I was on vacation in Portugal and twisted my ankle badly. It was in remote area, so hospital was not the best. But experience was ok. It was in a town with around 25k people. 2 hours of waiting. x-ray and doctor visit costed me 55 euros.

In my home country I pay 20 euros per month for private health insurance. This includes basic dental insurance. I guess, most expensive procedure I had is MRI of brain, but it was also fully covered so I’m not sure what was the price. There is free healthcare but I only had to resort to it once

Ireland here. I have been relatively lucky with my health since I’ve been here (last 10 years). The GP I go to gives a small discount because of where i work. I pay 50 euros a pop to see the doc (usually 60 I think) but the last two times I needed to see the doc it was a same day appointment. I paid for insurance the first year I was here, tried to use it when I saw a GP and they laughed in my face. Also frequently had my daughter seen (for free), they seem to keep increasing the age for which kids are seen for free, now up to age 7?

Germany.

Well, the health system is great, as long as you don’t get sick. Or need life-saving emergency care immediately.

But not for many things in between.

Example ADHD: The GP can write a referral to get diagnosed, for free, but no psychiatrist or psychological therapist (the only ones allowed to do that) will take you. So best bet is to pay out of pocket in a practice that does it over video and is recognised in Germany. Can be done under 1k EUR that way, at least (~ 2k EUR with a private, out-of-network therapist). Recurring prescription and private doctor is about EUR 150 per month; a therapy session costs EUR 200. It is absolutely realistic to get the prescriptions and meds covered by a doctor in the insurance network, though. Therapy through insurance is also a possibility if it’s not urgent and you don’t ACTUALLY have ADHD or depression so you can do many phone calls, like 6 - 12 months, and you don’t care who treats you.

Glasses are also not covered, e. g. workplace glasses > EUR 500 out of pocket. But, randomly, a write-off. Treatment by a homeopathic practitioner - covered, just for the lulz.

But yes, about to die within 48 hours? As long as you can convince them that this is the case (got to self-diagnose and be a persistent ass if it’s not obvious), you’ll get help, it might be at a very decent level even compared to many other 1st world countries, and it’ll be completely covered by insurance.

Also, the monthly premium is EUR 1100 (includes nursing care insurance; there isn’t much nursing happening either way though). Employer pays half, freelancers pay full. It’s not legal to quit and be “uninsured”. Also, you can have it lowered if you can prove that you make under 66k per year (to 19 % of income).

Oh, and only the insurance premium is a tax write-off. What you have to pay out of pocket (talking about treatment that your GP deemed essential, not dental bleeching) is paid for by your net income.

Some other random things also work out within a month and are covered, such as a quick eye checkup, dental checkup / very basic dental filling (pay out of pocket for most filling materials, but not the time), anything a GP or family doctor can do in 10 minutes.

US expat in Colombia

For the general population, if you’re sick you go to urgent care and maybe wait for several hours. If you need to see a specialist, those appointments can take a couple of weeks to a couple of months, depending on the type of specialty. Either way, the cost is about $3 (all prices are rough equivalents in USD) per visit to see a doctor.

My employer signed me up for private insurance that gives me “concierge service,” so I have access to a different network of doctors with shorter wait times. If I’m sick, I can get a same-day house call. If I need a specialist, I can usually get an appointment in a two-week time frame. I pay about $50 per month for that (in addition to my normal taxes, which are used to fund the public system). My copay per visit, regardless of the type of doctor or procedure (exams, MRIs, etc.) is about $10.

One time, I paid out of pocket for an ultrasound because I didn’t want to wait for the insurance company to approve it and go back for a separate appointment. It cost me about $25.

French here. when sick, I use an app to book a appointment to a medical center I have that’s like 5 minutes away by foot ( not typical for all french residents but I am quite lucky with where I live). I usually have an appointment in the next 2 to 4 hours tops. Depending on what it is, I walk away with a prescription and certificate for work stating how many sicks days I have. This costs me nothing, appart from the occasional optional medication that is not reimbursed.

We go to see a private doctor.

Here in Costa Rica you have to wait like 5 hours to get attended on a public hospital.

For the appointment you have to pay like $50 plus medications

It’s immensely expensive!
I went to the doctor and he charged me 1 euro.
The imaging in the hospital and the orthopedist only cost 2.8 euro.
So they’re really leeching it.

But seriously it’s difficult to get an appointment and nowhere do they take new patients.
Smart government decided on a numerus clausus and now there aren’t enough doctors.
The ones that are there lately don’t want to work fulltime, so even less availability.

United Kingdom (Bristol.)

Used to be pretty decent, but now the NHS is chronically overbooked and underfunded. Ambulances can take hours to come.

Only way to get a GP appointment is to literally call my practice at 8AM on the dot, wait in the queue and hope you’re lucky to have your call answered before all the appointments are gone. There is no online booking system, and if you call at any other time, they won’t be able to book you in advance unless you’re willing to wait months.

