作為一個(gè)歐洲人，你會(huì)更喜歡美國(guó)的醫(yī)療體系嗎？
As a European, would you prefer the US healthcare system?
譯文簡(jiǎn)介
網(wǎng)友：我在美國(guó)居住過(guò)幾年。有一次，由于做晚飯時(shí)分心，我不小心切到了手，差點(diǎn)把手指切斷。在醫(yī)院，我需要進(jìn)行多次縫合，但我的醫(yī)療保險(xiǎn)公司卻找借口不予理賠。結(jié)果，我不得不自費(fèi)近12000美元，只為了縫合傷口、包扎、抗生素和一些麻醉藥。相比之下，我在英國(guó)生活了將近二十年，醫(yī)療上的總花費(fèi)還不到1000美元；我只需要支付處方藥的費(fèi)用，其它費(fèi)用都不用支付。我實(shí)在無(wú)法理解，理智的人怎么會(huì)認(rèn)為美國(guó)的醫(yī)療體系更勝一籌。
正文翻譯
As a European, would you prefer the US healthcare system?
作為一個(gè)歐洲人，你會(huì)更喜歡美國(guó)的醫(yī)療體系嗎？
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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.
我在美國(guó)居住過(guò)幾年。有一次，由于做晚飯時(shí)分心，我不小心切到了手，差點(diǎn)把手指切斷。在醫(yī)院，我需要進(jìn)行多次縫合，但我的醫(yī)療保險(xiǎn)公司卻找借口不予理賠。結(jié)果，我不得不自費(fèi)近12000美元，只為了縫合傷口、包扎、抗生素和一些麻醉藥。相比之下，我在英國(guó)生活了將近二十年，醫(yī)療上的總花費(fèi)還不到1000美元；我只需要支付處方藥的費(fèi)用，其它費(fèi)用都不用支付。我實(shí)在無(wú)法理解，理智的人怎么會(huì)認(rèn)為美國(guó)的醫(yī)療體系更勝一籌。
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.
這絕對(duì)是瘋了。一個(gè)手指的割傷竟然要花費(fèi)那么多錢。美國(guó)醫(yī)療體系是美國(guó)生活中最糟糕的方面之一。說(shuō)真的，這么簡(jiǎn)單的處理，他們?cè)趺茨苁漳敲炊噱X？
我住在瑞典。每次看醫(yī)生，都是支付一個(gè)基礎(chǔ)費(fèi)用，不管你的病癥是什么，收入多少，或者社會(huì)地位如何，價(jià)格總是一樣的——對(duì)每個(gè)人來(lái)說(shuō)都是如此。
他們給公民一張醫(yī)療卡，每次訪問(wèn)醫(yī)療設(shè)施時(shí)就蓋次章。蓋滿十個(gè)章后，你的訪問(wèn)就免費(fèi)，直到卡片過(guò)期。美國(guó)的醫(yī)療保險(xiǎn)只不過(guò)是一個(gè)變相的斂財(cái)手段。
It's an extortion racket.
這是一個(gè)勒索性的騙局。
The American Health System makes Al Capone look like a Decent citizen……..
美國(guó)醫(yī)療體系讓艾爾·卡波尼（美國(guó)著名的黑幫頭目）看起來(lái)像個(gè)守法的公民……
原創(chuàng)翻譯：龍騰網(wǎng) http://m.top-shui.cn 轉(zhuǎn)載請(qǐng)注明出處
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！我可以問(wèn)一下這個(gè)基礎(chǔ)費(fèi)用是多少嗎？我原以為瑞典像加拿大或國(guó)民保健服務(wù)（NHS）那樣，有一個(gè)完全免費(fèi)的系統(tǒng)。
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.
