Your Money or Your Life? Private vs. Public Healthcare in the US, China and Cuba
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- Опубликовано: 7 май 2023
- Many U.S. politicians say that our private healthcare model is the best there is. Many in the U.S. and around the world, however, would beg to differ. BT was joined by Dr. Samira Addrey, a U.S.-based Cuban trained doctor, and Dr. Steve Ye, Doctor of Sports Medicine in Ruijin Hospital in Shanghai to discuss the differences and similarities of healthcare in China, Cuba and the stark contrast between those examples and the U.S. for-profit medical industry.
Overlap is a global conversation show based on a simple concept - while US elites are working to build a new Cold War environment with China, we want to do the opposite, with people-to-people dialogue and virtual exchanges that show how much we have in common, and how much we have to lose from a new policy of isolation and demonization. This show is made in collaboration with our friends at WaveMedia @WaveMedia, a private media house in China.
United States’ (US) “democracy” does not consider healthcare a human right. The US instead considers healthcare a great way for oligarchs to make a lot of money. US oligarchs want your money of your life.
Recently China earned status of the happiest country, 91% feeling satisfied and happy, 94% public approval for the government, i.e, very successful democracy. China has built the world’s largest public education, healthcare and social security. It has built new infrastructures, transportation, social and cultural facilities all over with conveniences of digital technologies, i.e high level of human rights. It doesn’t have freedom opioids, shootings, ganglands, homeless, hunger, lie or being lied upon.
China is doing better in all areas
And China do better by not posturing or coming out chest thumping and Tarzan speeches but rather by Real action that people can see. Americans unfortunately have to live with the 4 years system that recycle itself with wonderful campaign promises yet hardly 5% even come to fruition and poor voters and to sit out the 4 years hoping she means will come along and make better promises. There's no accountability for 4 years of failure unlike China who will punish those who hide facts like the recent coal mine incident
Where's the happiness stat from?
The point is China has 1.43 billion population and the size of economy is smaller than the one USA , it’s really amazing china is not rich enough but such a achievement have been achieved
@@TheJayman213 from international organizations!! This is done every year.
Great to hear about health care comparisons. The USA is the only “so called” developed country with no universal care system that I know of… Brazil, Cuba and Canada are exemples of great universal care that works. Being more familiar with Brazil’s S.U.S Universal care system (Sistema Único de Saúde) I realize We do have some shortcomings like long wait, especially in more isolated areas like the Amazon basin, where most Brazilian doctors prefer not to move to, for obvious reasons like no good schools for their kids, etc etc. - however due to Cuban humanitarian awareness, many many Cuban doctors have volunteered to assist, especially, native Brazilians in the Amazon. For that, my undying gratitude to our cousin country CUBA 🇨🇺. Thank you for the podcaster and guests. Love from Brazil 🇧🇷.
Allah works in mysterious ways
In the capitalistic nations, human lives are valued in dollars.
Well, we do ask a disturbing question sometimes. "So, what's your net worth?"
Quite the problematic question when you think about it.
@@ChrisSmith-bh2hg Yes, the question supposes that you can only have value in dollars, which is mental
In the US we have a healthcare industry, while in China you have a healthcare service. The difference is healthcare is considered an essential service. While in the US healthcare is concerned it's a consumable that one chose to use.
Healthy discussion on Global Awareness regarding Health-Care. Ours here in America sucks (Unaffordable, Inadequate, Confusing, and Largely Driven by Profit 💰 making it sometimes Unethical & Immoral) 🥰❤️🇺🇲. We need more constructive awareness discussions on this topic. 💕🙏
Socialism forever! ✊
There are socialism in other nations have failed miserably. What works for China don't mean it would work in your country. It's all about the government leaders.
Great discussion! Thank you all. Please have the People's CDC on to talk about disparities in covid response in the US, China, and Cuba.
Cuban here, we have great doctors, but the infrastructure is very much lacking because it is free, that’s just the reality. There’s a scarcity in basic needs (ambulances, anesthesia, even bandaids). I think what saves us is the approach to preventative healthcare (rather than a hyper focus on treatment) and also the merriment of traditional medicine with Western medicine, which is promoted by doctors themselves.
How it happen and how the chinese manage to make it happen?... Well that's the true quality of humanity. Action speak louder than words.
Cuba have a healthcare system that puts the US to shame *despite* the fact the the US is punishing Cuba by sanctioning basic drugs etc.
