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Mar
1

How bad is the United Kingdom’s National Health Service?

A very good friend sent me this email after reading others’ comments about the Brits’ NHS. This gentleman has had numerous experiences with the American health care system, none due to lifestyle issues.
Here’s his story.
Five hours into an 11-hour flight to London last month I had a heart-related medical “incident” that caused me to faint, hitting my head on a trolley on the way down giving myself a concussion in addition to whatever else was ailing me. Although I (stupidly) refused the wheelchair and ambulance the airline had waiting for me at Heathrow, upon arrival at my hotel I was sent to the emergency room at St. Mary’s Hospital in London where I spent the next 24 hours.
I have to say that I received the BEST medical attention I have ever had or witnessed anywhere in the U.S. Upon arrival in the emergency room I was immediately seen by an administrator who did the necessary paperwork with a sense of urgency I’ve never seen in the U.S. I never even had a moment to take a seat. I was then admitted to the treatment area where for the next 3 hours I received a steady stream of nurses and – not one – but THREE doctors in rapid succession as checks and balances against each other. (At one point the three doctors convened and argued about my diagnosis just like the doctors on television who only have one patient to care about – and actually care.)
In addition to a battery of blood tests, temperature-takings and blood-pressure checks, I had THREE ECGs, TWO X-rays and a CAT-scan before being admitted for an overnight on a heart monitoring machine. After repeated attempts and many delays, they were finally able to get my cardiologist in L.A. on the phone to consult my records and get his opinion. The next day I continued a battery of tests all day long and was told they wanted to keep me for 3-4 days for monitoring and more tests. I refused and demanded to be released as I had to get to the business meetings I was there for – but promised to follow-up with my cardiologist when I returned to L.A. For the next ten days, I received phone calls every couple of days from one of the doctors who had seen me (not a nurse, a real DOCTOR) to make sure everything was alright and that I wasn’t experiencing symptoms.
The hospital was the cleanest I’ve ever seen, was stocked with the latest technology and the most attentive and empathetic staff I’ve ever seen. Had I been an EU resident, all of this treatment would have been free. As an American, I was allowed to walk out without a bill, but was later mailed a bill for — get this — $600. That’s right – six hundred dollars! ONE NIGHT in Cedars Sinai Hospital in Los Angeles – without any tests – starts at $15,000. The last time I paid for a CAT-scan it was about $1,800.
I am no stranger to hospitals in the U.S. I’ve had more than my share of emergencies and have been rushed twice by ambulance with life-threatening conditions only to be kept waiting on a gurney in a hallway for up to five hours. One unforgettable incident was being kept waiting five hours at St. Joseph’s Hospital in Santa Monica while my organs were in shut-down mode. The doctor later told me I was hours from death. Another time I was rushed unconscious while tumors had caused blockages of my large and small intestines. They wrongly thought I might have a ruptured appendix. While waiting five hours to be admitted, I was given an enema to try to clear the blockage. Had I had the ruptured appendix they suspected, this would have killed me.
I can only hope that the American health care system will become like the UK’s. Even the hospital food was good!
Oh – and by the way – when I got home and saw my cardiologist, he completely ridiculed and belittled the Brits for “over-reacting” and “throwing mud at the wall”. He explained that the reason they reacted as they did was because “they didn’t know what they were doing”. He offered the tests they recommended, but I’d have to wait 6-8 weeks to get on the docket at an outpatient facility and it was going to cost many thousands of dollars and he doubted my insurance would cover it. No thanks! I’m planning on getting the tests when I return to London next month.


8 thoughts on “How bad is the United Kingdom’s National Health Service?”

  1. I’m glad you hdad such a positive experience. Unfortunately I can relate several more stories that negate yours’ from patient’s who work for MSFT who have had the exact opposite experience, but they did comment on the
    the low costs.

  2. There are plenty of anecdotal stories to the contrary as well. I took care of a soccer player who injured her knee 9 months before her arrival in the states for a local college. She was seen, had an MRI and ACL reconstruction within 3 weeks of arrival here and is now the best player on the team. She didn’t even have a diagnosis in 9 months in the UK other than “sprained knee”. No orthopedic surgeon, No MRI, No treatment other than Ibuprofen and a knee sleeve and they would try to get her set up for a MRI or Referral, but hey it was cheap.

  3. There are stories to support both arguments. I’ve got just as many horrific stories about care in the U.S., like my friend who was repeatedly diagnosed with hemorroids for a year by Kaiser Permanente in Los Angeles. Suspecting something wasn’t right, she went to another doctor (which her insurance wouldn’t cover) and found she had colorectal cancer. She was dead 3 months later. Poor quality care can happen anywhere. We just have to pay more for it in the U.S.

  4. “Poor quality care can happen anywhere. We just have to pay more for it in the U.S.”
    Best quote ever!

  5. As everyone has noted there are plenty of anecdotes to support either position. The cost issue is not correctly accounted for though. In the UK ( I grew up there and immediate family still live there ) the National Insurance tax is paid by everyone. The ad valorem tax which last time I checked was at 17% is paid by everyone that purchases anything of value and is levied at every level of production. So to say that it is ‘cheap’ is not considering the whole picture. So for the friend that paid a “cheap $600” perhaps it should be thought of as more of a co-pay. That presumes the same person has been paying in to the NHS all his life through the tax system. If he has not been it is the same as someone getting “free” care in the US – we all know it is not “free” someone has to pay. Last point, while the emergency care is very good as are many other aspects of care in the UK, the treatment options are limited. Many medicines thought standard in the US are not on the NHS formulary and therefore are not available to any patient. This is the same for some treatment options.
    The US has to decide what medical treatment it wants to pay for and for whom based on age etc and then the National premium, via taxes can be set. Then we will all have ‘free’ care, I wonder if we will still like it?

  6. Interesting article Mike, but it’s an isolated case and reminds me of countless similar reports of U.S. hospitals. Remember the news story last year of doctors and nurses stepping over the woman who dropped dead in the waiting room after waiting hours to be seen? And finally kicked her to see if she was alive?

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Joe Paduda is the principal of Health Strategy Associates

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