background top icon
background center wave icon
background filled rhombus icon
background two lines icon
background stroke rhombus icon

Download "Медицина: в США дорого, в Европе долго, а в России мучительно?"

input logo icon
"videoThumbnail Медицина: в США дорого, в Европе долго, а в России мучительно?
Table of contents
|

Table of contents

0:00
Медицина: как работают платная и бесплатная системы
0:01
Продолжительность жизни в России
0:02
Что творится в деревнях?
0:04
Кто и сколько тратит на медицину?
0:06
Франция: вылечат даже бездомного
0:10
Великобритания: лечат как в России?
0:12
США: сколько придется заплатить за медпомощь?
0:19
А если заплатить нечем?
0:24
Невероятные счета на десятки тысяч долларов
0:25
Роды в США
0:29
Бесконечные очереди к врачам в Британии
0:32
Нехватка врачей во Франции
0:33
Сходил к врачу — стал банкротом?
0:37
Дантисты удалят вам все зубы
0:41
Как система справляется с нагрузкой
0:44
«Налоги на грехи» и телемедицина
0:48
Россия vs Великобритания, Франция, США
Video tags
|

Video tags

Варламов
Varlamov
Илья Варламов
россия
Франция
Германия
польша
америка
Сша
Европа
клиника
великобритания
Деревня
врач
больница
налоги
Аптека
здоровье
Медицина
плоскостопие
воз
Онлайн медецина
Пенсия
Частные больницы
Государство
поликлиника
Старость
госпиталь
минздрав
Пациент
Медицинская система
ветераны
Продолжительность жизни
Бесплатная медицина
Медицинский персонал
диагностика
очереди
Европейцы
инвалиды
болезнь печени
лечение
Лекарства
Здравоохранение
страховка
варламов
европа
Subtitles
|

Subtitles

subtitles menu arrow
  • ruRussian
Download
00:00:01
because a lot has been torn away from me, for
00:00:03
someone else it’s an emergency that they have an itch, we have
00:00:05
many places where there is no access to
00:00:08
medical care, which is why in
00:00:10
France all medications are included in the insurance, you do
00:00:12
n’t need to buy anything in addition there is
00:00:15
Anyone can get medical care
00:00:17
for free Even if you are homeless, roughly speaking
00:00:20
in America I believe that medicine
00:00:22
is free, but because according to
00:00:25
Federal law, any person has the right to
00:00:26
medical care
00:00:28
[music]
00:00:42
friends Have you been to a hospital or clinic for a long time?
00:00:44
ordinary municipal
00:00:45
indignant grandmothers, shabby green ones
00:00:48
corridors of a kilometer long queue
00:00:54
got into a fight in line at the Tyumen
00:00:56
clinic, a
00:00:58
familiar picture is true, and even the doctors
00:01:00
treat you with tired
00:01:01
disdain
00:01:09
you want to quickly get a certificate and
00:01:12
never return to this hospital again those who
00:01:14
can afford treatment in private
00:01:16
clinics or even go abroad
00:01:17
Why private medicine is better than
00:01:20
public medicine, which allows Europeans to
00:01:22
build their medical
00:01:24
system more effectively How medicine works in the USA and
00:01:27
where they still provide better treatment about it Today
00:01:29
we’ll talk
00:01:30
[music]
00:01:36
how we evaluate medicine, for example, by
00:01:39
life expectancy, it’s simple, the
00:01:40
better a person is treated, the longer he lives
00:01:43
when medical system is effective
00:01:45
people are healthier feel better in
00:01:47
old age and live longer when vaccinations are
00:01:49
not given on time diagnosis works
00:01:51
poorly treatment is not enough for all
00:01:52
patients life expectancy is
00:01:54
decreasing According to the World
00:01:57
Health Organization for 2020,
00:01:59
life expectancy in
00:02:01
Russia is quite low for a man it is 68
00:02:03
years in women 78 moreover, according to
00:02:07
the Ministry of Health in 2023, more than half
00:02:10
of men do not live to see retirement, most often
00:02:12
in Russia they die from heart and
00:02:14
liver diseases and also from cancer, while for example
00:02:16
in Germany the
00:02:18
life expectancy of a man is 79 years and for women
00:02:22
85 in the UK, women in On average
00:02:25
they live 83 years And men 80 years in the USA
00:02:28
The average life expectancy of women is
00:02:30
81 years and men 76 system
00:02:36
Yes, this of course affects
00:02:37
life expectancy Well, there is a
00:02:39
certain percentage, about
00:02:41
30 percent, probably in Russia, I think you know
00:02:44
that we have a very big gap between
00:02:48
men and women, and in our country, in principle,
00:02:49
it is not as high as in European countries;
00:02:52
in Russia, on
00:02:55
paper, everyone has access to free medicine, but in reality, people from
00:02:57
the regions, for example, in case of a heart attack, simply do not
00:02:59
have time to get to the hospital;
00:03:03
I talked about this in a
00:03:05
video about the life of a rural doctor. Be
00:03:06
sure to watch it. We have
00:03:09
many places where there is no access to
00:03:12
medical care.