I grew up in the US, I now live in Canada. We have truly public hospitals in all provinces, with a few private services in addition (and unfortunately right wing governments in Canada are increasing private care to help make their business buddies rich). But, our hospitals are actually publicly adminstered and the Cuban experience is similar to here. If you need an MRI, you'll get it, but the doctor isn't going to order it unless its needed. It isn't about profit, its about need, and there is no patient billing for it in a public hospital setting. There are increasing private clinics that do charge for these services, but I do not need to use them. I have had major procedures in the last decade that I've been in Canada, and the quality is high in our public system. The irony is that beside the US, both Cuba and Canada run a socialized system of hospitals and primary care. Even Canada is more socialized than European nations are after 1989. North America is a world of stark differences, Cuba and Canada have one model, and the US has another. And I'm glad we don't have a public-private hospital mix as in Europe, it helps keep our public hospitals strong in Canada. I would never, EVER want to return to a US style medical system. Its truly a horrific system. I have denial letters from insurance from my days in the US, its old paperwork, but I have it scanned and stored on my hard drive forever more. I do not ever want to see that again.
@Oliver266 I'm not aware of us having any more issues than other nations. This is typically a lie sold by the political right to sell for profit health care. The US has stories of many hours long and even days long care waits in an ER setting because COVID devastated hospitals globally. COVID has made ER care pretty tough in all countries, Canada is not excluded from the problems hospitals face as nurses have quit under stress. This is not because of how we finance health care and make hospital care free at the point of use. You can find stories out there with western media that is trying to "Americanize" Canadian health care. But, the stories don't explain what has happened to American ER's, too, during the aftermath of COVID. Your chance of not being able to afford life saving care in the US is far higher than any mistake that may occur with a wait list in Canada. Americans deal with waiting too, but they deal with inability to access at all due to cost. The American problem is indeed bigger and more deadly. It is worth mentioning, there is no central wait list. If you don't like service in a hospital, you can walk out, go to another one and ask for service there. I think we have an equitable system in Canada, but yes we have to do perform some COVID aftermath reforms to help our hospitals. COVID is the problem, not our finance structure.
Hi, I live in canada but it is a private-public method in Canada. For example dental and prescriptions which are basic needs for people are not covered.
@@FG-bu3jp This is correct, we do not have proper public dental coverage or drug coverage in Canada, there are some public programs that "fill in gaps" but it is not universal and it is not free for those items. But, when it comes to our hospital systems, and the prices people pay for service (free for most services at point of delivery) it is fully socialized. We do have a public hospital system. The problem are these for-profit private clinics that keep being added any time a right wing government comes to power, such as the ridiculous Ford government we have in Ontario. BTW, if you want to compare Oliver, I made a video comparing the global hospital crisis with Canada in comparison to the US crisis recently: ruclips.net/video/KMuVss8ge8I/видео.html
Canada might be more socialized than the UK but much of Europe are more socialized medicine
@@Amidat I would love to learn more about Euro care as there are so many systems.
this is interesting and depressing all at the same time.
The point is China has 1.43 billion population and the size of economy is smaller than the one USA , as well as the resources per capital. it’s really amazing china is not rich enough but such a achievement have been achieved. Doctors in China are not bad payments but far less than the doctors in the USA , that’s a huge balance for majority of people
Please translate in Spanish. 🙏🏽
For to share in Cuba and everybody can watch it
U gotta watch a video made by a British expat living in China
He walks u thru his hospital visit & wow!!!! The difference bet China & the US is so remarkable that u can’t help but b jealous of their streamlined process the technology the cleanliness the super organised process
Not only will you be in debt for your health with extortionate prices in the US, when you can not pay, they will wheel you out of the hospital and toss you out on the streets to die and if you make too much noise doing it, call law enforcers to abuse you into silence as you die. In the USA that made it illegal for the government to negotiate price discounts for bulk buying, made it law they must pay for retail or let people go without, profits first.
Excellent show, excellent guests! Thank you
Honor to Dr. Samira!
On the point of medical debt of ER visits versus other types of care, it is also true that in America, if you can't afford to pay for the ER visit, the private hospitals will still treat you with a minimally sufficient degree of treatment and then bill the government for the price of it. The argument to be made here is that, even though it is private healthcare, it is in reality a vastly less efficient form of publicly funded healthcare.
Love these videos!
This medical support based on all the doctors and nurses sacrifice. Keep working for 36-48 hours is really common. They had to work about 60-80hours a week
Great segment
I think Cuba has a higher life expectancy is due to that Cuba prioritises preventative medicine and also the people in Cuba eat much less processed or junk food.
My psychiatrist said, "Never go into business,"
I thought business people served their customers, honestly, providing their needs in the best possible way.
Nope! Business people just profit from your position of disadvantage. You need, you desire, you pay!
That’s the US values and democracy for its people!
