作为一个欧洲人，你会更喜欢美国的医疗体系吗？

Khrystov Czevak
I lived in America for a few years, and one day through lack of attention while making dinner, I cut into my hand and almost sliced off a finger. In the hospital I required numerous stitches, and my health insurance provider found a way not to pay. I ended up having to go out of pocket by nearly $12000 for a dozen stitches, a bandage, antibiotics and some anaesthetic. By contrast, almost twenty years of living in Britain cost me less than $1000 for medical treatments; I have to pay for prescxtions and nothing else. I cannot fathom how any sane human could believe the American system to be superior.
 
我在美国居住过几年。有一次，由于做晚饭时分心，我不小心切到了手，差点把手指切断。在医院，我需要进行多次缝合，但我的医疗保险公司却找借口不予理赔。结果，我不得不自费近12000美元，只为了缝合伤口、包扎、抗生素和一些麻醉药。相比之下，我在英国生活了将近二十年，医疗上的总花费还不到1000美元；我只需要支付处方药的费用，其它费用都不用支付。我实在无法理解，理智的人怎么会认为美国的医疗体系更胜一筹。
 
Martin Maloney
It's absolute insanity. That a cut finger can end up costing that much. The American healthcare system is one of Worst aspects of life in the states. Seriously, how they can charge that much for such a simple procedure?
I live in Sweden. You pay a base rate evrry time you see the doctor. No matter what your ailment, gross income, or social stature its always the same Price - for everyone.
They give citizens a medical card, to be stamped upon visiting a facility. After ten stamps, your visits are free until the card expires. Health insurance in the US is nothing more than a money racket.
 
这绝对是疯了。一个手指的割伤竟然要花费那么多钱。美国医疗体系是美国生活中最糟糕的方面之一。说真的，这么简单的处理，他们怎么能收那么多钱？
我住在瑞典。每次看医生，都是支付一个基础费用，不管你的病症是什么，收入多少，或者社会地位如何，价格总是一样的——对每个人来说都是如此。
他们给公民一张医疗卡，每次访问医疗设施时就盖次章。盖满十个章后，你的访问就免费，直到卡片过期。美国的医疗保险只不过是一个变相的敛财手段。
 
Henry D Crum
It's an extortion racket.
 
这是一个勒索性的骗局。
 
Brian Meynell
The American Health System makes Al Capone look like a Decent citizen……..
 
美国医疗体系让艾尔·卡波尼（美国著名的黑帮头目）看起来像个守法的公民……
 
Ameeya Sharma
That's interesting! . May I ask how much this base rate is? I would have imagined Sweden to have a totally free system, like Canada or like the nhs
 
那真有趣！我可以问一下这个基础费用是多少吗？我原以为瑞典像加拿大或国民保健服务（NHS）那样，有一个完全免费的系统。
 
Benny L?fgren
The going rate is SEK 350 for a visit to your designated general practician or a specialist doctor, SEK 200 for physical therapy and SEK 100 for other services such as a session with a psychologist. When your yearly total has reached the cap of SEK 1100 (about US $135) any other appointments in that 12 month period is free. Same goes for medication, but the cap is SEK 2400 (I think), and as your total paid amount adds up, you pay successively less in steps (50%, 75%, 90% and finally 100% subsidised (again, I think)). There is also a fee for in-patient hospital care of SEK 80 per day (US $10) which is to cover your meals, TV, your internet access and so on. The rates may vary slightly between different parts of the country, but very little. That’s it. I never, ever pay more than the equivalent of about US $450 per year for any number of healthcare visits, any kind of medication and any kind of rehabilitation. Which is lucky for me, who due to some genetic and chronic issues need medication at a market value of around $10,000 per year. I couldn’t afford to live in the US. Not if I wanted to survive. Also, if for some reason I couldn’t afford to pay, you are always extended a credit and offered a payment plan. No one is ever turned away at the door or refused treatment of any kind, no matter how expensive to the state, because of lack of funds.
 
