Wednesday, January 30, 2008

Universal Heath Care in Denmark

Health care is not an issue I particularly enjoy talking about because it seems currently, it can be a touchy subject. But today, I got my renewal private insurance card and decided that I am going to suck it up and vocalize my thoughts on the Danish Health Care System.

One of the advantages to paying the ridiculous high taxes in Denmark is the universal heath care system. It is a nice change to see everyone in a country taken care of medically. Imagine a place where if you require some huge surgery, you won't pay a dime. Or if you need to be admitted to the hospital for weeks, you will never incur any costs. I think back to 1999-2002 when my brother, Joe, underwent multiple surgeries, was in and out of the hospitals on practically a monthly basis, and even spent a little over a month at the Mayo Clinic in AZ. The amount of money that boy racked up was unimaginable. Our family was blessed to have so many friends, family, strangers and even a miraculous generosity of a hospital, that my family didn't suffer financially the way I am sure many many others could have, and do on a daily basis. I think of all that and I can't imagine how wonderful it WOULD have been if that money was never racked up in the first place. Then of think of all the people in the states that aren't fortunate enough to have insurance in one form or another and am thankful that my brother DID at least have insurance. But what if he didn't?

Fortunately, here in Denmark, that is never a question.

But, when I think, "What if Joe had lived in Denmark in 1999 when he got sick", would it have been any better financially? Without a doubt, yes, but in that, I'm not positive he would have gotten the same care that he NEEDED to survive when he needed it. Would he have gone on a waiting list to wait for surgery and would that wait have been too long?

We have read in papers and discussed in depth with some of our Danish friends and even our Danish teacher about the problems of the hospitals being overcrowded and many times patients in the hospitals are left in the hallways because there are no rooms for them. There have been pictures in the newspapers of hallways lined with hospital beds. I met a Canadian girl about 6 months ago who had recently been to the hospital. She told me how she was surprised that she waited about 7-8 hours in the waiting room. Apparently this is common, my guess is that it is because everybody is able to go to the emergency room, so, naturally, there are more people there! Makes sense in my mind!

We know people personally that have had a family member diagnosed with cancer and put on a waiting list to get treatment. By the time their name came up, 2 or 3 months later, the cancer had progressed too much for the chemo and radiation to do anything. This is unfortunately a common problem in the system and that scares me!! Actually, scares isn't strong enough...that terrifies...horrifies me! What if, God forbid, Michael or I are diagnosed with the big "C"? Without our US health insurance allowing us to hop on a plane for immediate treatment back home, would we be left to sit and wait for that call?

BUT....Private Health Care is becoming more and more available over here. Many companies are starting to provide it to their employees. Since Texas Instruments is such an amazing company, and always seems to be very forward thinking we are fortunate to have private health insurance though TI. If we have an emergency, we will go to a private hospital, if something horrible happens to one of us, I can rest assured, we will be taken care of in a timely manner and that makes me....my hubby...and our moms (I'm sure) much happier. :)

Denmark's Health Care system is without a doubt, wonderful. It would be amazing to raise children in an environment where as a parent you weren't stressed about having some kind of insurance and having the comfort of a safety net, knowing that no matter what happens, you and your children will be treated. Those hefty taxes certainly could pay off if a woman had a baby in Denmark and was faced with multiple complications. Our "normal" health insurance card also works as travel health insurance. If we make our way to say, Ghana in Africa, and we get sick, we are covered in Ghana with our "Yellow Card". I think that is AWESOME. Another cool thing is that if you came to visit us here, and got sick in Denmark you also would be covered by the Danish Health Care system. Not because of associate to us, but simply because you are on Danish soil. Pretty cool huh?

In short, this is my opinion of Danish Health Care (*not to be confused with my opinions on universal heath care) as a foreigner:

It seems that there is a particular group of people this system is good for. They are the people that aren't healthy, but aren't severely ill. If you want a mole removed, you'll have to wait months. If you get cancer, you'll have to wait months. But I think, if you break a leg, or get appendicitis, they will put you in a cast or remove your appendix pretty quick.

Back to Joe.
I am thankful that Joe lived in the states when he got sick. At this point I don't have complete faith in the "normal" Danish Health Care system. Perhaps I've heard WAY too many bad stories and it has made me skeptical. However, I hope we never get the opportunity to form a first hand opinion.

Now, dental and vision.... Thats a WHOLE different story for another day.

_________________
Footnote:

* Universal Health Care is VERY VERY good.

7 comments:

Marianne said...

How amazing that your family got all that financial help when your brother needed those surgeries!!

Another story about how Danish Health Care is flawed: Nis' mom is going to get surgery for something that is just a discomfort. Because only the Chief of Staff knows how to perform the surgery, my mother-in-law has been waiting for over a year because there's always a more nessesary surgery he needs to do!

Ellen and Sharon said...

Our family was certainly blessed during the time of Joe's illness. He received the best possible health care there is. I didn't know until then, how many people really cared and loved us! Even now, people STILL ask,"How's Joe?" I LOVE knowing that you and Michael have your private health insurance cards.

Anonymous said...

Joe is good!!

Anonymous said...

But seriously, im glad i never had to wait in hallways. The only time i was in an overcrowded hospital, i ended up on the VIP floor... and didnt have to pay any extra for it! which is a good thing because i spent a month in there. How do medications work there? W'll have an in depth discussion later. (:

Nichole said...

Joe!
From what I know the meds are subsidized, but I think its still cheaper in the states with good insurance.

I looked into it and this is what I found. This is quoted from: http://www.workindenmark.dk/Medicine

"If you are liable to health service benefits and are more than eighteen years old, the health service acts regulations about subsidies for medicine have the following implications for you (from 1 January 2006):
That you receive no subsidies if your total expenses for medicine approved for subsidies over a period of one year do not exceed DKK 480.
That you receive a subsidy of 50% for the part of your expense between DKK 480 and DKK 1,165.
That you receive a subsidy of 75% for the part of your expense between DKK 1,165 and DKK 2,730.
That you receive a subsidy of 85% for the part of your expense that exceeds DKK 2,730.

Persons under eighteen years of age receive a 50% subsidy for expenses for subsidy-approved medicine between DKK 0 and DKK 480. Expenses above DKK 480 are subsidised according to the rules for persons above eighteen years of age.

On application from the treating physician the Danish Medicines Agency may determine that for persons with an extensive, permanent and professionally well-documented need for medical product, the reimbursement rate shall be 100 % of the part of total co-payment which is in excess of DKK 3,520 per year.

The public health subsidy is deducted automatically from the price of the drug when you buy it at the pharmacy."

Erika said...

I totally agree with you! I am currently studying medical practice and policy here, and while I agree that they have a very good health system, I think it would be incredibly scary to get diagnosed with cancer here knowing that you won't get treated right away. My aunt was just diagnosed with breast cancer in the U.S., and they started her on chemo within a week.

Also, I read your post above about politics. I always feel so nervous here when I tell people I'm from TX b/c they look at you as if you're the reason Bush is president and there's this automatic judgement. I didn't even vote for him!

Still, I don't want to sound negative because I have loved my time here so far!

MoMo 2.0 said...

I never told you this but in 1999 I got very sick and underwent all kinds of procedures to figure out what was causing my problems..after 14 months of procedures and BILLS and finally a surgery to remove a tumor that had grown to the size of a hamburger, they discovered the problem and my life returned to normal (Will tell you the story someday) but I can tell you that financially I am still feeling the affects of those 10s of thousands of dollars I racked up in bills.... it can destroy someone´s life while trying to save it... I know the Danish system has faults, but the idea of equal access to all people just blows my mind.