00:03:13
Small villages. And in some even
00:03:16
medium-sized cities there are no separate
00:03:18
cardiology departments. I know for sure that in
00:03:22
my hometown in the north,
00:03:24
people who have an
00:03:26
acute condition are
00:03:28
taken by helicopter to Petrozavodsk,
00:03:32
it turns out to be the capital of the region and this, of course,
00:03:36
seems quite catastrophic to me. In
00:03:39
addition, the healthcare system in Russia is
00:03:40
not very effective. This
00:03:42
healthcare system has an extremely low
00:03:45
level of efficiency because there is some money in the
00:03:48
system but they are
00:03:51
not distributed very efficiently,
00:03:53
again we are talking about the underfunding of
00:03:55
the regions Well, in principle, there is a
00:03:57
lot of bureaucracy and some problems at the
00:04:00
local level that are
00:04:04
what is needed for good medicine. Of course,
00:04:06
money in the case of Russia This is mostly
00:04:09
state money, we are not only talking
00:04:11
about hospitals being financed from the budget
00:04:13
also high-quality independent
00:04:15
research of drugs and new vaccines
00:04:16
Russia spends on medicine A little more than 3%
00:04:19
of GDP, while most of the money goes to
00:04:22
large regions and to the capital
00:04:29
financing in Russia
00:04:31
[music]
00:04:32
because a lot of corruption
00:04:36
arises there and of course because of this Even
00:04:40
the money that the regions receive, they
00:04:43
simply end up stolen at
00:04:44
some point, Western countries allocate
00:04:46
much more money to their medicine than
00:04:48
Russia in Europe, the largest expenses are in
00:04:51
Germany and France, approximately 12% each,
00:04:54
regardless of the country, the
00:04:55
healthcare system in Europe is designed so
00:04:57
that anyone can receive basic
00:05:00
medical care, which always
00:05:02
emphasizes the
00:05:03
differences between Europe and the United States, this is that
00:05:07
the philosophy of European healthcare is
00:05:10
that it is available to everyone, even if you are
00:05:14
homeless, roughly speaking,
00:05:15
and not roughly, in short,
00:05:21
people
00:05:22
with a residence permit without registration without
00:05:25
anything, there is simply a special
00:05:27
card like this -otherwise called
00:05:28
medical, it covers basic
00:05:32
needs, they don’t cover you for a
00:05:35
dental implant, but nevertheless, when you
00:05:38
get to the hospital by ambulance, you
00:05:40
then don’t receive any bill,
00:05:42
journalist Alexandra shared a
00:05:44
life hack for women who are going to
00:05:46
give birth in Europe, you can just come to the
00:05:48
country and for free to be examined by
00:05:50
doctors, then there is such a
00:05:52
residence permit to
00:05:53
protect pregnancy, if you
00:05:57
appear with your stomach on the territory of Italy, then you
00:05:59
can get an
00:06:08
insurance card for
00:06:11
you where, of course, there are no
00:06:13
good super perinatal tests there.
00:06:18
But what is done in capital conditions,
00:06:22
that is, there are three main ultrasound examinations and
00:06:26
then childbirth you lie there exactly where
00:06:31
all ordinary Italian citizens lie
00:06:33
in France, every resident must have
00:06:35
insurance, the French insured under
00:06:37
the state program pay contributions every month to the
00:06:39
Social Security Fund,
00:06:41
contributions to the fund are deducted from the
00:06:44
employee’s salary and amount to 7 percent of
00:06:46
his income, the employer also usually pays for the
00:06:48
employee this is 13 percent of his
00:06:51
salary with insurance, a person can
00:06:52
choose where to be treated in a public
00:06:54
or private clinic, as a rule, the
00:06:56
patient pays the doctor himself and
00:06:59
then the fund reimburses the money according to his
00:07:01
insurance plan; the state
00:07:02
insurance necessarily covers about 70% of the services, the
00:07:05
remaining 30% can be covered by
00:07:07
additional private insurance if you
00:07:10
don’t have insurance, you need to pay extra for treatment from your own
00:07:12
pocket. French insurance companies
00:07:13
cannot refuse to pay for a patient,
00:07:16
even if a person is fired, he
00:07:18
still retains the same insurance plan.
00:07:21
In this case, the
00:07:23
former employer continues to pay for the employees, and the
00:07:24
state pays
00:07:26
insurance premiums to the company. In addition Moreover, in France
00:07:28
there are local social assistance funds, at
00:07:30
the expense of which
00:07:31
uninsured French people receive medical care.
00:07:33
And France has one of the best
00:07:36
social systems because we can
00:07:38
say that this paid
00:07:40
capitalist French medicine
00:07:42
is probably the most free in the world
00:07:44
Because
00:07:45
every Frenchman here has
00:07:47
insurance state
00:07:50
social security number that
00:07:51
covers 70% of all your medical
00:07:55
expenses, that is, whatever you do, 70%
00:07:58
is covered by the state, that is, on
00:07:59
yours. And you are left to cover the remaining
00:08:02
30 and, as a rule, these 30% are covered by this
00:08:04
additional insurance, half of
00:08:07
which,
00:08:08
according to the new law, which pair years ago
00:08:12
the employer must pay for you paid insurance will cost a
00:08:14
Frenchman 20:50 euros per month it
00:08:17
seems to you that this is a lot in one moved to
00:08:19
France from Belarus in his opinion the
00:08:21
level of wages in France is
00:08:22
so high that these 50 euros are simply
00:08:25
not noticeable plus insurance covers
00:08:28
almost all medicines for us That is, everything
00:08:30
that the doctor prescribes to you Yes,
00:08:32
this is all covered by insurance too
00:08:34
Come to the pharmacy You show
00:08:36
the prescriptions and you don’t pay anything, that is, in
00:08:38
France all medicines are included in the insurance, you do
00:08:40
n’t need to buy anything in addition, while
00:08:43
in Russia everyone Grandmother's trip to the pharmacy
00:08:45
This is a big blow to her budget. In
00:08:47
addition, in France, children undergo
00:08:49
any kind of surgery for free. I have never seen
00:08:53
that in the country they collect
00:08:55
money for the treatment of children and adults for
00:09:10
procedures. That is, for example, the doctors involved are quite
00:09:12
expensive in France;
00:09:21
there are a lot of
00:09:22
visits for tests and medications that are there
00:09:25
for girls, 1 capsule costs up to 400 euros, you
00:09:28
need a lot of them, it’s all 100
00:09:30
% covered by the state, it didn’t
00:09:33
cost even if you have flat feet And you
00:09:35
need orthopedic insoles, just
00:09:37
ask your therapist to send a request to the
00:09:39
state insurance center in Europe,
00:09:42
even illegal immigrants can receive free medical care,
00:09:43
this right is secured a new
00:09:45
fact of emigration from 2020, of course,
00:09:49
refugees still face
00:09:50
discrimination, language difficulties when
00:09:52
receiving help, in order to solve these
00:09:54
problems, the European Commission allocates money for the
00:09:56
treatment of migrants and trains medical staff
00:09:58
to work with refugees
00:10:07
and it concerns.
