The USA has some of the most developed health care equipment, some of the best-trained specialists, and some of the best-equipped hospitals in the world. There’s just one big problem: the average American can’t afford access to those shiny superlatives.
A recent study that compared 11 of the wealthiest, most developed countries on the planet found that the United States ranked dead last—and it wasn’t even close.
The Commonwealth Fund focused on care process, access, administrative efficiency, equity and health care outcomes, studying 72 indicators within those fields. The 11 countries analyzed were Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom and the United States. In addition to ranking last or close to last in access, administrative efficiency, equity and health care outcomes, the U.S. was found to spend the most money on health care.
It also found that the U.S. system is the most unfair and unbalanced. If you have a good insurance plan supplied by a corporation or the government (like Congress gets), then you think everything is rosy. For close to half of low-income people though, decent health insurance is either unaffordable or not available. The heartless proposed bills that recently died in congress would make this disparity even worse. In some markets they would close the one and only clinic doing healthy screenings for women. The bills would do nothing to ease the burden on self-employed people or help them buy into large group plans (like the current Affordable Care Act does).
One way to bypass the bloated U.S. system and its chain of middlemen is to go abroad for anything expensive. There are great dentists—many of them trained in U.S. universities—who practice in Mexico, Costa Rica, and Panama. You’ll also find great ones in Hungary or Thailand, all charging 1/4 or 1/3 the price but providing more personal service. A root canal in Hungary averages $123, just to give you an idea.
At this moment there are people getting knee replacements, heart surgery, hip replacements, and eye surgery in other countries around the world and saving tens of thousands of dollars. I know someone whose father got a hip replacement in Queretaro, Mexico and the price was 1/9 of what my father’s insurance got billed in small-town South Carolina. Plus the Mexico cost included two days in the hospital with the patient being monitored.
If you do some digging around on the web, you’ll find that certain countries are known for certain procedures. If you’re not going to move but you’re just going to fly there and get a procedure done, you might as well pick the best spot. Depending on the procedure, it might be Turkey, Thailand, India, Singapore, South Korea, or Brazil. There are matching services out there with vetted members and patient reviews. Do some research, take a trip, and you could save tens of thousands of dollars.
Health Care Option 2: Move Away
I’ve taken this option twice with my family and will do it again in mid-2018, this time with no return date in mind. What I spend for one month of medical care and insurance in the USA will last us close to a year in Mexico. That’s paying everything out of pocket and having a catastrophic health insurance plan in case of serious emergency.
“This is my health care card,” one retired expat told me when I interviewed him in Granada, Nicaragua. What he held up was a Visa credit card. “My credit limit on this would cover weeks in the hospital here,” he said.
When you go to a hospital in Bangkok, you pay a fraction of U.S. prices and end up at a place like this:
In most countries of the world, if you pay out of pocket for routine care or even a specialist appointment, it’s not going to be a major expense. You can see a clinic doctor for the price of lunch in Mexico and when we go to our English-speaking dermatologist for a full head-to-toe exam and consultation, it’s less than $60. My dentist is the highest-priced one in town because he trained in Houston and a check-up with cleaning is less than $40.
In some countries you won’t even pay that. I’ve heard stories from friends where they went to a doctor in Europe or New Zealand and when they asked how much to pay, the doctor got flustered. There was not even a system in place to accept funds or a list of what to charge–it’s covered by the government via taxes. In Argentina, even if you’re just there on a tourist visa, there’s no charge for doctor visits, just for (subsidized) medicine. A private hospital stay there will cost you 1/10 of a stay in the USA. (Plus you’ll be able to understand the bill.) In Ecuador you’ll pay a little, but the doctor gives you his cell phone number and will make house calls.
In most of the world, health care is seen as a basic right, something you should naturally get in exchange for being a citizen—or in some cases just a person on that country’s soil. It would be illogical to tie health care to your employment status or the quality of the company you’re working for. It’s in the government’s best interest for treatment of contagious diseases to be stopped quickly and for everyone to have access to inexpensive care for malaria or dengue fever.
Being self-employed or running a small business shouldn’t be penalized, but encouraged. So everyone is covered equally. If you want to go have liposuction or teeth whitening you’re going to pay, but it won’t drain your savings to have a baby. This is true across almost all of the cheapest places to live around the world.
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