去看指定的全科医生或专科医生的费用是350瑞典克朗，物理治疗是200瑞典克朗，其他服务如与心理学家的会话是100瑞典克朗。当你的年总额达到1100瑞典克朗（约135美元）的上限时，在那12个月的剩余时间内的其他预约都是免费的。药品也是如此，但上限是2400瑞典克朗（我是这样认为的），随着你支付的总额增加，你支付的比例逐渐减少（50%，75%，90%，最后是100%补贴（我是这样认为的））。还有就是每天80瑞典克朗（约10美元）的住院治疗费用，这包括你的餐食、电视、互联网接入费用等。不同地区的费用可能略有不同，但非常少，就是这样。我每年为任何数量的医疗访问、任何类型的药物和任何类型的康复支付的金额从不超过大约450美元，在我看来，这很幸运，因为由于一些遗传和慢性问题，我每年需要的药物市场价值约为10000美元，我在美国是无法负担的——如果我想活下去的话。此外，如果出于某种我付不起的原因，你总是可以延期支付并获得分期付款计划。对国家来说，无论有多贵，没有人被拒之门外，也没有人被拒绝任何形式的治疗。
 
David Priestley
During my lifetime of 66 years, married for 43, raising two children, despite two births with problem pregnancies, multiple surgeries, some medium chronic conditions, we have never had a bill any where close to this. Even with a high deductible plan we never spent anywhere close to $12k in a year. I suppose if someone deliberately decided to not have any coverage it could happen, but if you want coverage it is easy to obtain either by getting a job, qualifying for Mddicaid (low to moderate income), Medicare (almost everyone over 65 gets this), or buying on the open market.
But if you decide to leave youself at risk by not figuring out the system or just assuming it is the same as some other country, you could lose badly.
 
在我66年的人生中，结婚43年，抚养两个孩子，尽管两次怀孕有问题，多次手术，一些中等慢性病，我们的账单从未接近过这个数字。即使有高免赔额计划，我们也从未在一年中花费接近12000美元。我猜如果有人故意决定不参加任何保险，可能会发生这种情况，
如果您希望获得保险，可以通过以下几种途径轻松获得：找到一份工作、符合Medicaid（面向低至中等收入群体）的资格、几乎每位65岁以上的人士都能享受的Medicare，或者在开放市场上购买保险。
但如果你决定不搞清楚这个系统，或者只是假设它和其他国家一样，让自己处于危险之中，你可能会输得很惨。
 
Catherine Roberts
I get really annoyed with the stupid questions on this site. Why Americans think their country is the best in the world is beyond me
 
我对这个网站上的愚蠢问题感到非常恼火。我不明白为什么美国人认为他们的国家是世界上最好的
 
Mike Organ
I agree with you but if you want to know why and how they can charge so much, do nothing other than see how many bankruptcies' are a direct cause of medical expenses. The USA already has the greatest number of bankruptcies both by absolute number and per 100,000 people.
Although this is not the single reason Hospitals and Clinics have to charge so much it is the greatest part of the cause.
 
我同意你的观点，但如果你想了解他们为什么能收这么多钱，什么都不要做，只要看看有多少破产是医疗费用的直接原因就行了。美国无论是绝对数量还是每10万人的破产数量都是最多的。
虽然这不是医院和诊所收这么多钱的唯一原因，但它是最主要的原因。
 
If you are a medical business in the USA you have to make a profit, so defaults of any descxtion must be factored in to the invoices you do get paid. And to make matters worse for the profit driven businesses they are not allowed to refuse treatment to anyone who turns up with an emergency or I believe if the person is a minor. They can try and hold the person to get their details but it’s illegal to stop them leaving unless they call the police and let’s face it they might, but by the time the police arrive the patient could be on the other side of the world.
 
在美国，如果你经营着一家医疗企业，就必须盈利。因此，任何形式的欠费都必须计入你收到的账单中。更糟糕的是，这些以盈利为目的的企业不能拒绝对任何紧急情况的患者进行治疗，我认为这包括未成年人。他们可以试图扣留这个人以获取详细信息，但除非报警，否则阻止他离开是非法的。说实话，虽然他们可能会报警，但警察到达时，病人可能已经远在地球的另一端了。
 
Imagine a business where a large percentage of customers either go bankrupt or just walk away with goods and services. Could a fast food restaurant just charge ￡20 for a burger to cover those who dont or cant pay? NO, that business wouldn't last very long because those that can pay would just go make it themselves. But Hospitals are not normal businesses they offer a service that cannot normally be done at home DIY so to speak. They also have to meet certain laws which make them stay open and operate an ER no matter how much they obxt.
 
设想一下，如果有家企业的客户中有很大一部分要么破产，要么拿了商品和服务后就一走了之。一家快餐店能否将汉堡的价格定为20英镑来弥补那些不支付或无法支付的人带来的损失？不行，这样的商业模式是不会持久的，因为那些有能力支付的人会选择自己在家做汉堡。但医院不同于普通企业，它们提供的服务通常是家庭无法自行完成的。此外，医院还必须遵守某些法律规定，即使有异议，也必须保持开放并运营急诊室。
 
This is just one of the reasons I think the block headed attitude to healthcare in the USA is nuts, pure nuts, but not the only one. I am loath to blame the Doctors and Nurses who like in the UK do a tough job under difficult circumstances, and most of them really do care about people.
 