00:10:15
That is, they don’t even have the right
00:10:17
to be here, let alone them the state does not deport
00:10:19
them, the state fully covers one hundred
00:10:21
percent of medical expenses in
00:10:24
countries with such, well, with general
00:10:28
coverage, this is the minimum
00:10:31
provision of healthcare, it
00:10:34
exists simply by the fact of your
00:10:36
existence. That is, it will be a basic
00:10:39
set of medical services, but it will be
00:10:44
guaranteed to you by the system healthcare
00:10:46
in Great Britain is public, that is,
00:10:48
anyone can receive medical care
00:10:50
for free, the difference with private systems is
00:10:53
that here they pay for medicine from
00:10:55
taxes, the state itself decides what to
00:10:57
spend the money on, and there is also a private sector.
00:10:59
Where can you go for paid
00:11:01
treatment, essentially like in Russia, but only the
00:11:03
United Kingdom spends
00:11:05
not 3% of GDP on medicine, but about 11, the British
00:11:10
conducted surveys Who do you trust and
00:11:14
what system do you trust what system
00:11:17
what system are you proud of and that’s what
00:11:19
National
00:11:20
Service anations is called,
00:11:23
it’s just super top of what people
00:11:28
trust what people are proud of in the
00:11:30
UK healthcare
00:11:32
free And of course there is a
00:11:34
parallel system of private doctors where
00:11:36
you can go for any whims of your
00:11:39
money but in general health care is
00:11:42
free there is one single such system
00:11:44
throughout the UK the advantages of
00:11:48
free that it is available to everyone
00:11:49
conditionally No it is available to everyone if
00:11:52
you wait for your turn from another huge
00:11:56
plus and this is noted by all immigrants from the
00:11:58
post-Soviet space The doctors here are
00:12:01
very humane and polite, they still
00:12:05
don’t always have an effect The end
00:12:07
result may not cure you,
00:12:09
they sent you home about the foam, but you won’t
00:12:12
leave with the feeling that they
00:12:14
just talked to you like a
00:12:15
thing if in your the family has a difficult
00:12:18
economic situation, you
00:12:20
can get all the medicines for free with
00:12:21
medicines, an interesting system if
00:12:24
[music]
00:12:25
You have a small income or there may be a
00:12:28
conclusion, such as now Ukrainian
00:12:30
refugees, you are in the assistance system,
00:12:35
receive benefits If you fall into
00:12:37
one of these categories that
00:12:39
the state helps then all medications,
00:12:42
almost all will be free, in other
00:12:44
cases, the drug is given at a
00:12:46
fixed rate per prescription, now
00:12:48
it is 9 pounds 65 pennies so that the
00:12:52
doctor writes a prescription for you on a piece of paper, you
00:12:54
come to the pharmacy You will be given
00:12:56
this drug and you will pay conditionally
00:12:59
nine pounds The United States spends
00:13:01
more on healthcare other countries
00:13:02
about 18% of GDP this money goes to
00:13:06
insurance for the elderly people with low
00:13:08
incomes and military veterans
00:13:11
they account for about a third of the
00:13:12
country's population the remaining 70% of American
00:13:15
citizens pay for treatment themselves and go to
00:13:17
private hospitals in 2010 it
00:13:20
was passed legally in the country affordable health
00:13:22
care is also known as Obama
00:13:25
Key and the state began to pay for
00:13:27
emergency care for any person
00:13:29
without insurance, so Daria, who
00:13:31
now works as a doctor in the United States, believes
00:13:36
that medicine in the country is free in America. I believe that medicine is free, but
00:13:38
because any person, according to Federal law,
00:13:40
has the right to medical care for
00:13:41
free medical care, that is, the
00:13:43
Federal government essentially decided
00:13:44
that medicine in the United States is free, but they did not
00:13:46
decide who will pay for this medicine. An
00:13:47
interesting situation happened, there is the
00:13:50
so-called young m-tala - this is the
00:13:54
Medical rhythm of their
00:13:57
label, in my opinion this is what it stands for
00:14:00
essentially, if a person has an
00:14:02
emergency situation or a woman is in
00:14:04
active labor, then this person has the
00:14:06
right to free medical
00:14:09
care. It turns out that all
00:14:11
emergency departments are required to
00:14:13
accept patients without regard to
00:14:15
insurance. That is, if the patient needs to be
00:14:17
urgently operated on or if the discharge
00:14:19
brings in an infecting woman doctors
00:14:21
are obliged to help in this case the patient will not
00:14:23
pay a penny
00:14:25
then what is an
00:14:27
emergency situation there is no definition
00:14:29
and what is an emergency situation is decided by the
00:14:31
patients themselves for me an emergency
00:14:33
situation is that I have a lot of herbalism it is an
00:14:35
emergency situation for someone else
00:14:36
that they have an itch therefore we
00:14:38
look at and treat for free, and this is
00:14:41
all over the country; it is Federal law that all
00:14:42
emergency rooms are required to admit and
00:14:44
treat without any regard for
00:14:46
insurance; for anything, there is simply no such thing;
00:14:48
many people have a myth that here in
00:14:50
America they ask immediately before any help is
00:14:52
provided. Is there insurance?