People in chinese also make about 4200$ on average, although maybe more in Shanghai where he's from. so if you want to compare in dollars we should times all those Chinese prices by 14x to get a relative cost. That 100rmb sprained ankle will be a relative 1400$ in the US. But still, China appears cheaper and more available.
China now has longer life expectancy than the US. But they have a while to go to catch Japan. But they made great strides so far.
Sounds like China is like Germany. It cost me 10 Euros a day for a hospital stay. The max you pay is a total of around 250 Euros if I recall.
1:15 “顶级”这个词是哪里来的？
Wow, do you still think the average Chinese in China still earning 300 RMB? The average earning is over 100000 RMB!
That about right, 14,000usd+...
US insurers limit doctors to 20 minutes per patient and charge much more. Half the 20 minutes are spent referring patients to doctors' private practices for diagnostics, a favor to each other to pad the bills. Worst outcomes in the developed world for the highest prices.
Wow, they have to time patients visit too? Here in Grance, doctors are careless if they are spending the entire day with you as long as they haven't finished listening, attending to their patients or visitors
The largest private provider, WellStar, officially limits their doctor visits to 15 minutes. Doctors that exceed 15 minutes per patient are penalized.
Loved the guests, but the host presents some inaccuracies about the US healthcare system. I'm a practicing physician in NYC, where she says she is from, and I fully support M4A/socialized medicine. But inaccurate is inaccurate, so here goes:
1. ER waits are very long if you come for a non emergency. Sorry, but most things people come for are not an emergency. We need a better system to address these issues people have. But if you have a life threatening condition and come to the ER, you will absolutely get seen right away. It is just that, what patients perceive to be an emergency (like a bleeding thumb that the host mentioned) just arent a true emergency. Even if that thumb has a broken bone in it, it can wait, if necessary. Doesnt mean they shouldnt get timely care, and we need a better system. But does that mean you will have to wait for hours for a life threatening condition? Absolutely not. In fact, that might be why you are waiting with a bleeding thumb, because someone else who is unconcious with a bleeding brain is getting treated.
2. In NYC, undocumented people absolutely have health insurance and access to healthcare. This is what the public hospital system is used for. Do undocumented people in other parts of the country have worse access? Yes. Does this create a two tiered system? Yes. There are many problems, but to say the undocumented don't have access to health insurance in the US is wrong. There is more nuance than that.
3. That healthcare is practiced with a profit motive in the USA. This makes me so angry every time. My fellow doctors and nurses are trying to provide the best care we can to patients, in the system we have. Maybe the owner of a private practice is different. But in this video they are mostly talking about going to the hospital, and most hospital doctors are salaried, so I get paid the same no matter what. Thus, even if I wanted to have a profit motive, there is no mechanism for me to have one, so how could I? Granted, I have not practiced medicine in a socialized setting, so are there ways or practices taught to me, that I think are normal, that stem from a profit motive? Maybe. I cant think of any, but i recognize my limitations. But to say that individual doctors practice medicine with a profit motive in the USA is so disrespectful, and untrue. But I understand why patients would think this, because the system is set up to price gauge people, when all they want to do is be healthy. But please direct that anger at the businesspeople and administraters, not your doctors and nurses. This sometimes just makes me want to leave medicine.
Appreciate you and your work Dr Ofenmu RUclips ! You are indeed a great doctor you did all wonderful things with your herbs I'm forever grateful
In China ur not going to lose everything over medical bills b cuz there r people who will help u negotiate this & to ensure ur not homeless unlike the US where even our veterans r denied preventive care but end of life care they will do as many tests as possible to ensure massive profits happened to my uncle
My dad had great private healthcare but the same - he could’ve gotten a scan but they refused & 3 months later he was dying of stage 4 pancreatic when he had weeks left to live they even gave him a brain scan & I kid u not we all used to joke how they were racking up their profits but it’s F’ing not funny he was 63
I watched this- passionately recommended. A doctor from Cuba and one from China talking about their health care systems. Americans deserve to know that not only China but countries massively more poor than we are have *far* more effective, cheaper, health care than we do, with our pure for-profit, no caps system.
It's unbelievable how gullible people in the U.S. are, voting against our own interests all the time, getting played like lapdogs by monopolists who buy off our politicians and laugh all the way to the bank.
Fyi, the U.S. sanctions towards Cuba are particularly vicious, because they also threaten any other countries that trade with Cuba. "Free trade," guys! "Free markets!" Until a government snubs the interests of the U.S. financial ruling class, then the phony free market gloves come off.
