UK NHS vs US Healthcare|Americans living in the UK


UK NHS vs US Healthcare|Americans living in the UK



hi guys welcome back to my channel so today we're gonna be talking about the NHS versus at US health care I really want to take the time to gather some information as well as kind of wait a little bit until I've had some personal experience through the NHS myself so that way I could speak on kind of from American's perspective on what the NHS is like also what the US healthcare system is like so I'm gonna place a disclaimer as well because I will say that I actually really love the NHS and I think that socialized healthcare is a great thing so I am gonna put that as a disclaimer just because you know I just think it's important to know where I stand on this kind of particular subject matter but I'm gonna go ahead and get on started I'm gonna kind of give you guys the bullet points so maybe it might help you understand why if you're an American I like the NHS as well as just universal health care or socialized health care in general so I'm gonna go ahead and start off with how does it work with the cost everything etc so with the NHS you do pay through taxes now from what I was looking on line they didn't really give me a set percentage on how much the taxes per person comes out to in terms of what they pay for their income but they did give an average amount per person in the NHS through income sorry so through people's income how much each person pays for the NHS so it was about 1800 pound per year that UK citizens are paying for the NHS or to be able to take advantage of the NHS then from there pretty much everything is free so when you go to the doctors if you're sick if you need surgery everything for the most part is free I do believe there were a few little things such as dental care unless you're under the age of 18 you'll have to pay for certain amounts of dental care and work which even then when I was looking at the cost of certain things I've had dental work and I didn't use the NHS I actually paid out of pocket privately it still wasn't anywhere close to what I would pay in the US as well as I believe like I doctor's appointments podiatry chiropractic certain things like that aren't always fully covered through the NHS and usually if you do have to pay for certain things it is at a lower cost and then I believe only from what I was reading a lot of comments I think England is the only place where you have to pay for prescriptions I think in Scotland and Wales they don't pay for prescriptions and so in England they do pay for prescriptions but it's eight pound per prescription and you can also sign up for like certain programs where you pay a monthly cost or an annual cost that ends up coming out to like a lower amount if you have like the same prescription every single month if I'm not mistaken so definitely a lot more cost-effective so even if you're paying you know say the 1,800 pound per year ends up being what you pay everything else is completely free for the most part like I said so that to me is amazing so and the reason why I say that is I think coming from the US and being in situations where there might be a high financial stress or worry that comes with certain care that you need it's very overwhelming and the amount that you put in is a lot so I didn't want to go ahead and say because I think for people that live here in the UK they may not know that the u.s. actually has kind of a system that is a government based healthcare plan so people who do make a low income or who are retired over the age of 65 and make a low income through Social Security they can qualify for Medicare or Medicaid and so this actually does come out of our taxes again it was really hard for me to get a definite number but it seems that depending on how much money you make per year you're gonna pay around I think it was about 1.25 percent to two point four five percent and when I was doing the math I think if it was if you make about the average income in the US which was like 56,000 you're gonna be paying around 750 dollars a year just for Medicare and Medicaid that you may not actually be able to be qualified for so you're paying into the insurance or you're paying into Medicare Medicaid for people who are of lower income to be able to qualify now to qualify for Medicare Medicaid you pretty much have to make a very low wage I believe if you're a single person I think it was about $1,300 a month that you have to bake I think like 1,300 to $1,700 a month that you have to make as a single person and then I think like the max amount you can make for a family of eight came out to like fifty three hundred dollars again I kind of went through at different articles and research that I could find again you pretty much have to apply per state I think it varies based on I'm sure cost of living and you apply then they say whether you got approved or denied typically though most the time for Medicaid in order to qualify you pretty much either have to be pregnant or have children it's very rare that a single person unless you are disabled and I believe you have to be receiving Social Security disability for at least 24 months to qualify for Medicare which is for people who are also elderly and again you have to make only a small amount through social security in order to qualify as well so again you've it's really hard to say that you can get qualified because you really have to be making quite a low income and usually it's for families which i think is great but still the bar is very low for families again you have to be a family of eight making fifty three hundred dollars a month I think that's I mean to me pretty low to take care of I mean that'll be like six kids and two adults so yeah that's pretty crazy to me that that would be your max income in order to qualify to be able to get assistance for health coverage now I know for my family my mom was a single mom most of my life she did not make a lot of money so for my sister and we typically did get covered through Medicaid and through and being able to get like free dental work and things like that so we were very fortunate that that was available to us but as I became an adult it did not become available and after had my son all of my health care coverage I had to pay for it myself so I'm gonna talk about health insurance again this can vary from person to person state to state insurance to insurance now typically most people will pay for health insurance through their job it is a basically