00:14:54
They ask Is there money? Well, I’ve never
00:14:58
encountered anything like this because I
00:14:59
went and I did it in an ambulance. Well, in an
00:15:03
emergency, when I had to
00:15:05
go to this particular immergen cyrum,
00:15:07
not only as a patient myself, but I went with
00:15:10
my friends there. I even went here
00:15:13
with my mother, who came here as a tourist
00:15:14
and she had appendicitis, I also
00:15:17
went there with her and it never
00:15:20
happened that they asked a question about
00:15:22
what if you have money and what if you have
00:15:24
insurance before starting to provide services Well
00:15:27
some kind of help That is, this is always the
00:15:29
last question They can Just
00:15:31
ask if there is insurance or not When
00:15:34
there is a form to fill out But even if it is not there,
00:15:37
they will never drive you out into the street They
00:15:39
will not do anything Anatoly got into an accident in
00:15:41
Alaska, an ambulance arrived to him very quickly,
00:15:42
doctors came to him On the spot, he was examined and
00:15:45
taken to the nearest hospital a
00:15:47
month later. Anatoly received bills for treatment.
00:15:49
Well, I didn’t have to pay for them myself.
00:15:51
When I had an accident in Alaska, they
00:15:54
gave me all the help. I wasn’t there. I was
00:15:58
n’t particularly hurt. I just had a
00:16:00
head bruise. There,
00:16:03
two hours after admission, they let me go,
00:16:04
they said everything was fine, you can go, and
00:16:06
after about a month, bills began to arrive,
00:16:08
but because I had
00:16:10
insurance. And this is an
00:16:12
emergency; emergency cases are always
00:16:15
on the edge; they are even covered by free
00:16:17
insurance, which here in California
00:16:19
it’s called
00:16:20
[music]
00:16:22
and for all emergencies I
00:16:25
received a bill where I remember seeing what it was
00:16:28
for an ambulance in the region of
00:16:30
one and a half thousand dollars or 1200
00:16:32
dollars, that’s what the
00:16:34
ambulance arrived and took me there
00:16:36
I paid, in my opinion, less than $200,
00:16:39
from which everything else was covered by
00:16:41
insurance for emergency care. The
00:16:43
state can pay for charitable
00:16:45
foundations or the hospitals themselves, of course, to
00:16:48
receive not only emergency care, but
00:16:50
also to go to the doctor at any time, an
00:16:51
American needs insurance,
00:16:54
these are doctors armedicate two different
00:16:56
insurances, but in general, this is a type of
00:16:58
state compulsory insurance
00:17:01
for children of people over 65 years old, there are
00:17:05
some people with certain
00:17:06
chronic diseases, this is also what
00:17:08
the state pays, there are
00:17:09
private insurances through the employer, for example, my
00:17:11
employer pays for my insurance, I
00:17:14
pay. What is called premium, this is when a
00:17:16
month I pay a pretty penny there, 200 dollars
00:17:19
I pay for my insurance, my husband’s,
00:17:22
my daughter’s, all of this is covered by 200
00:17:24
dollars, in principle. Besides that, I do
00:17:27
n’t really pay anything, as if I have
00:17:28
insurance like most people who
00:17:31
work in such good jobs,
00:17:33
insurance is provided by the employer, it
00:17:37
costs some fabulous prices. the money
00:17:41
there is more than a thousand dollars a month for the
00:17:43
whole family,
00:17:45
the employer pays me from my own salary, I
00:17:49
also have some deductions, in my opinion
00:17:51
they deduct from me somewhere around 300-400, maybe
00:17:54
500 dollars, to be honest, I don’t
00:17:55
remember now every month, but this It’s a small part
00:17:58
of what is generally paid for insurance,
00:18:00
so good insurance covers
00:18:03
a lot of things.
00:18:04
If I go to a doctor somewhere, I have to
00:18:09
pay 20 dollars for a visit, this
00:18:11
is considered a little, it’s such a fortune so that
00:18:13
people just don’t go randomly anywhere.
00:18:16
And all the bills come from the
00:18:18
employer’s insurance. The employee takes a percentage for the
00:18:21
insurance and pays for it independently. It is
00:18:23
believed that the employer spends about $12,000 a year on insurance for one
00:18:25
employee with a family. The
00:18:26
average family spends about $12,000 a year
00:18:29
on insurance. Of these
00:18:31
$12,000, let’s say 3-4 thousand
00:18:34
dollars will be covered by employees with a
00:18:36
deduction of wages if there is private insurance
00:18:37
that can be purchased on marketplaces it is
00:18:40
used by immigrant students. Such
00:18:42
insurance costs about $50 per
00:18:44
month. Each type of insurance has a
00:18:46
list of services that it covers. At the same time,
00:18:48
hospital insurance companies can
00:18:50
negotiate the cost of a particular
00:18:52
service. When a patient comes in
00:18:54
and is treated,
00:18:56
it doesn’t matter; the surgery was performed; we gave appendiceals as a gift.
00:18:59
after this, the insurers in the
00:19:01
hospital decide how to take money from this patient.