去看指定的全科醫(yī)生或?qū)？漆t(yī)生的費(fèi)用是350瑞典克朗，物理治療是200瑞典克朗，其他服務(wù)如與心理學(xué)家的會(huì)話是100瑞典克朗。當(dāng)你的年總額達(dá)到1100瑞典克朗（約135美元）的上限時(shí)，在那12個(gè)月的剩余時(shí)間內(nèi)的其他預(yù)約都是免費(fèi)的。藥品也是如此，但上限是2400瑞典克朗（我是這樣認(rèn)為的），隨著你支付的總額增加，你支付的比例逐漸減少（50%，75%，90%，最后是100%補(bǔ)貼（我是這樣認(rèn)為的））。還有就是每天80瑞典克朗（約10美元）的住院治療費(fèi)用，這包括你的餐食、電視、互聯(lián)網(wǎng)接入費(fèi)用等。不同地區(qū)的費(fèi)用可能略有不同，但非常少，就是這樣。我每年為任何數(shù)量的醫(yī)療訪問(wèn)、任何類型的藥物和任何類型的康復(fù)支付的金額從不超過(guò)大約450美元，在我看來(lái)，這很幸運(yùn)，因?yàn)橛捎谝恍┻z傳和慢性問(wèn)題，我每年需要的藥物市場(chǎng)價(jià)值約為10000美元，我在美國(guó)是無(wú)法負(fù)擔(dān)的——如果我想活下去的話。此外，如果出于某種我付不起的原因，你總是可以延期支付并獲得分期付款計(jì)劃。對(duì)國(guó)家來(lái)說(shuō)，無(wú)論有多貴，沒(méi)有人被拒之門外，也沒(méi)有人被拒絕任何形式的治療。
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，結(jié)婚43年，撫養(yǎng)兩個(gè)孩子，盡管兩次懷孕有問(wèn)題，多次手術(shù)，一些中等慢性病，我們的賬單從未接近過(guò)這個(gè)數(shù)字。即使有高免賠額計(jì)劃，我們也從未在一年中花費(fèi)接近12000美元。我猜如果有人故意決定不參加任何保險(xiǎn)，可能會(huì)發(fā)生這種情況，
如果您希望獲得保險(xiǎn)，可以通過(guò)以下幾種途徑輕松獲得：找到一份工作、符合Medicaid（面向低至中等收入群體）的資格、幾乎每位65歲以上的人士都能享受的Medicare，或者在開放市場(chǎng)上購(gòu)買保險(xiǎn)。
但如果你決定不搞清楚這個(gè)系統(tǒng)，或者只是假設(shè)它和其他國(guó)家一樣，讓自己處于危險(xiǎn)之中，你可能會(huì)輸?shù)煤軕K。
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
我對(duì)這個(gè)網(wǎng)站上的愚蠢問(wèn)題感到非常惱火。我不明白為什么美國(guó)人認(rèn)為他們的國(guó)家是世界上最好的
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.
我同意你的觀點(diǎn)，但如果你想了解他們?yōu)槭裁茨苁者@么多錢，什么都不要做，只要看看有多少破產(chǎn)是醫(yī)療費(fèi)用的直接原因就行了。美國(guó)無(wú)論是絕對(duì)數(shù)量還是每10萬(wàn)人的破產(chǎn)數(shù)量都是最多的。
雖然這不是醫(yī)院和診所收這么多錢的唯一原因，但它是最主要的原因。
在美國(guó)，如果你經(jīng)營(yíng)著一家醫(yī)療企業(yè)，就必須盈利。因此，任何形式的欠費(fèi)都必須計(jì)入你收到的賬單中。更糟糕的是，這些以盈利為目的的企業(yè)不能拒絕對(duì)任何緊急情況的患者進(jìn)行治療，我認(rèn)為這包括未成年人。他們可以試圖扣留這個(gè)人以獲取詳細(xì)信息，但除非報(bào)警，否則阻止他離開是非法的。說(shuō)實(shí)話，雖然他們可能會(huì)報(bào)警，但警察到達(dá)時(shí)，病人可能已經(jīng)遠(yuǎn)在地球的另一端了。
設(shè)想一下，如果有家企業(yè)的客戶中有很大一部分要么破產(chǎn)，要么拿了商品和服務(wù)后就一走了之。一家快餐店能否將漢堡的價(jià)格定為20英鎊來(lái)彌補(bǔ)那些不支付或無(wú)法支付的人帶來(lái)的損失？不行，這樣的商業(yè)模式是不會(huì)持久的，因?yàn)槟切┯心芰χЦ兜娜藭?huì)選擇自己在家做漢堡。但醫(yī)院不同于普通企業(yè)，它們提供的服務(wù)通常是家庭無(wú)法自行完成的。此外，醫(yī)院還必須遵守某些法律規(guī)定，即使有異議，也必須保持開放并運(yùn)營(yíng)急診室。
