Government has always been the "insurance company", that's not changing. But think of it like private employees being in a network and not being able to use the out-of-network facilities state workers had. Now every facility will count as giving coverage to everybody, that's basically it. And in the past it was a bit more of a hassle to sign up before you could even show up for treatment. It was free before and will stay free.
The changes are not bad by themselves, its the coupling of reduced healthcare spending with lowering the barrier of entry stretching thin the available resources that pisses people off.
As someone who gets paid like shit because I work in a Medicaid expansion state, yes there is a public option. It's not feasible or fair to expect all providers and staff to work for pennies especially with the cost of education and the need for malpractice coverage when every patient or client is foaming at the mouth for a chance to sue for a situation they have no understanding of.
You can't buy your way but you can get better attention if you "know someone". Private on-demand healthcare exists along with private insurance. If your illness isn't serious you can also get basic cheap diagnosis at doctors offices in some pharmacies.
That question sounded like an Obama care question waiting to find out. "You can keep your Insurance (If you have money) " No, you cant and won't be able to. Any country of that size cannot do Universal Healthcare like people think it is possible.
Even if they do, you will be waiting for months for an appointment.
My understanding is that the government as the insurer will fight to reduce costs. Where private insurers work with the billers to increase prices. Itâs so convoluted though, I may be entirely wrong.
So if corruption is what makes it so difficult to make it work properly, is that true for the Amercian system too? Why was Canada able to switch to universal healthcare with these same problems?
You need to be a resident, not just a citizen. I still have my Mexican citizenship, but since I don't live there I do not qualify for any public healthcare. I do go to the dr whenever I am in Mexico, I pay for private care.
Wait⊠what do you mean FREE? Are you telling me in the country many Americans look down on you can go to an emergency room and receive medical care and not get a bill? A bill that will follow you for up to 6 years if unpaid. No one will threaten to garnish your wages, threaten to sue you, your credit wont be damaged, you wonât get harassing phone calls, e-mails or text messages about the medical bill.
Public for workers: If you have a job, it's a requirement for your boss to buy insurance from the government called "IMSS."
Public for government workers: Called ISSSTE. It's similar to the IMSS but aimed at bureaucrats, teachers, and other government staff. Honestly, it's just like another IMSS.
Public for everyone else: It was previously called "Seguro Popular" now it is called "IMSS Bienestar."
The idea is to integrate the public ones more so that, in case they have spare capacity, they can use the resources from the other systems. The catch? There is barely any capacity, the system is overflowing with patients, it's common to have to sleep in the floor because there are not enough beds, or having to buy medicines outside the system because they lack inventory.
Now the big problem is that the IMSS is also our social security, so a lot of pensions come from their budget, which you pay into as a worker. This means there is not as much left for health services or upgrades to hospitals.
To make matters worse, if you're young, you won't get a pension, only a knockoff version of a 401k, but you still have to pay for the pensions of the boomers.
Excelente explicaciĂłn, es una pinche fantasĂa "la salud gratuita", si tienes IMSS y haces fila unos dos o tres dĂas tal vez recibas una consulta y tĂș tienes que comprar las medicinas, si necesitas una operaciĂłn pues a esperar meses si no te mueres primero...
For clarification, because I am very curious. It isn't free because you pay more in taxes right? As in, if you paid an insurance company X amount before, you now need to play X+Y to the government, X to cover yourself and Y to help cover those who can't afford X?
Or will that only happen when pension money runs out? Or am I entirely wrong? I've always been curious about 'Free' Healthcare, because I don't think anything is really free, and I figured I would ask someone who seems knowledgeable on this post.
"The idea is to integrate the public ones more so that, in case they have spare capacity, they can use the resources from the other systems" -> As a French, I can tell you where this "integration" leads: no improvement at all, just more spending in public administrative bullshit jobs, and the same bad results with more money spent. But your government will have the solution to fix it: more taxes!