their company offers a certain amount or certain insurance for certain costs and they can vary depending on what kind of insurance you decides so I believe the average amount like per person that people are paying if they have health insurance I think is around anywhere from $200 to 440 depending on the quality of insurance that you have so for myself when I after I had my son I was paying about $300 a month for my son and I to have health insurance and I actually had a pretty decent health coverage in my opinion in comparison to a lot of others my son and I our health insurance I believe it was a two thousand dollar deductible after we met a two thousand dollar deductible which if you don't understand what that means basically means I have to have two thousand dollars worth of health coverage that I've already paid for or have done in order then for my health insurance really to kick in so basically then once it kicks in depending on the what you're getting done it can vary anywhere from 70 to 90 percent that's covered and then the rest you pay for yourself and we also were on because we had more of a I paid more for my insurance so that way I could also have it's called I had like the retirement health care plan so they gave me a certain amount upfront to use I believe I got $1,000 total for my son and I that went towards healthcare costs so if I went to the doctor that wasn't covered then I would be able to pull it from this retirement account that they would my basically doctor's office would call I would let them know that I have this and they would pull from that before I paid out of pocket first so really my deductible I guess was kind of closer to around a thousand I would end up having to pay a thousand dollars out-of-pocket because the first thousand was paid for through my insurance and then the second thousand add up to paid for but then everything else after that was again anywhere from seventy to ninety percent now I give the example prior that when I had my son if I would not have had health insurance it would have cost us about thirty thousand dollars and after I had my son I believe we paid a total of like six thousand dollars to have our son because again the deductible and I think at the time I had a twenty five hundred dollar deductible so I'd have paid that upfront and then because I have paid my doctor first and then once I got all my hospital bills and then I had to start paying on that which that was at a ten percent rate I believe and then yeah I believe all of that ended up being at like a ten percent mean thirty thousand dollars was just for the hospital so that came out to a little over three thousand dollars for that and then I also had to pay for when I got an epidural so it can get pretty pricey even if you have health insurance and you're paying for your health insurance every single month so I believe that the total for health insurance then would be around like thirty six hundred dollars a year I think for your health insurance coverage or Lisa brown what mine would have been per year and then I'm still having to pay out of pocket so again eighteen hundred pound per year and pretty much everything is free or you're paying about thirty six hundred dollars a year and you still have to pay out of pocket so the only thing that I will say that I do kind of prefer about the US healthcare system is preventive care now here in the UK preventive care is a little bit different and the reason why I'm passionate about this personally is just because obviously my mother died of breast cancer so to me preventative care is extremely important to be able to catch something ahead of time more than anything I mean to me that's like really important before it's too late and that's kind of what the situation was for my mom at the time because she was in between switching health insurance she actually wasn't able to get in and enough time so when she went to go get checked which luckily she qualified when she got the health insurance otherwise it would have cost her a lot of money it was too late she was already you know almost Stage four breast cancer now here in the UK I do believe if you feel a lump or anything abnormal they will get you in which is great but I think for if I'm not mistaken if you do not have a family history of breast cancer then they do not start doing mammograms until you're at the age of 50 and then I think if you have a family history you might be able to start getting in at age 30 but it's anywhere between age 30 and 40 and there's a lot of different organizations that will be able to get certain testing where you can get a referral to get family genetic testing to see if you have like bracket one or two or any other reason why you may possibly get breast cancer at an earlier age than say the average person now in the u.s. they actually will start doing mammograms at age 40 and then they really kind of start requiring women to start getting them at the age of 45 my mother got diagnosed with breast cancer when she was 44 years old so again that's kind of younger but honestly I think for me and my my personal feelings I think that mammograms should be done at the age of 40 because every woman is different and every situation is different my mother's was not genetic so there really is no rhyme or reason why she got breast cancer but to get breast cancer at the age of 44 I mean that's just scurrying to think that if you know you would start getting your mammograms done at 40 what better opportunity you might have had to get that caught early on so also some of the things that I noticed here in the UK was also pap smears pap smears are done every three years if you don't have anything abnormal and in the u.s. it has done every two years if you don't have any abnormal testing and I believe for both if you have ever had an abnormal pap smear they will do it every year and then the other thing if you are in the u.s. your GP will typically also get you in at any age and you can do an annual checkup that is covered through your health insurance or Medicare Medicaid where you basically just go in you do your annual bloodwork they basically just do a series of tests make sure that you are doing okay here in the UK I believe it's not until you're in your 40s or 50s that they'll start doing any type of annual check now you can pay out-of-pocket I think anywhere from a hundred to two hundred fifty-pound for private consultations I don't know exactly what each one what like what type of consultation you're paying