我認(rèn)為美國(guó)對(duì)醫(yī)療保健的死板態(tài)度非?；闹嚕@并非唯一原因。我不愿意責(zé)怪醫(yī)生和護(hù)士，他們和英國(guó)的同行一樣，在困難的條件下辛勤工作，而且他們中的大多數(shù)人確實(shí)關(guān)心病人。
我的看法是，美國(guó)醫(yī)療體系的改革不會(huì)源自那些同樣無(wú)能的政府派別，而是會(huì)來(lái)自于那些已經(jīng)受夠了的醫(yī)生和護(hù)士。他們厭煩了應(yīng)對(duì)那些直到病情嚴(yán)重到無(wú)法挽回時(shí)才來(lái)求醫(yī)的病人，這些病人本來(lái)可能只需要簡(jiǎn)單的縫合，卻因?yàn)椴∏檠诱`而需要重癥監(jiān)護(hù)來(lái)治療敗血癥。
原創(chuàng)翻譯：龍騰網(wǎng) http://m.top-shui.cn 轉(zhuǎn)載請(qǐng)注明出處
您是否知道，超過(guò)80%的美國(guó)民眾希望建立一個(gè)社會(huì)保障型醫(yī)療體系，大多數(shù)人偏好英國(guó)國(guó)家醫(yī)療服務(wù)體系（NHS）的模式。然而，由于兩大政黨按照歐洲標(biāo)準(zhǔn)來(lái)看都屬于右翼，他們并不關(guān)心80%民眾的意愿，更傾向于將資金投入到軍事上，打造一個(gè)強(qiáng)大到足以對(duì)抗全世界的軍隊(duì)。
我認(rèn)為美國(guó)人需要做的第一件事，就是擺脫那個(gè)允許“世界上最好的”醫(yī)療服務(wù)收取天價(jià)費(fèi)用的利益集團(tuán)，這最終讓美國(guó)變成了“世界病夫”。
大多數(shù)美國(guó)人會(huì)告訴你，美國(guó)的醫(yī)療結(jié)果是世界上最好的，在某種程度上他們是對(duì)的，這就像阿聯(lián)酋，醫(yī)院/診所/醫(yī)生對(duì)那些能付得起賬單的人來(lái)說(shuō)是一流的，但對(duì)其他人來(lái)說(shuō)，他們就得在家里死去，他們的尸體被悄悄地遣返回國(guó)，沒(méi)有人關(guān)心。我的孩子們住在迪拜，我有關(guān)于那個(gè)系統(tǒng)的故事，甚至讓我起雞皮疙瘩。
在美國(guó)，有太多人，可能有數(shù)百萬(wàn)，因害怕失去一切而從不去看醫(yī)生，結(jié)果死于那些在英國(guó)即使是私立醫(yī)療也只需不到500英鎊就能治療的醫(yī)療事故。他們?yōu)榱讼喈?dāng)于一臺(tái)電視的費(fèi)用死去。哦，沒(méi)錯(cuò)，我剛才用了臟話，但如果我接著告訴你，大多數(shù)因微不足道原因死去的人并非以英語(yǔ)為母語(yǔ)，你或許能理解我為什么語(yǔ)言變得更加粗俗。雖然沒(méi)有統(tǒng)計(jì)數(shù)據(jù)，但我在想，多少孩子僅僅因?yàn)樗麄兊挠⒄Z(yǔ)不好、膚色不是白人或是移民身份，而失去了一個(gè)或兩個(gè)父母。如果有人罵另一個(gè)人一句臟話，結(jié)果會(huì)引起軒然大波，但當(dāng)同樣原因?qū)е碌乃劳霭l(fā)生時(shí)，卻沒(méi)有人討論這個(gè)問(wèn)題。
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.
美國(guó)和瑞典在人口上差異巨大，因此不能合理地期望相同的醫(yī)療體系在兩國(guó)都能有效運(yùn)作。這不僅僅是人口規(guī)模的問(wèn)題，還涉及到其他因素，包括人們的整體健康狀況。我并不是在為美國(guó)公民遭受醫(yī)院、保險(xiǎn)公司和政客之間勾結(jié)帶來(lái)的剝削辯護(hù)。我的意思是，美國(guó)必須建立一個(gè)完全不同的醫(yī)療系統(tǒng)，而我不確定是否能夠成功地構(gòu)建一個(gè)行之有效的系統(tǒng)。
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.