00:19:02
If the patient has
00:19:05
insurance, then they begin to butt heads with
00:19:06
the insurance; the insurance is trying to say
00:19:08
that we will not pay for this; the insurance companies are coders;
00:19:09
they are called codes;
00:19:12
medical codes; in the hospital, they
00:19:15
say that no, you will pay; in the end, they
00:19:16
come to some kind of compromise, the patient does
00:19:18
n’t even know what’s going on there at all,
00:19:19
and in the end they seem to be there, as a matter of fact,
00:19:22
probably the best analogy would be like grandmothers at the
00:19:24
Bazaar decide among themselves that who
00:19:28
will pay how much in the end, who
00:19:29
will perform how much, this is such trading
00:19:31
directly pure American
00:19:33
health care system, its payment is very
00:19:36
much abstracted from the
00:19:38
majority of the population because, well, people
00:19:42
who have insurance, they come
00:19:44
give this insurance and they are
00:19:46
rarely involved in paying
00:19:50
for medical services if the patient
00:19:53
does not have insurance, the
00:19:54
pages always try to find
00:19:56
workarounds so as not to charge his money in
00:19:58
many States there is insurance or
00:20:02
some kind of coverage from the States there are
00:20:03
some federal programs that
00:20:05
cover hospitals at losses for patients
00:20:08
that they pay. If this is not possible,
00:20:09
that is, the patient is young, not a child, not
00:20:13
suitable there due to some chronic
00:20:15
diseases, not suitable there on
00:20:16
some other issues, it turns out that there is
00:20:19
no money at all to take something
00:20:20
enough
00:20:21
hospitals can take
00:20:25
money from somewhere they have two options is
00:20:26
to forgive the debt number one option which is
00:20:29
option two is to hire collectors and
00:20:33
start the patient giving this money to the hospital they do
00:20:35
n’t extract money from the patient, she
00:20:37
sells the debt. And then the collectors
00:20:39
butt heads with the patient and look for property from him,
00:20:41
for example, which
00:20:43
can be sold if something happens, if the management at the
00:20:46
hospital understands that there is
00:20:47
nothing to take from the patients and the debt. He won’t pay it back in any way; they
00:20:49
can write off expenses for treatment this
00:20:51
person for unplanned
00:20:53
charity for people over 65
00:20:56
years old, unemployed and disabled, there are
00:20:58
state insurances, Medicare and
00:21:01
Medicaid. In addition, there is chip insurance
00:21:03
for children who grow up in poor families.
00:21:05
This is a Federal program and the problem with
00:21:09
them is that the patient must apply for them
00:21:11
if the patients are no one does not
00:21:14
submit to programs automatically does not
00:21:16
draw accordingly that in
00:21:18
order to apply there must be a
00:21:21
certain personality type, a person
00:21:22
must be interested in
00:21:24
his health and interested in himself,
00:21:26
interested in not going to the
00:21:29
emergency room with every bullshit but
00:21:31
receiving good quality
00:21:32
medical care as well as in
00:21:34
Europe, for migrants who have just
00:21:35
arrived in the country and cannot pay for
00:21:37
regular insurance, the state
00:21:39
provides free insurance; it covers
00:21:41
all necessary services, it is very difficult to
00:21:43
say what income must be for you to
00:21:46
lose this free insurance. That
00:21:49
is, as a rule, there is some kind of insurance
00:21:51
agent who issues it to you insurance,
00:21:53
including free of charge
00:21:54
and he advises you on this topic
00:21:56
depends on a lot of things if
00:21:59
you are alone it’s one amount if you have a
00:22:03
family of two people this is another amount if
00:22:05
it’s a family and let’s say two children then this is
00:22:08
already a third amount But roughly speaking
00:22:12
If you start to receive on average, in
00:22:16
my opinion, a little more than a thousand dollars per
00:22:19
family member, then you
00:22:23
can no longer qualify for free
00:22:26
insurance if you have been living in the USA for a long time, you are
00:22:28
still not very good with money, you
00:22:30
do not have health insurance, you can
00:22:32
contact a community medical center such
00:22:35
a clinic You can come
00:22:37
I had this experience I had
00:22:40
high blood pressure and I didn’t have
00:22:43
health insurance at that time That is, what does
00:22:45
it all look like you come fill out
00:22:47
a form you pay a fixed amount then
00:22:49
it was 50 or 55 dollars I had a
00:22:52
full examination
00:22:54
was necessary Yes, here is the moment, that is,
00:22:57
they didn’t take blood tests there.
00:22:59
They did
00:23:01
an electrocardiogram. They did some other
00:23:04
procedures. The doctor examined me, prescribed
00:23:07
me medications and told me to come
00:23:10
next time, that is, I took these medications
00:23:11
to the meeting once I came, I again
00:23:14
paid 55 dollars for the appointment, he didn’t I
00:23:17
also adjusted the medications and
00:23:19
in my opinion I went to see him three times over the
00:23:21
course of a year, he didn’t pick up the medications
00:23:23
that helped me lower my blood pressure, I
00:23:27
still take them and in general there are no problems
00:23:30
according to Andrey,
00:23:31
you won’t notice the difference with a private clinic the equipment is all new, in
00:23:35
any case, what I saw and the premises are
00:23:38
new, good, well renovated, large,
00:23:42
there is a reception desk with
00:23:45
x-rays,
00:23:47
cardiograms, that is, well, I won’t say that
00:23:51
I saw any difference Yes, maybe
00:23:53
this is the building Thank you very much, like some
00:23:56
large clinics But
00:23:58
what you need Let’s just say that what you
00:24:01
expect is what
00:24:04
you’ll get from a regular clinic: they say that you
00:24:06
can’t trust American medicine. After all, at
00:24:08
any moment an incredible
00:24:10
bill for treatment in a hospital can come.
00:24:12
Indeed, the hospital always sends bills for medical care,
00:24:14
but in
00:24:16
reality it’s not at all necessary to pay them in full.