for I'm sure that can vary depending on what you want now I have read on the NHS website also again if you feel like anything is wrong clearly you can call so that is something like I genuinely I haven't had any issues getting into my local GP or my local doctor so basically whenever I've called and I'm sick or I'm not feeling well and my son's not sick I can pretty much get an appointment either that day or within the week if anything is going on so I haven't ever had to wait and I know that a lot of people especially in the u.s. they're always saying that there's such a long way to be able to see your doctor now if something is severely wrong they do have a number call it's the one one one NHS service now I would say severely wrong obviously you want to call 999 which is the basically 911 it's the emergency line if something obviously is very severely wrong now 1 1 1 is the NHS line where you basically let them know what your symptoms are what's going on and either they'll try to get you an appointment immediately that day if something's going on or they'll let you know ok this may not be that serious you can take certain types of over-the-counter prescriptions etc or they'll try to get things moving along to help you which i think is great again I haven't had any issues getting in now the one interesting thing that I have noticed in the u.s. pretty much everything is separated by a department so when you're at least for me I don't know if it's the same in every city or town but I've a local surgery that they call it local surgery it's basically like a local doctor's office but pretty much you see just your local GP and they have nurses and so when you have like your pap smear you get it done by a nurse they don't really have separate facilities so when you're going in you're just seeing one main person for your lady needs your for your to be able to have your child seen for you seen you go to one place as in the u.s. you have a pediatric office so you go to a completely different office this is just for children if you are going to get your pap smears where you're pregnant you'll go to an OB clinic or gynecology clinic and then they have just GP so general practitioners that have their own office that are just primary or family doctors and yeah that's basically it so I thought that was kind of interesting that here in the UK you just go to one place and then they do base a lot of things on referrals now I think this is where a lot of people I think have issues with the NHS is kind of the wait for referrals or people who do not understand universal healthcare socialized health care and them talking about the wait list for being able to do certain things so I will clarify that also in the u.s. yeah you can get seen for certain things early on and the waitlist may vary but there is still a waitlist to see certain doctors and be able to get certain appointments or if you have to get certain testing so in the UK depending on what you need done you could be placed on a waitlist for mental health you could be placed on a waitlist for I don't know variant things so if you have to possibly get a surgery or testing done or see a specialist there is a referral system and the referral system I it seems pretty much it is based on the emergent need behind what needs to get done so you know for instance my husband was just looking and out of curiosity because he has a deviated septum and has always had issues breathing so looking to see how long it would take to possibly get a referral to get his deviated septum fixed and I believe that was about it said anywhere from sixteen to twenty one week wait which again it's not life-threatening so I think with the u.s. I think a lot of people just have this impatience and I think if you just really think about is this emergent is this an emergent need no so I would say for general care you're getting good proper care and it's free so you can always pay out-of-pocket and even then it is not anywhere close to the cost of how much it costs to get any type of care in the u.s. so if you really felt like you really wanted to get additional testing or you wanted to go private and you wanted to see somebody yourself then you can pay for that out of pocket or you can pay for private health care to be able to cover more so I mean I don't know for me personally I don't really see the problem again I haven't needed anything super severe super crazy I needed to get a referral once for an ultrasound to check on my sis which was a 30-day wait not a big deal again wasn't an emergent need it was just something personal that they were just checking on my sis to see what was going on that was it so again not an emergent need not a big deal I can wait the 30 days it's not detrimental so I think if you are in the us yes you might be able to get certain things done earlier but when you're kind of comparing you know the benefits of not really having that stress of having to pay for all these things it's not that big of a deal and again if you think it's a big deal then just pay for it yourself I guess so the next thing I wanted to go ahead and touch a point on is how much doctors are making now again that it was hard for me to be able to pick out all of the each individual departments because I just wanted to get kind of an average of what a GP makes in the US and the UK and I wanted to state that just because I think that I actually think it is important so in that the UK the average salary for a GP doctor is about ninety thousand pound again this is just what I found online and in the u.s. it's about a hundred and eighty six thousand US dollars for a practitioner now in the u.s. there are a lot of different obvious like I said there's a lot of different groups so you can have so if you have just a gynecologist they can make a lot of money because you're paying for them to give birth to your baby they also do any type of surgeries so if you have like endometriosis or if you need to get a hysterectomy or anything like that then you're paying a lot of additional costs to be able to use them and their services as in the UK that's not really the case so doctors can make varying amounts based on what their skill set is and what they do but the reason why I kind of like that there's a standard across the board is that there's a less likely chance that they're going to I don't know how to say this they're going to offer you something that you do not need because they want to make money off of you and I have found this to be the