China Trumps America in Healthcare: An Explanation

The magic access to universal
healthcare

I’ve been on a bit of a social policy theme recently, my previous posts have focused on government sponsorship of museums and health care, so I thought it would be apt to continue that trend.

Many of you are likely unaware that I have not only lived abroad in England for several years, but I also spent three years in China as well. Many Americans, and British as well, are unaware of what goes on within the Chinese government. Whenever I am able, I try to educate other’s about how the Chinese government functions, and how it isn’t the big bad the media frequently makes it.

Health care in China isn’t as desire as Western countries might believe. China is looked at as an unstable, impoverished nation, where citizens are neglected. However, in many cases the opposite is true. The Chinese government owns and sponsors most of the medical facilities within its country.

The Chinese healthcare is a middle ground between the British and USA system. In America, medicine is entirely private. People have private insurances that only allow its clients to be treated by doctors within their members network. Frequently, people want to see one doctor, but can’t because it isn’t on their insurance approved list. In addition, American’s also bare a large majority of the burden to pay for any medical issues. However, if treatment is needed, a person can usually be seen by a specialist within a couple weeks at most.

The opposite can be said of Britain. All healthcare is paid by the government, and citizens are free to see whichever doctor is within their zip code area. If specialist treatment is needed, that is too is paid for. The negative side to free medicine is there exists massive wait list for doctor’s appointments. I’ve been waiting three months to see a specialist.

The British 'National Health Service'

Within China, I would argue, many citizens have greater access to healthcare than American’s (a controversial statement). People’s workplace or university usually has a medical center on site, sponsored by their employer or the government. However, unlike in England but like America, citizens do still have to pay some of their medical costs. The government sponsorship of hospitals and facilities lowers the cost overall for its citizens, making it more affordable. Likewise, to the USA, there isn’t significant wait times to be seen by a doctor or at a hospital. If you can pay the cash cost of whatever treatment you might be needing, then you get seen. My brother scheduled and receive an eye surgery in the space of a week. A struggle within the Chinese system is that if someone is unable to afford an expensive procedure, they must go without.

I do not imply that the Chinese system is the perfect balance between in England and America. I simply aim to inform my readers what the Chinese, American and British healthcare system is like, and the flaws for each. I believe that no country has a perfect healthcare or government system. But I find the wide variances between different places and different methods thought provoking. See my graph to better understand some of the similarities and differences between all three countries. 

	United States of America	United Kingdom	China
Type of Government	Democracy	Democracy with Constitutional Monarchy	Communist State
Type of healthcare	Private insurance paid for by individual	Universal healthcare funded by government	Medical institutions funded by government/employers with payment from individuals
Wait Times for Treatment	Minimum, individuals usually seen quickly	Quite long for specialized treatment	Minimum, individuals seen quickly
Dentistry	Not always included by insurance, significant amount of personal payment (very expensive)	Funded by government with small payments from individuals for treatment	Funded by individuals, but fairly low cost
Opticians	Not always included on insurance, significant amount of personal payment (very expensive)	Funded by individual, however prices are kept low for exams, eye glasses and contacts	Funded by individual, costs are kept very low for eye glasses
Sexual Health	Paid for by individual or insurance (can be very expensive for STI checks and birth control)	Funded entirely by government	Funded and encouraged to be used by government

Hypochondria: The American Terror of Illness

A bedazzled sprained wrist 

Middle class or lower class American's have a fear of illness. It is almost like hypochondria, a paralysing terror that you will get sick. Not because the physical pain or suffering scares them, but because of financial woes. I've lived with this fear. I was lucky to enough to have state health care because my parents were divorced as well as being on my father's health care plan. So I had good coverage, although I still had co-pay's* and deductible's* to contend with. When I turned 21, my father took me off his insurance, and I was one of the millions of American's with no health insurance. Luckily I moved to England six months later, but those were a stressful six months.

No health insurance makes you live in terror of the flu. A simple thing, like a broken leg, would have bankrupted me if it happened during my months of no coverage. For six months I was in constant fear of getting an injury. I couldn't pay for a blood draw, let alone an emergency visit.

This fear is something British people don't understand.  My partner and I recently visited my family in the US and my younger brother got sent home from school, because staff were concerned that he might have strep throat. My siblings only had emergency coverage (insurance would only pay if they went to the ER) and my parents had no insurance at all. Immediately, my mom went into panic mode. She started calculating how she would pay for him to have blood draws, throat cultures, medicine, etc if he really had strep. My partner stood back in shock, and quietly asked me why we were so upset. So, I explained that if my brother had strep throat, it could cost my family thousands of dollars in medical fee's that they were solely liable for. His jaw dropped.