My dad (80 years old) has had to go to hospital a few times in the past few years for various reasons, and the longest he’s had to wait to be admitted into a ward was 13 hours. He had a hip replacement operation two years ago where he was on an 18 month waiting list.

Germany. It has gotten worse over the last decade regarding waiting times but for regular appointments it might mean waiting 1 week to almost a year. Less, depending on your urgency or precondition. Usually it’s still OK.

Regarding the finances it’s still great in international comparison. I was resuscitated and taking quite a lot of medicine and am not broke but you still (might) pay a (very) small part on hospital stay and regular medication. Compared to.the full price on both that is neglegible though.

AMA!

In short: you go to the doctor based on medical requirement and not Financials. You call the ambulance whenever urgency is needed.

Brazil:

Call an Uber, go to the hospital, grab a ticket, pass thru triage, called by name, show my id, triage decide which specialist to see, go to specialist waiting room and wait to be called by name.

Doctor examines me, ask for exams, maybe prescribe medication, do the exams, wait for result.

Back to doctor, prescribe medication, hospital provides medication (unless is something very uncommon, if so go to the pharmacy and buy it).

Call Uber, go home.

Total cost: Uber fare, usually about 6 dollars total.

Swede here, if it’s something minor I can get an appointment within a few days, if it’s more major there’s some open clinics I can turn to, but if I have to see a professional I have to get in a months-long line.

The Netherlands

I call my doctor, make an appointment the same day, go there, tell my story, get referred to a specialist or get meds or whatever, all covered by insurance.

Specialist: sometimes appointment within a week or 2, sometimes it takes a month. It’s covered by insurance, but there’s an own risk budget each year of 380 euros. So all costs up to that budget are paid by yourself, the rest is covered. But since I’m getting mental health care, I pay 380 each januari and the rest for the entire year is all covered. This year I’ve had a broken collarbone repaired with a metal plate with all the photos before and after, I had 2 bladder infections which needed antibiotics and I had food poisoning on holiday and intestand infection, which was all covered at home and abroad.

Insurance

I pay 180 a month. It includes dental and some extras like 9 physical therapist appointments.

Thailand. Private pay.

Take a ride share car to the private hospital.

Greeted by concierge when I walk in. She asks why I’m here and then directs me to another desk on another floor.

Entering the next room feels a bit like a hotel lobby. There are big sofas and comfortable lighting. It feels cozy even though it’s a large space. There’s a Starbucks. Another concierge approaches me. I explain why I’m here and I’m sat down and handed an iPad where I can fill in some medical background. They have my record from a previous visit so it’s quick. I confirm that I will pay with a credit card instead of using any insurance.

In about 10 minutes I’m brought to a room where a nurse catches my weight and blood pressure. Then I’m brought to the patient exam room.

A few minutes later the doctor comes in and performs his examination. He makes his diagnosis types some notes into his computer. He asks me to come back for a follow-up in one week and pick up my prescription on the way out.

Leaving the exam room, another nurse catches me to hand me the diagnosis paperwork and points me to the pharmacy.

I walk to the pharmacy and hand them my paperwork. They collect my payment for the whole visit and ask me to wait until my name is called to pick up the prescription.

About 10 minutes later the prescription is ready and I’m out the door with a small bag of drugs and about $125 out of my wallet.

The service is comprehensive and everything is available in one building. For this country it’s a bit expensive but you feel like you’re very well taken care of and it’s instant.

in my city (southeastern Brazil) we have two facilities for public healthcare: the emergency center (UPA - unidade de pronto atendimento, emergency medical unit) and the family health center (UBS - unidade básica de saúde, basic health unit)

at the UBS I can see a doctor or a nurse, get prescriptions, get referred to specialists and exams/tests, IST tests, and so forth, if I’m not in meed of urgent care

at the UPA I can be treated (rather) quickly if I’m in an emergency

a few weeks ago my uncle had a heart attack. it was nothing serious, thankfully. we called the ambulance and in 5 minutes they were here, he was treated quickly, sent to another city nearby for emergency catheterism and angioplasty, and he paid a total amount of zero reais for everything

I love SUS (sistema universal de saúde - universal healthcare system)

From US and was visiting Singapore when I came down with a sinus infection.

Took the elevator from the government controlled housing to the ground floor.

Walked 5 minutes to the attached small community strip mall which consisted of cheap food options, a grocery/convenience store, and a number of essential stores including a small drs office.

Waited 15 minutes, saw the dr. Explained my condition, allergies and medication I usually take and went through the exam. We had to help look up some of the medication names.

Paid $35 for the exam. There was some confusion because I expected it to cost more and I asked about. They apologized and said that since I’m foreign I had to pay full price.

Walked across the mall to the small pharmacy. Waited 5 minutes for the antibiotics prescription. Paid maybe $5?

Bought some tea from the grocery and was better over a few days.

People from the US who travel and need healthcare know very well our system is the worst.