我认为美国对医疗保健的死板态度非常荒谬，但这并非唯一原因。我不愿意责怪医生和护士，他们和英国的同行一样，在困难的条件下辛勤工作，而且他们中的大多数人确实关心病人。
 
I think the change in the health system in the USA will not come from either faction of government who are equally useless, but from those Doctors and Nurses who are fed up of dealing with sick people who only turn up when it's either too late or so far gone, instead of needing a few stitches they need an intensive care bed for sepsis.
 
我的看法是，美国医疗体系的改革不会源自那些同样无能的政府派别，而是会来自于那些已经受够了的医生和护士。他们厌烦了应对那些直到病情严重到无法挽回时才来求医的病人，这些病人本来可能只需要简单的缝合，却因为病情延误而需要重症监护来治疗败血症。
 
Did you know that over 80% of US citizens want a social healthcare system, most favour the NHS model. But as both parties are right wing (by European standards) they dont care what 80% want they would rather spend the money on a military so large it could basically fight the whole world combined and win.
 
您是否知道，超过80%的美国民众希望建立一个社会保障型医疗体系，大多数人偏好英国国家医疗服务体系（NHS）的模式。然而，由于两大政党按照欧洲标准来看都属于右翼，他们并不关心80%民众的意愿，更倾向于将资金投入到军事上，打造一个强大到足以对抗全世界的军队。
 
I would say the first thing Americans need to do is rid themselves of the cabal which allows the “best” health care services in the world charge insane prices for access ending up making them the sick man of the world.
 
我认为美国人需要做的第一件事，就是摆脱那个允许“世界上最好的”医疗服务收取天价费用的利益集团，这最终让美国变成了“世界病夫”。
 
Most Americans will tell you the medical outcomes in the USA are the best in the world and to some extent they would be right but that’s like the UAE where the hospitals/clinics/Doctors are first rate for those who can pay for it but for the rest they just die at home and their bodies are quietly repatriated with no one caring. My kids lived in Dubai I have stories of that system which even make my skin crawl.
 
大多数美国人会告诉你，美国的医疗结果是世界上最好的，在某种程度上他们是对的，这就像阿联酋，医院/诊所/医生对那些能付得起账单的人来说是一流的，但对其他人来说，他们就得在家里死去，他们的尸体被悄悄地遣返回国，没有人关心。我的孩子们住在迪拜，我有关于那个系统的故事，甚至让我起鸡皮疙瘩。
 
In the USA there are far too many people probably millions who never go to a doctor for fear of losing everything and so they die of medical incidence which would in the UK, even privately cost less than ￡500, they fecking die for what is effectively the price of a bloody TV. Oh and yes I just used bad language but if I then go on to tell you that most of those that die for peanuts don’t have English as their mother tongue you might excuse me if my language gets even more offensive. There are no stats but I wonder how many children loose a parent or two simply because they don’t speak English very well, their skin colour is not white or they are immigrants. If someone calls another person a bad word all hell is the result but when that person dies for the same reasons no one talks about it.
 
在美国，有太多人，可能有数百万，因害怕失去一切而从不去看医生，结果死于那些在英国即使是私立医疗也只需不到500英镑就能治疗的医疗事故。他们为了相当于一台电视的费用死去。哦，没错，我刚才用了脏话，但如果我接着告诉你，大多数因微不足道原因死去的人并非以英语为母语，你或许能理解我为什么语言变得更加粗俗。虽然没有统计数据，但我在想，多少孩子仅仅因为他们的英语不好、肤色不是白人或是移民身份，而失去了一个或两个父母。如果有人骂另一个人一句脏话，结果会引起轩然大波，但当同样原因导致的死亡发生时，却没有人讨论这个问题。
 
Just Joe
The USA and Sweden are so dramatically different in population that you can’t reasonably expect the same system of healthcare to work for both. Not even just talking population size, but other factors including general health of the individuals as well. I’m not excusing the total rip off perpetrated on the US citizen by the incestuous relationship between hospitals, insurers, and politicians either. I’m just saying the US has to have a much different system that I’m not sure is possible to construct well.
 