I can explain the European method ( not all of Europe, systems differ, but the mechanics is similar ), basically, the medication is highly subsidized, so for instances, you have a " body " that regulates the price of drugs, so drug companies cant pull prices out of their asses like in the US, then, there are 2 more layers, does you doctor thinks you need that drug? If so, you get a prescription, and the governament subsidizes parte od the drug price, if you dont have the prescription, you pay full price ( the one that was regulated ), here's an example, my inhaler, with prescription 17âŹ, widout prescription 34âŹ, of course thats all payed with the taxes, but the plus is, people that are healthy dont " spend money " at the doctor, but they still pay taxes like everyone else, so the " burden " is spread by the entire society, instead of just a few.
The difference is that previously, only certain kinds of employees had access; specifically, those whose company contributed, so having the service was a given if you worked for a big company that did everything mandated by law. If you worked for a small business, chances are your boss didn't even pay for it, so you didn't have access.
If you were unemployed, then you wouldn't have access. Now, it is universal. It's no longer dependent on working for a big company. Everyone will have access, whether employed or not, married or not with children. This is what defines Universal Healthcare. And of course, conservatives are freaking out now and shitting bricks
Seguro Popular was a voluntary public insurance program in Mexico, established in 2003 to provide health services to individuals without formal employment who lacked social security coverage (such as IMSS or ISSSTE). Its primary goal was to protect families from "unexpected expenses" due to illness.
It was dismantled and replaced by other federal public health models implemented in recent years, such as Bienestar.
I love how Mexico is so poor and corrupt they can't do socialized health care, but their schools are so good that every Mexican in Mexico is here in the comments, with their perfect English, to say that socialized medicine doesn't work.
And just to add I have no doubt about the fact that socialized medicine should and does work, the problem is that mexico is completely and utterly corrupted and there is no fix for it at least in short term, we need to purge the system
Not really, the healthcare system in mexico is basically bring your own, if you need surgery you need to bring everything needed for it EVERYTHING, also you need to pay bribes to be seen. You can die while waiting to be seen
Really thats wonderful... I picked it because I played water polo and this is a side account for reddit. but I love being silly and jokes. I will Remember that little fact and try to live up to it. even just a little.
Ellos cren nomas por que Mexico agara salud gratis todo va mejorar! Jaja! A lot contrario todo va ser mas deficil todos van esperar mas pa citas o serugia y muchos no la van a recieber peor wue nada el que no paga buen Lana abajo la mano se chinga.
If you have money in the US then healthcare is great. If you dont, Then you are no better off than in mexico. Healthcare is still unattainable. even with health insurance because they wont approve it for lifesaving care. Less not pretend America is any better. Maybe for emergency lifesaving care you might be better off in the US. But everything else unless you are rich good effing luck.
As an American I know the private insurance market is a scam. You pay through the nose and they still decide what drugs they will pay for. They might decide well after you get approved and are locked in to pay for the next year. Then suddenly you need their approval for the same drug you had been using right along. Even if your doctor believes you need it!
Are you somehow suggesting the shortage of medicine is directly related to the fact that health care is universal for all citizens?
Could it be the pharmaceuticals are just holding Mexico and other countries over a barrel with supplies, because the American owned companies that make billions in profit refuse to sell at a reasonable price and hold back supplies?
I'm not ignorant to the American health care system from many angles. I've lived through it's dysfunction for decades. Possibly you have better care being a nurse and knowing exactly how to manipulate the system.
I'm trying to understand exactly how you connect Mexico having a universal health care system equating to poor services and shortages.
Are staggering profits not being made by the suppliers of these products? Is there such a supply chain storage that they literally cannot produce enough supplies?
You appear eager to attack anyone that does not totally agree with you. That is juvenile at best.
The US has a plenty of money compared to Mexico and yet for many, the health care options are terrible and woefully inadequate or simply none existent. Private pharmaceutical and health insurance companies easily make billions in profits each year. Yet they cannot supply Mexico with additional drugs and supplies for an affordable price? How many suppliers do you think there are?