case in the u.s. in the u.s. especially when it comes to prescription so there can be so in the US because there's so many different prescriptions if doctors offer certain prescriptions they sometimes will get a commission off of the company to offer certain prescriptions again when it comes to surgeries they can make a lot more money depending on what they're doing some doctors wanted to be able to make as much money as they possibly could now in the US because everything costs so every time you use an instrument that costs the patient every time you do certain things however long they stay in the hospital that costs them money so in the surgery office say they want to make sure that they're making the biggest bang for their buck if they open if they use an item in the surgical office so in or in the surgery operating room then they get to charge the insurance or the patient for that use of the instrument that they're using so a lot of Surgeons would use everything available to them because they wanted to make a lot of money and they would make an excuse for why they needed to use it they would obviously use it because it would be against the law if they didn't use it but they would make a reason to use it when it may not be a hundred percent necessary just so that way they could make more money and to me that is very disturbing that doctors are finding ways to make money off their patients yeah it's just it makes you feel like people who are doctors in the u.s. aren't always doctors for the right reasons they're doctors because they want to make a lot of money and I think to me that kind of makes me question the care that you're getting so I had a particular instance when I was pregnant and I had a few times where they tried to charge me for things that were pretty ridiculous so the first time this happened I was probably I don't know I think at the time I might have been like twenty two weeks pregnant we went in just for our normal checkup and Jude was moving she could hear the that my son was moving and with when you're in the OB I don't know again what the policies are here in the UK but they have to get the heartbeat and a certain length of the heartbeat before they let you go because it's basically by law just to make sure that everything's okay with the baby so June was moving around you could hear that he was moving and so when she was trying to get the heartbeat she was just getting frustrated cuz it was taking too long and it wasn't because she that there wasn't a heartbeat she would start getting it and he would move but you have to get it first certain amount of time in order for them to say like yes clear she's good the baby's healthy everything's okay to go so the doctor asked me they're like okay wouldn't you be okay with us just going into the next room so I could just do a vaginal ultrasound so that way I can go ahead and get the heartbeat and I said yeah that's fine because she was like your son's moving around too much it's just taking too long for me to be able to pick it up so they go ahead and do it I didn't even get like a full ultrasound or anything they just checked the heartbeat he was fine of course because we already knew that go home a month later I get a bill in the mail for $300 for an ultrasound and it said so basically it had a coating a billing code on there and I didn't really say anything specific luckily since my husband had been working in the medical field he knew what the billing code was for and it was for and they said an emergency ultrasound because they couldn't find the baby's heartbeat so I called my doctor's office and I told them I was like there wasn't an emergency my son was perfectly fine she was just being impatient and didn't want to wait to see that she can get it long enough it wasn't that she couldn't get the heartbeat it was that he kept moving and she was getting frustrated so they ended up taking it off but I was very disturbed that a doctor wouldn't do that when it's you know very well and clear that that's not what happened I didn't have any issues my son was perfectly fine you were just being impatient so I found that the most issues that I've had like in terms of health care actually in oby clinics so I noticed that they will book people back to back to back because doctors really want to make money in the US the more patients they see the more money they make so they're booking patients 15 minutes apart and so things are always going over I would not even kidding wait about an hour plus to see my doctor for my monthly checkup or weekly checkup depending on how long I was in the UK so far my doctor's office I have not waited more than 10 minutes and I see my doctor immediately so a lot of times in the u.s. at least especially in my clinic they'll have you go in depending on what they need done they might do some testing by the nurse or the medical assistant so they'll check your blood pressure they might take your blood they might make you do a piece ample and then you go wait in the doctor's office and then you wait for the doctor to get in so you could be sitting in the room for about thirty minutes to an hour just waiting for the doctor to come in and here in the UK they pretty much just take you in and any work that they need done they do right there or they make you do an appointment if they need bloodwork and you might see the nurse or they might send you to go see the nurse if something needs to be done that they need to see the next patient for so they have a much smoother system in my opinion being here I do live in a smaller village town whatever so that might make a huge difference but I haven't had that kind of issue and again I kind of preferred that there isn't this quota they just see what they can fit in and my doctors have always taken the time here to ask questions figure out what's going on I haven't ever felt that I was being rushed as in the US I always feel like it's super quick they just open up their notepad or they're a little tablet and they're just clicking they're like do you Phyllis do that okay everything looks okay I'm gonna prescribe you this bye have a good day you know or go see you know upfront and go see your you know get your next doctor's appointment you know so I think to me that's just not good health care etiquette in my personal opinion yeah I mean so in the u.s. overall I would say when in terms of getting health itself or health treatments I would say I've never felt that I've been neglected or that I wasn't getting proper health