美国和瑞典在人口上差异巨大，因此不能合理地期望相同的医疗体系在两国都能有效运作。这不仅仅是人口规模的问题，还涉及到其他因素，包括人们的整体健康状况。我并不是在为美国公民遭受医院、保险公司和政客之间勾结带来的剥削辩护。我的意思是，美国必须建立一个完全不同的医疗系统，而我不确定是否能够成功地构建一个行之有效的系统。
 
Ben Redmond
Population wouldn’t matter, you simply scale it. We already have an infrastructure of providers and healthcare facilities, so simply shift the billing aspect to a single biller, just put everyone on Medicare and institute the appropriate compensation guidelines and prescxtion medication profit limits.
 
人口数量不是问题，关键在于适当地扩大体系。我们已经有了医疗提供者和医疗设施的基础架构，所以只需将账单处理统一到一个计费系统中，让所有人都能享受医保，并建立合适的补偿标准以及对处方药利润的限制就行。
 
Mb Mb
And tell people how much your taxes are compared to Americans. See this is what people dont get. Americans dont want to pay for anything. Even our communists dont want to pay for shit lol
 
告诉人们你们的税收是多少，与美国人相比如何。你看，这就是人们不明白的地方。美国人根本不想为任何事情付钱。就连我们这些自称共产主义者的，也不想为任何东西掏钱，哈哈。
 
Abigail Adams
Ur totally wrong how majorly of Americans want. Many Americans don’t mind to pay taxes as long as the accessing to very affordable healthcare is guaranteed. US is the only developed country with no universal healthcare for all Americans & residents. Wealthy people don’t want to pay more taxes & because potentially paying more taxes to help other poorer Americans. Especially in terms of healthcare, most Americans including healthcare workers believe US is one of the worst.
 
你完全错了，很多美国人并不像你说的那样。许多美国人愿意缴税，只要能确保获得负担得起的医疗保健。美国是唯一一个没有为所有公民和居民提供全民医疗保健的发达国家。富人不想缴更多税，因为这意味着他们可能需要为帮助其他贫困的美国人支付更多税款。尤其在医疗保健方面，大多数美国人，包括医疗工作者，都认为美国的医疗体系是最差医疗体系之一。
 
Terry Doyle
There are a couple issues: 1) that is waaay overprices but was necessary so they screwed the OP over and 2) insurance only serves to drive up costs for the finger. We went through a period of self-insurance and you find that the amount that is BILLED for a procedure is astronomically high (and the self-insured or effectively uninsured like the OP) have to pay that top line number. Insurance companies pay only a fraction of that huge amount. Probably that $12k would have been under half and maybe much, much less) with insurance.
 
这里有几个问题：第一，价格高得离谱，但又不得不接受，结果就是他们让发帖的人吃了大亏。第二，保险实际上只会推高手术费用。我们曾经经历过自我保险的阶段，发现手术的收费高得惊人——像发帖者这样自我保险或实际上没有保险的人必须支付全额。而保险公司只支付那巨额费用中的一小部分。所以，那12000美元的费用，如果有保险的话，可能实际上会少很多，甚至可能远远低于这个数字。
 
Christian Chartier
Terry where are you located? Reason being insurance companies pay top line here, but if you self pay the fees are often 70% less than what they charge insurance companies.
 
Terry你在哪里？因为在这里，保险公司支付的是全额账单，但如果你选择自费，费用通常比保险公司支付的费用要低70%。
 
Ted Ansley
We have insurance! It works great for us, we pay very little on every visit. about 88–90% of Americans actually have quite good insurance, the press literally lie about our healthcare, it's excellent! We've had many hospital visits and many doctor visits for our family of 5 over many years, never a problem. This is actually what it's like for almost everyone. We actually have a great healthcare system with top notch facilities and Doctors! We only need to increase help for the unemployed and underemployed, that is really the only weakness and we have improved that over the last 14 years drastically. Also, anyone can ALWAYS be treated at our emergency rooms if needed at ALL public hospitals.
 
我们有保险！对我们来说，保险效果很好，每次就诊时我们几乎不需要支付什么费用。大约88%到90%的美国人实际上都有相当不错的保险，媒体对我们的医疗保健体系的报道完全不真实，实际上我们的医疗体系非常好！我们一家五口在过去几年里经历了许多次住院和看病，从来没有遇到过问题。这实际上是大多数人的真实情况。我们确实拥有一个很棒的医疗系统，设施一流，医生也很优秀！我们唯一需要做的就是加强对失业和就业不足群体的帮助，这是我们的弱点，但在过去14年里我们在这方面已经取得了显著进展。此外，任何人在需要时，都可以在所有公立医院的急诊室得到治疗。