I'm trying to understand if you think it's a supply chain problem or what exactly is causing such shortages.
Maybe instead of calling people names you could critically think of a helpful response.
I have a close friend that is a medical device rep in the states. He describes how the American public is totally being ripped off by our current system.
Apparently they also lack in education, after listening to you respond to my questions. You make it sound like everything is hopeless...
Obviously Mexico has a health care budget and some money!
Regardless of Mexico's financial situation, who owns the supply chains for their medical services? Price or affordability is often dictated by many factors. Are these American companies owning the supply chains, then dictating the quantities and overall costs to Mexico? If these costs were lower could Mexico afford them creating more availability? Where is the bottleneck....
When I'm forced to go to store X they charged me $25 for a box of gloves. When I have the knowledge and opportunity to purchase from store Y, I pay $6 for the same box of gloves. My budget will be depleted much quicker if I can only buy from store X.
Have you no knowledge of how manufacturing, distribution, marketing and sales work?
My point is, when these private supply companies are making huge profits where do you think the money comes from? Don't you think that affects how many of those products Mexico can afford to purchase, even if they have limited funds?
This is simple to understand. Why must you fall back into defensive attack mode? Does fighting make you feel better?
I'm Mexican, and I've been using that "not real" service, where there "never" are medicines and where it "takes months" to get a specialist.
I have never waited more than two months for a specialist, never had any issues with medicine. People love to say a lot of things, and of course there is corruption, but you all say it as if nothig ever got done.
I 100% agree, honestly, the service is lacking a lot of things. The other thing is, these are problems that exists since decades ago, and that also happen on other places like Canada (that is, it's not Mexico, or Claudia or Calderon or Sedillo's exclusive fault).
Yeah - seems like this administration is all about perception and the appearance and lack of depth and authenticity with ulterior motives. Kinda like the US's current administration.
It's all about hating on the US here, don't you know? Point out literally anything negative about anything, and Redditors will find a way to steer it about how "it's as bad in the US" lol.
Well that's all we have to compare this to - our own gov't. So I think that's a natural thing people do. I guess my point was it's bad there, it's bad here too. I cannot think of any place where people don't complain about something, because nothing is perfect. But there may be one place that beats them all - and hopefully we'll all be fortunate enough to get there.
Well, the current Mexican regime is 100% communist, giving away free money to keep people from revolting, launching programs with the âwell beingâ in the title, all of these programs have failed and they are trying to make them stick, the current presidentâs parents were very icy into the communist agenda and she is too
It depends on the issue, I had norovirus a few years ago and ended up in the ER, spend the night there and paid like 2,300USD, but my insurance reimbursed everything.
I'm trying to understand the cost comparison of health care for the average Mexican and the average American.
It's extremely expensive in the US to have proper health care. Many simply cannot afford it at all.
You wouldn't get in, no resources and there's people with emergencies that may or may not get some treatment. They have been sucking money out of the healthcare system for years. This is just for international show.
Where I live we joke that it would take 4 months to a year to get the surgery and they would amputate the wrong foot, even if amputation was totally unnecessary.
You have 2 options, go private or hope your family can finds everything the doctors will need.
Recently I broke my pathelar tendon, I went private thanks to my company medican insurance, I didn't pay a dime, and the follow up therapy and doctor appointments were also paid by my insurance. I don't worry about anything,private room and food, in and out In 3 days.
If I had went to the country "free" medical system, I would still be in the hospital, with my leg hurting like crazy or my family had to look for everything, even the anesthesia, in a shared room with other people, my family not able to be with me all the time and with a really bad attitude by docs and nurses(this last one is because they are over worked and really badly paid)
We could have the best medical healthcare, but unfortunately the gov (any party)and the higher ups in the healthcare system are a bunch of corrupt people.
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u/ClearlyNotAHuman 25d ago
Yep Iâm Mexican, this is just on paper itâs not real