I'm an anti-imperialist democratic socialist. I'd love to have *actual* free markets in a mixed economic system in which there is a public health care option and a public funded college option (like there used to be in the U.S.). What we actually live under in the U.S. is corrupt monopolism, not friendly competitive capitalism, in which big industries fund and thus control the government agencies that are supposed to regulate them and buy off politicians to block social service programs from expanding and public service options from expanding, so that the super rich get richer and more powerful. It would be one thing for this shit show to exist domestically, but the U.S. financial elite is insisting on exporting it throughout the world under the cover of vicious wars and neoliberalism. It's a fraud; we're all being played.
Does Dr. Ye’s father enjoy senior medical benefit in China for his 12 day hospitalization, or it’s same rate across all Chinese citizens regardless of age or employed or not?
Thank you for the program, it’s very informative . Keep up with global conversation exchange, it’s productive and positive effort. 👍🙏
China's "医保 yi bao" still a kind of insurance that individuals, society, state are participating in. Young people are the main group who pay the bills. But they are healthier and require less expenditure on medical insurance. But it is possible that their parents are the biggest beneficiaries of health insurance. At the same time, the state continues to inject capital into the medical insurance fund from the profits of state-owned enterprises. The purpose is to make this system more durable and cover a more population. The current situation is that the rural population only needs to pay about 800 RMB a year, which can cover about 40% to 50% of medical expenses.
@@CDTsuiPo
Thank you for your input. 👍
The problem is parasitic capitalism. Healthcare is a human right
Canada has been much better.
If you take homicide out of the equation as well as car wrecks the USA has is one or two in longevity. The Cubans produce excellent doctors but the Cuban system lacks resources they might not have algodon or equipment that doesn't need to be sterilized and reused. I pay 300 dollars a month for insurance as a retired firefighter. If I had a family it would increase by 600 dollars more. I never use the insurance but a hospital stay would still cost me more money.
The blockade on Cuba, helps with the lack of resources..
Cuba 🇨🇺 is the best, second China 🇨🇳, USA you somebody else makes big money money and money 🇺🇸🇺🇸🇺🇸🤑🤑🤑⚖️⚖️⚖️
In the US which has capitalist system, therefore, it has results in related to money making. This system is preferable by Americans. So Americans should not complain about bankruptcy in health problems. That’s what you choose then face the consequences.
Bloody infuriating.
Lot of lies here. I'm out.
Not sure why they're making the distinction in dollars, Chinese nor Cubans get paid in dollars. Does the average working class in china make enough money to pay 70 RMB for an MRI because if the average Chinese makes 140 RMB a month then 70/RMB for an MRI is not really that cheap, hell I thought the Chinese healthcare system was covered in it's totality by the state...comes out of there tax.....I think many Americans would not mind paying a little more for Medicaid to get M4All
You’re imagining a China on another planet. Here’s a few stats. Home prices in Beijing and Shanghai are higher than NYC and LA by square foot. A standard 1500 sq ft 3 bedroom apartment costs about 2 million dollars. Then prices decline all the way down to 5th tier cities. The same apartment would cost about 150,000 dollars. It’s like the price difference between Beverly Hills and Arkansas but often the latter in China are even newer because they got developed last. Expensive or cheap they all come with 5G. Wages of Middle class income earners in China is about a third of the US or 2000 dollars a month. There are 500 million middle class population in China. Income distribution is a pear shape with no absolute poverty. One can hardly come across a single homeless people in China. At 4 times the US population, Chinese buy 3.5 times more Audi than Americans, 3 times more Mercedes, more BMWs, Porsche, Range Rover, Tesla and millions more EVs. On Forbes both China and US has about the same number of billionaires. China has more Fortunate 500 companies than the US.
i think you got your nicker in a twist, china average wage is around 8k Rmb not 140Rmb
In 2021 the average chinese worker earned 105 000 yuan a year, the equivalent of $ 16153.
It's not how much you earn , it's how much you pay ....the Chinese compared to the USA earns a lot less on average but the cost of living in China is also a lot less meaning less money spent on basics equals more money for luxury items ...hence more spending power ...more spending power means happier people ...less poverty . The USA is opposite , sure their people earn more but everything costs the earth , housing , healthcare , education, food are all overpriced to make maximum profit for the corporations ...people spend more money on just living leaving no money for luxury items or they need to borrow money for luxury items creating debt and worry therefore people are less happy ...and a lot poorer ....
The comparison is made in dollars so that viewers can have a quick idea of the difference in price. Also the dollar is a global currency.
Excellent content
Rachel who?
" in the Chinese health care system, we specialize in treating people who mispronounce their L's as R. Unfortunately, there is an inexplicable 10,000 year waiting list for that cutting edge therapy."