care do you wait yes you can wait if you go to the emergency room you can wait for your appointment you can wait to get a referral they're still waiting that's being done and a lot of money that comes out of your pocket again the positive that I will say because doctors are always wanting to make money that you know they're preventative care is a little bit better because they want to make money so the more times they see you they're more likely to be okay with doing preventative care things because it just means another appointment for them now even if it's for selfish reasons at least that preventive care is there so same with when we would have our son our son had like a monthly checkup and then it went to like every three months and then annually here in the UK they don't they just do like their vaccines and then if anything is wrong you see them but it doesn't seem that there's a lot of checkups except when they're like a newborn just checking their way making sure everything is okay which I found very interesting and then again like I said just general preventive care it's a lot longer time span to go in just to get normal treatments there's not really any old checkups and the one thing that I did I would say as well that I really wish that they also did here in the UK and again kind of going back to the breast cancer thing in the US when you get your pap smear they also check your they do a like a physical of your breast so your doctor will check your breasts to see if they feel any lumps because maybe you're not feeling anything and in the UK when I had my pap smear done they did not check my breasts at all and that was one thing that I wish that they at least did during your pap smear just because I feel like that's just an easy thing to just quickly do is just add in a touch exam just to kind of make sure that they don't feel anything because people like we're not professional so we may not always be able to feel from what we're looking for and it's you know literally takes no time at all for a doctor or a nurse to just feel and make sure everything is okay so overall i clearly am a much bigger fan of UK healthcare / US healthcare again my situation could be very different it could be it's very situational I live in a small town where we don't have to really wait the doctors are really nice we've always had a great experience I don't know I just I don't see what people in the US can be so against healthcare or not like universal healthcare or socialized healthcare where you're getting coverage just doesn't make sense to me that I don't know I mean it doesn't make sense to me I mean you pay yes into the taxes and those taxes go into the NHS I don't know I think it's a pretty great system and even again the cost of health care here is just so even if you're going to pay for something it's just not the same cost it is in the US and I think that's why for me I just don't think in the US I feel like a universal health care system would be so hard to get done because not only do we have health and so we have health insurance companies who make ish they make so much money I believe it was like 2017 they made 163 billion dollar profit 163 billion dollar profit health insurance companies made in the u.s. that's in the same that was a profit to them that's how much money they get to put back in their pocket and there's people who are struggling to get health coverage and to be able to get seen so also one thing I will add – even if you have health insurance in order to get treatment sometimes you have to pay the deductible up front before you get seen so my doctor my son when he had to get his here to get tubes in his ears because he had really bad ear infections we had to pay that upfront so if you're not able to get Medicare Medicaid and you're you know say you're a you know lower average income family and you're having to pay 1,000 to 3,000 dollars for a surgery that you can't afford like you may not get it done because it's not something you can pay for so to me that's kind of scary to that you know there might be things that you're not getting done or seen because you just can't afford it even if it is just to go see your dog like because even sometimes just to get certain checkups or things that are out of your normal annual routine your insurance makes you pay for so if there's an appointment like I remember certain things I had to pay for I'd pay like 100 200 dollars out-of-pocket to some people that's a lot of money to pay just for a like a little appointment or some blood testing things that they're like they push off it may not get done because they just can't afford it so yeah I don't know I think it's crazy in the u.s. to me personally that there's no insurance and I think if they would it would be very hard to push out privatized healthcare make a more standardized cost limit in hospitals and have doctors make a certain amount I think that's the biggest struggle is doctors are kind of greedy and they don't want to make a lower amount or have a standard base pay and not have the opportunity to make a lot more money so I don't know it's it's kind of it's kind of crazy to me to think about but I am so grateful for the NHS I am so grateful that I have it and that you know if I'm sick I don't feel stressed about it if I feel like something's wrong I can go see the doctor and again even though they may not have like I said preventative care where I mean they have preventive care but it's not – you're much older which is great but you know if you feel a lump a bump you have an issue you're not feeling good you can get seen so it's not a problem I've had no issues when I you know had any type of problems where I didn't feel good and again even if you have something you can always call the one-one-one and they may be able to guide you as well just to figure out what might be the best course of action if you should go see your doctor or not so anyways I hope you guys enjoyed this video I'm sure I'll get some interesting comments down below just because this is I think a pretty can be controversial topic or pretty hot button topic but I I mean I genuinely think that it's important for people that are living in the u.s. to know the NHS is not bad I haven't had any problems and it's okay to I don't know have universal health care to have socialized health care it's not scary I promise at least so far to me hasn't been crazy hasn't I'm scary I feel good about it so thank you guys so much and I will see you guys for my next video bye