He is British. He has never had to pay to go to a doctor's office, or an ER. A blood test has never cost him a dime. He has never had to think about money and health. In the United Kingdom, there is universal healthcare*. He can go to the hospital and get seen, then leave without swiping his credit card.

Another injury I never got
treated

The first time I went to the doctor in England, I didn't truly believe that it was free. After my appointment, I awkwardly waited around the receptionist, waiting for her to tell me I at least had to pay a small fee. It never happened. I've had numerous doctor's appointments, specialist meetings, and therapist sessions, all for free since I've lived in England.

However the fear of affording to be sick has never left me. I avoided going to the doctor's for half a year although I was having severe stomach problems. In my mind, I could live with the pain, so I should deal with it on my own. It has been bred into me by American society to only seek medical aid if absolutely necessary. Twisted ankle? Wrap it yourself. Deep cut to the knee that could use some stitches, slap a band aid on it.

Ankle injury I never saw a
doctor about

Why is it that the American government is so against universal healthcare? The private health care system benefits no one. The doctors drown in medical debt, and pay premium prices for liability insurance against law suits. Most American's suffer with chronic illness rather than go to the doctor because of the high costs. Many have the bare minimum of insurance coverage because they can't afford better. How is this system desirable?

President Trump plans to do away with Obamacare, which is just a drop in the barrel of changes the American medical system needs. Obamacare requires everyone to have health insurance and somewhat lowers the cost of insurance for lower income people. To do away with that, people would again have no protection from injury.

Countries like Canada and England are a prime example of universal healthcare working for the better. It hasn't bankrupted their government, it hasn't caused unrest or crippled society. In fact, universal healthcare has only made the country stronger. So, why are American politicians so against transferring to this system? The private system hurts everyone, and forces the countries people to live in fear.

I am grateful that I live in England and have access to free health care. I might be dead without it. But rarely does a day go by that I don't think of my family and friends that still have to suffer with illness and go without medical treatment, because of the American private healthcare system.

*Co-pay: A fee that American's must always pay when they go to any medical center, even if they have insurance.
*Deductible: The amount of costs American's must cover of their own medical expenses before their insurance will step in and pay the remainder of the costs.
*Universal Healthcare: A system where the government of a country pays all the medical costs of it's citizens, the government funds medical institutions from taxes and funds. Citizens never have to pay for seeing a doctor, getting surgery, or treatment.

When Did America Start Putting Price Tags on Culture?

           Last week I took a mini-vacay around London and to Paris. I was lucky enough to have an old friend from Loyola University come to Europe for a two week visit. Now, I work part time to support my writing career and I couldn't swing a the full break with him. But I took three day's off and managed some time in France. I was nervous about paying for the holiday. It was my friends first time travelling internationally, so he wanted to see everything. I mean EVERYTHING!! All the museums, national monuments, churches, he wanted to go all over the cities.

          The cost of all this was concerning. As I said, I work part time at a nursery/daycare to support writing books and blogging. So paying for extra trips isn't easy. This trip included hostel stays, flights, trains, public transportation, food, AND all the places my friend wanted to see. I wasn't sure how I could managed it.

          I guesstimated that I would have to pay at least a hundred and fifty pounds, if not more on museums and monuments alone. I started to research which museums were going to cost me the most. And I stumbled across a surprising thing. In London, my friend wanted to see the British Museum, the National Portrait Gallery, Science Museum and a bunch of other places. This was only the first part of my trip and I thought I had at least fifty pounds in expenses. BUT it was all FREE. The museums in England are all free! Not just to British citizens, or EU citizens, but to everyone. Naturally, there is a suggested donation but not required.

        In America, museums are rarely free. Especially not the major ones in big cities like New York City or Washington D.C. Occasionally, kids museums are free to children and their parents. (one major exception is the Smithsonian institution) But otherwise, American's are capitalist to the bone and they want to charge everyone to view their treasures.

British Museum: Free------------------------- Newseum: $22.95
National Portrait Gallery: Free ------------ Metropolitan Museum of Art: $25
National History Museum: Free -------------- American Museum of Natural History: $22

Look at the cost of simply going to a museum in the US. It's astronomical. It would take someone working federal minimum wage at least 4 hours of work to earn a ticket to just one of these places.

Once I realized visiting all these places was free, the stress of my trip eased. But I can't understand why is it free here in England, but costs so much to visit cultural places in America?

I truly think that many children grow up to be more narrow minded in the US because they don't get access to cultural things that will open their minds to the bigger world. In the UK children frequently take school trips to London to see the museums or even to Europe to be exposed to new things. The biggest trip my brother has gone on this year has been to the Kansas City Zoo with school. If children are kept in a small sphere and view of the world, how will they ever progress their ideas?