00:24:18
bills that are
00:24:20
20-30 thousand dollars 50 thousand dollars in
00:24:23
reality people who are medically
00:24:26
savvy that most people here sort of
00:24:28
understand why they don’t pay
00:24:31
for them someone they pay part of you went
00:24:34
there for a visit to the doctor you were told
00:24:37
this costs 1000 dollars and the insurance
00:24:40
company says Well, of course, we won’t support a thousand.
00:24:42
We are ready to accept
00:24:45
600 dollars for this service and of that we
00:24:49
pay 500. And you pay 100 and then you
00:24:52
receive a bill in the end for 100 dollars, and
00:24:53
not the bills may come if you, for
00:24:56
example, are insured in one state and
00:24:58
got sick in another state, but here the problem can be
00:25:00
solved very simply; you need to
00:25:01
notify your insurance company before going to the clinic;
00:25:03
it turns out that my
00:25:06
insurance company is
00:25:07
registered in the
00:25:11
state of New York. I was in the state of South
00:25:12
Carolina and in order to
00:25:14
use the services, I had to
00:25:16
first call your insurance and
00:25:18
say, you know, I’m going to
00:25:19
this particular hospital, so keep in mind
00:25:21
what’s next You will need to
00:25:24
cover their services and we will cover them, but it’s
00:25:26
important you should have been
00:25:27
warned first And now you need to apply for
00:25:30
hair removal in the USA, birth tourism is very popular
00:25:32
people they come to give birth in America,
00:25:35
partly thanks to good medicine. In
00:25:36
addition, even in a regular clinic, your
00:25:38
room will be sparkling with cleanliness and the
00:25:40
equipment will be the newest last
00:25:42
year, it
00:25:43
would be desirable to have a pregnant baby, he
00:25:46
fought this year, they found there the
00:25:47
baby had a water temperature, we went to the
00:25:50
hospital the main thing that I liked is that
00:25:53
everyone is very calm everywhere, even if
00:25:57
some situation seems to you that you
00:25:58
are nervous, no one ever looks with
00:26:00
big eyes, there are a lot of very
00:26:03
specialists when my wife was there at the
00:26:04
birth. I counted at some point
00:26:06
12 different people came and left,
00:26:08
everyone was a specialist in some of its
00:26:09
segments, it’s interesting that in New York there are a
00:26:13
lot of people, doctors, nurses, they are
00:26:15
from very different cultures and from different countries,
00:26:19
and they showed the child differently,
00:26:21
we do it in an attack, but here it is like that, and here
00:26:24
we have it. it sounds more confident And there is a
00:26:25
lot of surprisingly personal
00:26:27
attitude. That is, you don’t expect any kind of personal attitude from a
00:26:30
nurse or a doctor who
00:26:32
serves just dozens of people every day.
00:26:34
They still
00:26:36
have something personal to
00:26:37
say to you there to cheer you up and Well, it’s
00:26:40
great here I don’t put it on storage, you
00:26:41
just need to come periodically
00:26:43
Will you take some additional
00:26:44
tests, everything was very clear, everything
00:26:47
was exactly according to the system and the doctor
00:26:50
who lived and observed In the end, this is the
00:26:53
doctor from this who came for a consultation She gave
00:26:55
birth herself That is, it was the doctor who
00:26:58
passed here the woman
00:27:01
who observed during pregnancy
00:27:03
she actually received
00:27:06
Sergei’s wife when moving to the USA was in the
00:27:08
eighth month of pregnancy even when
00:27:10
he did not yet have insurance in the clinic they
00:27:12
took care and provided all the necessary
00:27:14
services how kindly the
00:27:17
doctors treated us
00:27:19
at such a late stage they allowed us to
00:27:23
say so choose exactly how we want to
00:27:26
give birth, in what conditions, etc.,
00:27:29
and in general the whole experience was quite
00:27:32
positive, here they probably give you a little
00:27:35
more Freedom than in Russia. That is, for
00:27:37
example, when you choose a
00:27:40
hospital, choose a doctor, you can
00:27:42
choose the conditions under which you want to
00:27:44
give birth Do you want it there, I don’t know, there
00:27:47
were candles, music, an
00:27:49
inflatable pool. I understand that in Russia,
00:27:52
too, some clinics have this, and it
00:27:55
costs quite a lot of money;
00:27:57
nevertheless, here it is a more generally accepted
00:27:59
practice and we did not order any special effects,
00:28:02
but nevertheless, a normal birth
00:28:04
we went into a separate room, essentially a
00:28:09
huge room with an additional
00:28:11
sofa and
00:28:13
chairs with a
00:28:16
separate shower and
00:28:18
toilet, and in this room we spent
00:28:21
two and a half days there
00:28:23
and the feeling was that we had been in some kind of
00:28:25
boarding house, let’s say this is what
00:28:29
patients in the States are most satisfied with
00:28:30
this is the quality of the equipment and services, I
00:28:34
can only say so far, I only have
00:28:36
the feeling that they are simply some of the best
00:28:39
doctors in the world, the quality of the equipment is simply
00:28:42
Advanced and completely different Work
00:28:45
culture Work ethic I don’t see how you
00:28:48
can make a mistake here in terms of
00:28:51
you have the best education in the world you
00:28:55
were taught the best systems, in order to become you
00:28:57
can spend a huge
00:28:58
amount of time on the equipment that is
00:29:02
being produced. Here it is of a very high
00:29:04
level, there is no point in saving,
00:29:06
sawing it, in general, everything is not
00:29:08
structured as we used to think. I don’t
00:29:11
understand how this system can
00:29:12
give its way somewhere. to fight the
00:29:14
bureaucratic plan, as I said, that
00:29:16
suddenly it became more profitable than putting
00:29:18
fillings, but so that somewhere it would be
00:29:21