Have any Question or Comment?

49 comments on “UK NHS vs US Healthcare|Americans living in the UK

I'm sure that others will have put it on here – from the NHS website.
" When it was launched by the then minister of health, Aneurin Bevan, on July 5 1948, it was based on 3 core principles:

that it meet the needs of everyone
that it be free at the point of delivery
that it be based on clinical need, not ability to pay"

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Love your videos, but try to make them no longer than 15mins.

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The average cost in the UK that you give, £1800, is based on all tax payers, this doesn't mean everyone pays that amount in taxes to fund the NHS. If you earn less than, I think it's around £10k then you pay no tax on your earnings, but you still get free treatment on the NHS. Anyone claiming certain benefits are also exempt from prescription fees.

UK tax works like a huge pot where all the collected taxes goes into this pot and is then distributed by the government to the various government departments.

From what you say, it seems as though US doctors/hospitals/medical staff are very unethical, profit before patient

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On the subject of US medical professionals not wanting full publicly-funded healthcare because they make too much money out of the current system, it's interesting that when the National Health Service for the UK was proposed in the 1940s, many doctors were vehemently opposed to the idea – because they thought they'd lose money! I don't think there are many doctors in the UK these days who actively want the NHS to go – though the medical profession has has its disagreements with the government about pay and conditions over the years.