人口數(shù)量不是問(wèn)題，關(guān)鍵在于適當(dāng)?shù)財(cái)U(kuò)大體系。我們已經(jīng)有了醫(yī)療提供者和醫(yī)療設(shè)施的基礎(chǔ)架構(gòu)，所以只需將賬單處理統(tǒng)一到一個(gè)計(jì)費(fèi)系統(tǒng)中，讓所有人都能享受醫(yī)保，并建立合適的補(bǔ)償標(biāo)準(zhǔn)以及對(duì)處方藥利潤(rùn)的限制就行。
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 com...sts dont want to pay for shit lol
告訴人們你們的稅收是多少，與美國(guó)人相比如何。你看，這就是人們不明白的地方。美國(guó)人根本不想為任何事情付錢。就連我們這些自稱GCZY者的，也不想為任何東西掏錢，哈哈。
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.
你完全錯(cuò)了，很多美國(guó)人并不像你說(shuō)的那樣。許多美國(guó)人愿意繳稅，只要能確保獲得負(fù)擔(dān)得起的醫(yī)療保健。美國(guó)是唯一一個(gè)沒(méi)有為所有公民和居民提供全民醫(yī)療保健的發(fā)達(dá)國(guó)家。富人不想繳更多稅，因?yàn)檫@意味著他們可能需要為幫助其他貧困的美國(guó)人支付更多稅款。尤其在醫(yī)療保健方面，大多數(shù)美國(guó)人，包括醫(yī)療工作者，都認(rèn)為美國(guó)的醫(yī)療體系是最差醫(yī)療體系之一。
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.
這里有幾個(gè)問(wèn)題：第一，價(jià)格高得離譜，但又不得不接受，結(jié)果就是他們讓發(fā)帖的人吃了大虧。第二，保險(xiǎn)實(shí)際上只會(huì)推高手術(shù)費(fèi)用。我們?cè)?jīng)經(jīng)歷過(guò)自我保險(xiǎn)的階段，發(fā)現(xiàn)手術(shù)的收費(fèi)高得驚人——像發(fā)帖者這樣自我保險(xiǎn)或?qū)嶋H上沒(méi)有保險(xiǎn)的人必須支付全額。而保險(xiǎn)公司只支付那巨額費(fèi)用中的一小部分。所以，那12000美元的費(fèi)用，如果有保險(xiǎn)的話，可能實(shí)際上會(huì)少很多，甚至可能遠(yuǎn)遠(yuǎn)低于這個(gè)數(shù)字。
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?yàn)樵谶@里，保險(xiǎn)公司支付的是全額賬單，但如果你選擇自費(fèi)，費(fèi)用通常比保險(xiǎn)公司支付的費(fèi)用要低70%。
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.
我們有保險(xiǎn)！對(duì)我們來(lái)說(shuō)，保險(xiǎn)效果很好，每次就診時(shí)我們幾乎不需要支付什么費(fèi)用。大約88%到90%的美國(guó)人實(shí)際上都有相當(dāng)不錯(cuò)的保險(xiǎn)，媒體對(duì)我們的醫(yī)療保健體系的報(bào)道完全不真實(shí)，實(shí)際上我們的醫(yī)療體系非常好！我們一家五口在過(guò)去幾年里經(jīng)歷了許多次住院和看病，從來(lái)沒(méi)有遇到過(guò)問(wèn)題。這實(shí)際上是大多數(shù)人的真實(shí)情況。我們確實(shí)擁有一個(gè)很棒的醫(yī)療系統(tǒng)，設(shè)施一流，醫(yī)生也很優(yōu)秀！我們唯一需要做的就是加強(qiáng)對(duì)失業(yè)和就業(yè)不足群體的幫助，這是我們的弱點(diǎn)，但在過(guò)去14年里我們?cè)谶@方面已經(jīng)取得了顯著進(jìn)展。此外，任何人在需要時(shí)，都可以在所有公立醫(yī)院的急診室得到治療。