How much health can you afford?

Australians tend to be rather contemptuous of the US health system. We brag about universal healthcare, and deride a system that only provides care to those who can afford it. But our universal healthcare is being steadily eroded, as people are pushed into private healthcare.

I have a minor heart condition. For the most part it’s not an issue, but it has escalated over the past week or so and I felt pretty ordinary this morning. I called the Nurse on Call advice line, described my history and my symptoms and she calmly told me that I needed to get myself to an Emergency department. Now. She said if I couldn’t get there within 45 minutes I should call an ambulance. She was quite forceful about it. Unnervingly so.

So I told my husband and we scuttled off to the nearest public hospital. Where I stood in a queue around 6 people deep and waited for 20 minutes before even telling anyone why I was there. They took my history, checked the oxygenation of my blood, and then told me to talk to the clerk and give my details, and then sit down and someone would come and get me to do an ECG.

So I did all that. And I sat. And I waited. And I looked at all the people who had been there before me, who weren’t being taken in. And I reminded myself that clearly the oxygenation of my blood must have been ok, or they’d have rushed, right? (Although they hadn’t actually told me what it was…)

So I sat.

And I waited.

After one and a half hours I asked them if they had any idea how long it would be. They said “hopefully not long, now that we’ve got some more staff on. But we don’t know how long it will be before you actually see a doctor.” They looked harassed.

So I sat.

And I waited.

Meanwhile I was getting dizzy, and nauseous, as well as very aware that my heart was doing funky things. My heart.

So I bailed. I called the two nearest private hospitals with emergency departments and asked about their queues. One had a queue of 2 (there’d been a “bit of a rush in the last half an hour” apparently). One had no queue at all. So we went there.

Two hours later I had been tested, treated, fed, and sent home. Not two hours of sitting in the waiting room. Two hours of active treatment, compassionate care, and several interactions with nurses and a doctor.

Had I not been able to afford the private hospital, I have no doubt I would still be waiting in that public hospital 8 hours later. Likely in a bed in the emergency ward by now, but maybe not even having seen a doctor.

I was lucky. I am fine. But that whole scenario could have ended very badly.

My bank account determined my level of care.

Apparently being financially secure means I am worth looking after.

No.

My bank account does not determine my intrinsic worth as a human being.

The quality of my healthcare should NEVER be determined by my ability to pay.

People are worthy of compassion. Quality healthcare. Timely healthcare. And dignity. All people. Bank account status just should never appear in this context. We already have an education system that allocates opportunity and resources based on wealth. And it is so many levels of wrong I can’t even begin to cover it. But we are now moving faster and faster towards a health system that does the same.

We have to stop. Now. Malcolm Turnbull with his millions is worth no more as a human being then a homeless woman without a penny to her name.

Money should not determine the worth of a human life. Not now. Not ever.

 

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