Interestingly GPs aren't employed directly by the NHS. GP practices are businesses that are contracted to provide GP services to the NHS, and the GPs themselves are employed by those businesses, or even run the businesses themselves. In the hospitals, doctors, nurses and other staff are mostly employed by the NHS (though services such as cleaning and maintenance are usually contracted out these days). However, consultants and other senior medical staff usually don't work full time for the NHS; they additionally earn (a lot more?) money from the private sector. This is a double edged thing for patients: if you can't get to see a consultant via the NHS without a long wait, you may be able to see that consultant much quicker as a private patient, as long as you can afford to pay. But it could be argued that this is one reason why there are long NHS waiting lists for certain specialisms in some places: if there's a shortage of consultants in that specialism, the available consultants can make the situation worse by only working part-time for the NHS because they're busy making money from their private practice.

So are medical practitioners greedy? Well I guess some are, and some aren't, but the greedy ones will naturally exploit a system that allows them to make make more money.

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NHS is great and long may it stay!

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Thank you Alex, this video is extremely informative. I always thought if you had health insurance in the US everything was covered, but apparently not, and you still have to pay out of pocket expenses which can amount to an awful lot of money.

 I recently watched a news video that stated Americas are one of the most stressed people in the world (on par with countries that are at war). I can now understand this as the worry of becoming seriously ill and not being able to afford treatment must be at the back of everyone's mind. Of course this can't be the only reason, but it must be there near the top.

I do think the USA will have a struggle getting universal healthcare as many people at the top have a vested interest in the profits from the insurance companies. 163 billion dollars profit is an obscene amount of money and a lot of people are making an awful lot of money at the expensive of the average person.

Thanks again for a very well thought out video.

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Two things to say to you. Firstly, you can always ask the GP or a nurse to check your breasts. I expect you have told them your family history? They would always be happy to do that. Secondly, I am not sure how old your son is, but here there are baby clinics – ask at your GP – where they weigh them and check their development. There are developmental checks at certain ages up to school age. Just double check that he is in the system for this, having been born abroad.

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I think that the NHS costs about 7% of GDP whereas the USA spends about 20% of GDP on healthcare yet has no better health outcomes. The difference is extracted as profit.

A friend of mine worked at a US hospital and noted that the mark-up that they charged on medicine was approximately 1000%. A ten times mark-up on very basic medicines.

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British healthcare may sound better but if you’d had universal healthcare in the US, Breaking Bad would only have a lasted one episode and not five seasons.

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I agree with the principle of socialised health care as I feel uncomfortable with the idea that your health should depend on your financial status. The problem with it is that it's not sustainable in a globalized world where most countries don't have such a system and this is true of socialism in general. The NHS, whilst being a life saver has declined over the decades and it's simply due to the increasing pressure being put on it. Socialism and open borders are fundamentally incompatible and will lead to collapse in the long run.

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Our NHS is the jewel in our crown, it has it's problems but essentially is a much better system than the private health care system in the US. In the US if you're poor and you're ill you die… If you get cancer your first thought should be am i going to live….. Not can I afford to live…

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Who are you looking at ?

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Would just like to point out that prescriptions here in Scotland are still paid for by the public, it's just through tax, just like the NHS.

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It is crazy that the US still pays more per person in taxes on health, while covering a fraction of the population. That is the thing that always confuses me.

At least if they weren't paying anything in taxes it would make more sense for some to be against it. Instead those people seem happy to pay more anyway, for much less.

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Sounds like a you had a PPO in the US. One of the dumbest things in the US, that you didn't mention, are HMOs. Basically even if you have health insurance, that is an HMO, you can't go to every doctor. You can only go to the doctor that is "in network". If you go to a doctor out of your network your health insurance will not cover it. You'll have to pay the full costs. Only in the US does this happen. No other country in the developed world has to worry about going to the right doctor to be covered.

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What is described as preventative care is a difficult subject but the reasons that 50 is the age for most women to start breast screening is because starting earlier doesn't impact on survival figures, mammograms use xray's and as such can in themselves increase risk. Remember when US politicians used to denigrate the NHS for lack of regular prostate screening, were as in the US many men were being exposed to unnecessary aggressive treatments with no useful health benefits.

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One thing I hate about the NHS is I have to pay for contact lenses.