profitable for someone to cut it off and treat it
00:29:23
with bullshit, but I can’t
00:29:25
imagine that I have maximum trust
00:29:27
in the system
00:29:30
somewhere about something there you need to think,
00:29:32
but how to talk to you, what they
00:29:34
explain to you, you feel that the doctor is on
00:29:36
your side and he is trying to help you
00:29:38
and explain it’s not so easy that the
00:29:41
next one is there without looking, of course, Western
00:29:43
healthcare systems have their
00:29:44
drawbacks, for example, the British are most
00:29:46
worried about long queues to specialized for
00:29:48
specialists, the system is overloaded and the
00:29:51
previous government
00:29:53
systematically rizal
00:29:56
financing of health care during covid,
00:29:59
this all resulted in
00:30:01
amplification And still we
00:30:04
constantly have strikes because there are not
00:30:05
enough doctors and they are not paid extra here
00:30:09
Of course, everything depends on the
00:30:11
specific area, but very often for
00:30:14
some number, see a specialist you have to
00:30:16
stand for a long time, the most important complaint about
00:30:19
this system What is the queue
00:30:21
But this is probably inevitable, that is, it doesn’t
00:30:24
happen, it doesn’t exist You can maintain
00:30:28
a system that would serve everyone and
00:30:30
at the same time
00:30:32
this does not happen due to the fact that the system is
00:30:35
overloaded The data can be lost or
00:30:37
confused This happened with our
00:30:39
heroine Alina,
00:30:41
I started bleeding, it’s
00:30:46
easy to do, and then they came to me
00:30:50
Multiple text messages and you start that
00:30:53
I have something terrible with sugar in my blood, I
00:30:55
urgently need to come to a diabetologist Everything is
00:30:57
very bad, run, run a week later,
00:30:59
yesterday It turned out that they didn’t send all the
00:31:01
this one by mistake Sorry, it’s a pity that we
00:31:04
scared you lost aponia lost the
00:31:06
results got mixed up sent to the wrong place
00:31:08
House despite the fact that the system is uniform it doesn’t
00:31:11
work there are funny cases like For
00:31:14
example, my friend had a pinched disc in her
00:31:16
back And for a couple of months she practically
00:31:19
couldn’t walk, she was in pain all the time as
00:31:22
they advised, here’s the typical advice, take a
00:31:26
painkiller. Well, if it’s not about a hair dryer, maybe there’s
00:31:28
something stronger there, there’s a booth, but
00:31:31
throw it to yourself and wait and wait.
00:31:34
And you’ll go away on your own.
00:31:40
fly
00:31:42
to Poland to have disc surgery there.
00:31:44
If the UK still gives a
00:31:46
referral for surgery, the
00:31:48
patient can give it for months and even
00:31:50
years. Alina said that she has been waiting in
00:31:53
line to see a specialist for more than one year.
00:31:55
Maybe you will have to wait in line there; for
00:31:57
example, I waited in line
00:31:59
for removal
00:32:01
wisdom who behaved badly there for
00:32:04
two years, although it was still so
00:32:06
spoiled in appearance for two years, but when it
00:32:09
was my turn to speed up
00:32:12
the process, she paid for my treatment in a private
00:32:15
clinic. That is, she just took the Slot,
00:32:17
these are private clinics, everything was done
00:32:19
perfectly, no consequences, all the
00:32:22
medications included super polite doctors
00:32:24
all increased
00:32:27
some please within a month
00:32:29
if there is such a coincidence
00:32:31
that you can be accepted in France people are
00:32:34
most often worried about the shortage of
00:32:36
specialists the shortage of specialists
00:32:39
for example
00:32:41
stories In France this is really
00:32:44
a disaster because in
00:32:48
other cities it takes up to 2-3 to register months
00:32:51
and sometimes up to 6 to 8 months, that is,
00:32:54
getting to an ophthalmologist quickly is very
00:32:55
very difficult;
00:32:57
the same with dermatologists, there are a little
00:32:59
less there. But if you have some kind of
00:33:01
dermatological problem, then two months is very
00:33:05
lucky for you. If you find it after two
00:33:06
months, that’s also very big The problem is
00:33:09
precisely with narrow specialists. In
00:33:11
addition, the French often have to
00:33:13
wait in huge queues at the reception
00:33:15
area. In addition, the workers themselves
00:33:18
regularly go on strikes, regularly
00:33:21
hold rallies, they draw attention to this in every possible way
00:33:24
because France
00:33:25
does not have enough
00:33:27
specialized specialists, there is also not enough
00:33:30
staff who are in Nizhnyaya
00:33:32
the levels are exactly what people
00:33:34
accept with help because the salaries
00:33:37
before the Co kind here were in this area. Well,
00:33:40
frankly low, one might say,
00:33:42
compared to other specialties,
00:33:43
so many people chose to work
00:33:46
hard, there are not enough
00:33:48
workers, as it turned out in the USA, the insurance
00:33:50
system does not cover all the costs of
00:33:52
treatment, patients need to pay a
00:33:53
copay. In addition, before the start of payments, the
00:33:56
insurance company requires you to make a dedakti was
00:33:58
dedakt's additional payment was the
00:34:02
amount that you have to collect from your
00:34:06
procedures and then there was nothing, it was
00:34:10
those payments that you must make up to a
00:34:13
certain point because you have
00:34:15
insurance contract and she says
00:34:21
70%, and you have to pay
00:34:24
5,000, then you will have 70%, you will
00:34:28
pay 30%. insurance pays, according to
00:34:32
Silicon Valley resident Sergei, these
00:34:34
bills can bankrupt patients. The
00:34:37
inability to pay medical bills
00:34:39
is one of the main reasons for
00:34:42
bankruptcy. And in the USA, because
00:34:44
really, if you don’t have health
00:34:46
insurance, this is when you get a bill for the first time.
