where a patient has complained about a headache and it took many months to get a scan and when they finally did, it was too late (brain tumor, etc.).
I hear this argument often, but it is a red herring. In the UK (and Australia too I presume) You can get everything taken care of for free. If you want a higher level of care, then you are also free to pay for private medical care or buy private medical insurance like BUPA. If you expect to get an MRI for free every time you get a headache, then you will be disappointed, sure. but if your doctor suspects you actually need an MRI then you will get one very fast, believe me. For free. If you think your doctor is wrong, you can get another opinion for free, or just go and pay for a CAT scan. (or claim on your private insurance). Only 4% of medical costs are covered by private insurance, so you can see that most people don't see the need. In fact the vast majority of private health insurance is provided as a perk by employers.
Yes I have heard many horror stories about UK NHS, but I have also heard many horror stories about US healthcare as well. My wife was in a bike accident last year...even with good insurance, it cost us nearly $1000. That included $30 for a single Ibuprofen tablet while she was waiting to be seen. And $100 for a pair of crutches she neither asked for or wanted.
RVD said:
3) In some countries like South Korea, there is a national health care plan but it works more like a partial payment system. Each procedure has a maximum amount that the government will pay. There are doctors that will do the procedure for that price. But you also have the option to go to a top notch doctor who will charge many times that price but you can still go there and pay the extra amount out of pocket. This gives the option for you to see a top specialist if you want to pay for it but also get some care if you can't afford it.
I lived in Germany as well, and the level of care there was way ahead of both the US and the UK. They have a different type of system there - it is a mandatory insurance system. Despite the better level of care, they spend 10% of GDP on healthcare as opposed to the 16-17% that the US pays.
RVD said:
4) In the US, if you have no money or can't afford it, the public systems are atrocious. I have no doubt that compared to free clinics in the US, the health care is much better overseas. However, at the high end, I think the level of care here is better than anywhere else in the world.
Again, if you're talking high end - ie paying top dollar or paying for expensive insurance - you will get the very best facilities and doctors anywhere in the world. I know several high income Americans who go to South America for treatment because the facilities are state of the art but the prices are much cheaper..
RVD said:
Most of the opponents to Obama care are the doctors and upper middle class+ who want to continue to have the option to pay for the highest level of care that they can afford. Most of us in the US realize that once the US government gets involved, they tend to screw things up and the level of care drops for everyone.
This is a fair comment - but the problem is a highly inefficient, morally bankrupt political system, not the concept of universal healthcare.

I wouldn't trust the US government (either party) to spend my grocery money wisely and without giving multiple parties a kick back....never mind my healthcare money.
In countries where universal healthcare is the norm, it is not a partisan issue. everyone agrees it is a good thing, even if there are disagreements about how to run it. Here in the Us every little thing gets thrown into the partisan bitch fight and the loser is always the average citizen.