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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

In wondering why UK can't adopt the Australian Healthcare system?

353 replies

chopc · 04/09/2021 09:07

I was talking to some friends abroad and in Australia about frustrations with our wonderful
NHS for both patient and doctor. One of them wondered why we can't adopt the Australian Healthcare system. I thought the same and checked with those using it in Australia, and I can't see any downsides to it ........

What is stopping the UK adopting the same system?

OP posts:
Biker47 · 11/09/2021 15:51

My "recent" experience, is having chronic on/off back pain for better part of ten years which just suddenly came on one day for no discernible reason, all while not even being 35 (23 at time of first pain), and being essentially told by a GP that; "a vast majority of people have back pain... that's that", no scans offered, no referrals, no investigation, just "take painkillers and anti-inflammatory and come back if it's the same".

I'm sorry, even in pain there's only so many days I can get off work for inconvenient GP appointments, that's even if you can give me an appointment in the first place; only to be told the same thing by a non-interested gate keeping GP grates on you after the 3rd or 4th time, ohh sorry, they did eventually offer me a course with a HCA who showed me and half a dozen other people a power point presentation on how to do stretching exercises while sat in a chair, I was the youngest person on that course and the next oldest person must have been at least 25-30 years older than me, does that not say anything, that something might be up when a fit and healthy young persons back goes haywire for no reason, and every so often they can't stand vertically without being in gut wrenching pain, no, seat stretches are the answer, OK?

I've never been one to cause a fuss, so whenever I did go back to the GP, the major pain had already gone away by the time I was graced with an appointment, so you look like a prize prick in the GP trying to lay it on thick on that you were in agony, but in reality; instinctively and naturally go; "I'm ok-ish now...", and he's just looking at you like you're an absolute timewaster, as if you're only there looking for a prescription for something more powerful than codeine phosphate so you can get a buzz.

It's bad that I regularly find myself actively thinking that getting knocked off my motorbike again in the future would be a positive action, just enough to cause a small injury nothing serious, but one that I could simply play up and exaggerate the severity, could just lie there in the road and wait for an ambulance instead of springing straight up and going "actually got a little pain in my back, but I'll be fine" which is what I'd probably do, it's bad that I think that would be a better and quicker way to try and get this resolved in the current climate.

I'm in the fortunate position where if the NHS was changed to part payment etc. whatever the changes they made; I'd probably been deemed "rich" enough to have to pay it, and if I could be guaranteed not to be fobbed off by GP's when I had legitimate concerns for my health, and not just be viewed like another local munchausen's patient has wandered into the GP's off the street for their afternoons amusement, I'd happily pay it. I'd go private now but I'm worried my back problems, and another NHS ignored problem will not even be treated due to them pre-existing to any private medical coverage I take out, so I'm worried I'd just be wasting my money, money which I can save to use when I'm off work for a week with back pain.

Envy of the world, my arse. The world has changed since the inception of the NHS, but the NHS hasn't, that's the problem, no-one will ever address, not even the sacred Labour party; they'll probably just lock a load of NHS trusts and hospitals into eye watering 50 year long PFI deals with little to show for it, except maybe a few new swanky looking entrance atrium's, a new place for a Costa coffee franchise and a £1,500 a pop private facilities management company charge to change one blown lightbulb.

I don't know the answer, I have no experience with any other countries health service, but again, it always denigrates down to it has to be either a "free for all" system or "poor people will be dying in the streets" system, there's never any in between, and when that erroneous narrative is stuck in the forefront of every healthcare reformation discussion, nothing will ever change.

DifficultBloodyWoman · 12/09/2021 04:43

@NewlyGranny

DifficultBloodyWoman (love the name!) that threshold only applies to drugs on a government list. Several of the drugs Australian relative needs, including the one-off treatment, were inevitably not included, hence having to go for broke to get them.

And I know it's not healthcare, but it is relevant that while we're both on pensions now, both after lifetimes of work in people-serving fields, I can keep my hand in and dabble with some work to enhance my income, while relative's Australian state pension is means-tested so when they do part time work - and they do, because they have the skills and experience and there's a crying need for them - their state pension is whittled back proportionately. That's a strong disincentive and effectively means they're working for nothing, which doesn't help with buying the essential but unlisted drugs. 🤷🏼‍♀️

NewlyGranny, it’s worth noting that not all drugs are available via NHS prescription either.

In that respect, the systems are the same.

For an up to date report on the state of Australian Healthcare this morning - I had problems with my eyes yesterday. Blurry vision, some pain, likely a scratch cornea. Crossed my fingers and hoped it would get better. It didn’t. I went to the hospital.

At 740ish, DH dropped me off (Covid protocols). There was one person waiting in chairs. No nurses on reception. Someone came out and said stand over there, a nurse will be with you shortly. A few minutes later, still no nurse so she called me over and I gave her my details. Yes, I was asked if I had private health insurance (this was a public hospital in a major city) but I didn’t need to pay anything. I sat down for less than fifteen minutes and then was called through to see a doctor. The junior doctor examined my eyes very thoroughly (much more so when I had a similar problem overseas). He called a consultant in. She arrived five minutes later on a Sunday morning so staffing is clearly not an issue at the moment. She was also thorough (and a lot less gentle). My eyes were irrigated and I left with antibiotic drops handed to my by the doctor along with detailed, comprehensive and (surprisingly) comprehensible discharge notes.

I was there for a little less than two hours, saw two doctors, spent maybe twenty five minutes waiting (less than 15 at the beginning, less than 10 at the end for the eye drops) and was with a doctor (not a nurse) from start to finish.

This is only one very small part of the healthcare system. However, I’m very happy with the treatment I received today. I recognise that some other aspects of the system may not be as good but no system is perfect. This system works well for me and my health needs (which are pretty standard and like those of most people).

VoiceOfCommonSense · 12/09/2021 15:38

@echt

And you have to pay for ambulances.
Not in Queensland you don’t. I’ve been here for 10 years. I’ve hardly had to pay anything, never had to go in to hospital for anything serious but have had friends needing operations and they were seen to quite quickly (pre-Covid). I can go to a doctors 7 days a week without an appointment and be seen usually within an hour and most of them are bulk billed which means you don’t pay anything, the doctors get paid from the state health service. So much better than when I was in the UK. I don’t have private insurance but my wife does. It’s not that much more than we would have to pay every year for Medicare through our taxes anyway and she has had private weight loss surgery on it after 12 months and only had to pay $500 excess. The NHS is screwed. It’s been ran in to the ground for years. The whole thing needs to be scrapped and something else put in place but ensuring that everyone gets fair access like here in Australia.
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