This might seem like a reach, to suggest that lack of access to free museums and educational experiences is the cause of racism, or sexism, or hatred towards foreign concepts in many American households. But just consider it. If a child only hears and see's what their parents believe, and doesn't see what people from other walks of life can do and create, what else can they believe but what their parents do and say? The more exposure children have at a young age to cultural differences, the more likely they are to accept differences in people.

I think America has failed in making museums, and access to art, history and science cost so much that people below middle class can't go to them. Art shouldn't come with a price tag to simply view it in a public space, Parents shouldn't have to pay for their children to learn about space and see artefacts from space travel. Culture shouldn't cost.

The Brexit Diet, How Britain is Losing Weight Fast

Two things have been in the political news constantly in recent months. The first is Trump, his election/presidency, and the second is Brexit.

Everyone in the United Kingdom and the European Union is aware what Brexit is, and how it will have lasting effects on all countries and governments involved. However, I believe that people outside the European bubble don’t understand what Brexit is, or why it matters.

Brexit is a nickname given to a referendum passed in the United Kingdom to formally remove the UK from its membership with the European Union. It would be a large loss of weight and muscle for the UK that may or may not be a positive thing. The European Union is a collection of countries that maintain sovereignty within their countries, but agree to have representatives work together in a group to decide laws and regulations that benefit all countries. Some of these regulations include

• ·         freedom of movement for EU member citizens to other member countries
• ·         food regulations like banning damaged fruit from being sold, not allowing high fructose corn syrup in foods, etc.
• ·         providing universal healthcare to citizens in all EU countries (like the British NHS)
• ·         putting additional taxes on certain goods (tampons for example)

Overall, the EU functions to make all its member countries better. They want all citizens in member countries to have equality, and as a union, it helps the countries’ economies work together more symbiotically. It was founded in 1973, and (currently) has 28 member countries.

This is all well and good. Most people in the EU agree that it is hugely beneficial to their country financially and in many other ways. The UK is a country that doesn't share this sentiment. I like the analogy of a Kit Kat bar to describe what is happening with Brexit. A Kit Kat candy bar is delicious, it tastes wonderful. The UK wants to break itself off the entire candy bar, and be its own piece of candy. Now it doesn’t have the support and benefits of being a whole candy bar. Which would you prefer, an entire Kit Kat, or only one bar that is divided and broke?

 In 2016, the UK voted on whether or not to stay a part of the EU. A little over 50% of the country voted to leave. Most those that voted to leave were the elderly population, many of those who had voted against joining the EU in 1973. The two biggest reasons I have heard for people voting to leave is they think the UK will be better off financially after not having to pay taxes and membership fees to the EU and that it will prevent foreigners from easily moving and working in the UK. 

Honestly, the desire to close its border’s is the most vocal cause of Brexit from what I’ve been told. (Which is offensive as a foreigner) Many people believe that Europeans are taking British jobs and resources, so they shouldn’t be allowed in.

Following the Brexit vote, the country has been in political turmoil trying to figure out what that means. What concessions will the UK have to make to leave the EU? Is it legal to leave based solely on citizen’s vote? How will this affect the UK’s economy? (The pound dropped to its lowest value in over a decade the day after this vote was passed)

The Prime Minister (UK version of President) at the time of the Brexit vote was Boris Johnson, he has since resigned because of how Brexit went down, so Theresa May replaced him. May has now called for an early election, to legitimize her position as the Prime Minister and grant her party more power. The government claims that the UK will formally be finished with the EU by 2019. 

Scotland doesn’t like this break. The Scottish people didn’t vote pro-leaving the EU. Therefore, Scotland is now thinking of redoing it’s vote to leave the United Kingdom, so it can stay in the European Union.

Brexit is a massive diet for the UK. By cutting its calories (ties) with the EU it will lose the weight of immigrants, paying EU fee’s, having to follow EU regulations in health and food, as well as many other restrictions. But as with many diets, there will be side effects. The UK will lose its open access to EU member country’s economies, and it will breed anger and dislike among the member countries. Furthermore, Brexit might cause a dangerous weight loss that wasn’t anticipated, it may break the United Kingdom in half.

Early in this post I mentioned that Brexit is like a Kit Kat bar, the UK is breaking off a piece of the candy. Brexit might cause a further break in the single Kit Kat piece when Scotland potentially leaves the UK and moves goes back to the EU. Leaving the UK half of a broken candy bar. 

To sum up, keep your Kit Kat whole, diets that cause weight loss can be good, but when a diet is taken too far, it only harms the dieter. Brexit isn’t in the favor of it’s the UK. It will cause far more harm than good. Alas, I’m just an American bearing witness to this moment in political history. I have no vote in the decision.