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Hi, I think you forgot a few things. Most people in the US most people are insured thru their work. So you and your company pay for the insurance. So if you pay $300 your company is also paying around $300. Next issue is doctors in the US have to pay very high insurance. On the point of appointments in UK. I never really make an appointment. Every time I need to see the doctor I just go. Some one will miss an appointment. I never had to wait longer then an hour.

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our doctors are not greedy at all.

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I am lucky to have good genes and live in Britain.

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what does deductable mean?

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you have experience of both countries but yanks do not.

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Look, my tits are dead small so bugger it.

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my doctor's file has Excellent on it.

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On the prescription subject. They are free in UK for people over 60. Also for people on thyroid meds get all free. Also the US has some other socialised medical. The VA and military are socialised medical care.

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My doctor is on time and dentist is nearly on time.

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my son did not move at all but came out OK with a C section as he was breech.

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I find it crazy that a country in the Western world like America doesnt have something like the NHS – its like a third world healthcare system in the USA

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socialism is great anyway. Vote Labour.

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I do not have to wait to see a doctor and our GP surgery has been judged outstanding.

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we are not all hypochondriacs in UK.

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a what smear? Did not hear it.

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breast cancer? We have checks but I do not have tits anyway. They do ask you to go for breast check but I don't bother.

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I had a C section and that would have been £2,000 approx.

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I do not even pay for prescriptions with NHS. We have had NHS since 1948.

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NHS saved my life with cancer twice I wouldn’t be here without them we are so lucky to have them

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British praise the nhs there waiting gold they do a brilliant job

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In my family, we have two insulin dependent diabetics. All prescriptions, constant medical checks and help from a diabetic nurse is free. Amazing NHS treatment. How do diabetics cope in US?

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Having to pay to have a baby is a bit much!

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Breaking bad would have been a very short show if it had been set in the uk

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What is ironic is that some Americans who are against public healthcare state that "why should I pay for the healthcare of somebody else when they are not willing or able?". Then it turns out they actually pay more for them and their families than they would do for themselves and others because they insist on having private healthcare.

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I think you'll find that this is not a 'controversial' subject here in in the UK. What would have us up in arms would be a move towards the US health system, where Doctor Dollar seems to practise.

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Health Insurance companies ADD NO VALUE to the health care system. They only add to costs.

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There are two aspects to consider. What is provided? How is it paid for? The first part is simple. The practice of medicine is the same almost everywhere in the world. The NHS covers most conditions and most cost effective medicines and treatments. The difference US v UK is how is paid for. The UK allocates funds and the medical profession (in essence) tries to do the best with what resources can be bought with the money allocated. Care received is definitely according to medical need and not according to your bank balance. There are NO insurers if you stick to the NHS service. In the US, the insurers can suck up to 20% of premiums in admin costs, marketing, profit etc. The insurance admin system also places admin loads on the hospitals and other providers which is one reason why costs for care in America are so high. Oh, and in the UK, prescription drugs cannot be promoted with direct to consumer advertising. In the US, most TV is part funded by advertising by pharmaceutical companies. Your meds in the US are finding TV shows. Mad but true. In the UK doctors are trained to know what meds are best for the condition you have.

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I don't think DISCLAIMER is what you meant.

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The US has health care?

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Americans are scared about having universal healthcare because every time a President tries to implement some system, the healthcare industry launches a scare campaign which lies about European systems. That is where the American perception of long waiting times comes from, the propaganda from the industry. The same happens with gun control, the gun industry launches a scare campaign.

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Thanks for another 8nteresting video ☺.
Couple of other things with the NHS though.
1. You don't get exemptions for pre-existing conditions.

2. Unless it has been changed, you should have a specific health visitor assigned to all children under school age. These should regularly see the parent & child to check growth, weight and developmental progress.
Everything related to the child by the health visitor should be recorded in the childs Red Book, which the parent keeps (Check with your GP about this).

Our health visitor was brilliant, she spotted signs of possible Autism in our daughter when she was 2.
Because of the Special Needs support she got in mainstream school, she got I think 11 GCSE's, almost all A and A*.
Many people don't want the labels, but they open doors to extra help.

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