00:34:50
Well, probably All you can do is just cry
00:34:52
Even despite despite the fact that we have
00:34:54
insurance, we still
00:34:57
pay the so-called hopay for each appointment. That is, this is a
00:34:59
small amount, a relatively small
00:35:01
amount that we still have to
00:35:03
pay out of our own pockets Alexander, founder of the
00:35:05
startup Tripment Help in the States, he
00:35:08
believes that the main problem of the
00:35:09
American system is the price for
00:35:11
treatment is not transparent, that is, people in
00:35:13
America never know How much I
00:35:15
will have to pay in the end I started building this platform
00:35:18
and literally a month later I had a
00:35:20
headache, it’s
00:35:22
no secret
00:35:29
to the hospital where this doctor worked,
00:35:35
it took 40 minutes in this pipe and
00:35:40
three months later I received a copy of the Bill this
00:35:45
government that was
00:35:48
crossblinded This is good, I saw that
00:35:51
I was in shock because God sent a
00:35:55
bill for 18.5 thousand dollars, insurance
00:35:59
covered part of this amount, but the purchase price and
00:36:02
MRI turned out to be very high, 5,400
00:36:05
dollars, people are afraid to go to the doctors, not
00:36:08
understanding how much it will cost very much an
00:36:10
important figure in America
00:36:12
66 percent of all bankruptcies this is the so-
00:36:17
called surprise again here I got
00:36:22
5400 this Bill from my Islam to
00:36:27
pay for an MRI this is the so-called
00:36:30
because who expects to get Well everyone
00:36:33
thinks it costs 1000 dollars
00:36:38
and someone out there can afford it
00:36:42
Well, I think
00:36:44
35 percent of the American population cannot
00:36:47
afford it. On average, the
00:36:50
worst insurance for a
00:36:54
forty-year-old person in America will be approximately
00:36:57
$700, which practically
00:36:59
covers nothing and you don’t care. When you
00:37:02
go to the doctor, you will have to pay
00:37:03
cash there in cash. Therefore, all
00:37:08
Well, let’s say the system is built
00:37:12
upside down and this is how it
00:37:14
functions so that no one
00:37:17
understands anything. The biggest problems in the
00:37:19
States are caused by dental treatment, according to
00:37:21
Andrey, even if you have insurance, you
00:37:23
still have to pay huge
00:37:24
sums when there are serious
00:37:26
dental problems he turned to a rudely speaking
00:37:28
doctor from the USA, she looked at him and said
00:37:30
that he just needed to remove all the teeth and also
00:37:33
pay 30,000 dollars for it. When
00:37:36
asked what should I do, she said
00:37:39
that he needed to remove all the teeth and the
00:37:44
complete cost would
00:37:48
be about 30-35 thousand dollars Well,
00:37:51
to say that I was shocked Well,
00:37:53
to say nothing I really was Well, I was so
00:37:55
very shocked I called my friend in
00:37:58
Kiev, I took x-rays and
00:38:00
sent him an email, he looked at
00:38:03
the situation and said that everything is really
00:38:05
very bad, but it can be fixed and you can
00:38:09
have an operation and He offered
00:38:11
to fly to Kiev and do a deep
00:38:14
cleaning to remove these two teeth, in the end
00:38:16
Andrey decided to go to Ukraine, where he
00:38:18
had an operation and his teeth stopped
00:38:20
bothering him. And it cost me a flight
00:38:24
with services and a hotel in Kiev
00:38:27
Well, up to 3000 dollars, that is, well, 10 times
00:38:30
less than what they promised me, I
00:38:35
actually saved my teeth I’m very much a
00:38:38
New Yorker Roman said that he
00:38:41
also doesn’t treat his teeth with insurance, he
00:38:43
goes to a private specialist for
00:38:45
cash
00:38:48
Why do I come to the dentist and dentist
00:38:51
instead of not counting fillings as usual
00:38:53
He thinks that every tooth
00:38:55
needs to be completely removed, the root should
00:38:58
be cut down and a crown put in. Although
00:39:00
you can just do it badly and Well, I
00:39:04
studied this issue and it turned out that it’s
00:39:06
just for the insurance companies because the
00:39:09
insurance company can cover any medical compensation, it’s
00:39:12
more profitable for doctors provide more services
00:39:15
You don’t pay the insurance,
00:39:17
what difference does it make? And in the case of teeth, it
00:39:20
turns out instead of putting
00:39:21
a filling they are ready to finish the teeth to put a
00:39:23
crown in there Well, good This is not enough, therefore, in
00:39:28
particular with teeth, we just go to order, that
00:39:30
is, cash to a
00:39:32
Ukrainian specialist who from our
00:39:35
school we’ll call it that where you don’t need to
00:39:37
put a crown, they put a crown and it’s a
00:39:39
question of money, the question is, I wouldn’t want
00:39:42
my teeth to be alive, they are artificial in
00:39:45
Britain, there are also problems with dentistry, the
00:39:47
system allows you to cure your teeth
00:39:49
for free, but in reality it’s simply impossible to get to the dentist,
00:39:52
you have to make an
00:39:53
appointment with a private doctor and there the price
00:39:55
for a filling can reach up to 400 pounds; in
00:39:58
this regard, in Russia, of course, it’s better here
00:40:00
and you can get a filling for 4,000 rubles
00:40:02
and, in extreme cases, make an appointment with a free doctor,
00:40:04
of course there are also
00:40:07
long queues, but the problem of waiting has
00:40:10
probably not been solved in America yet the
00:40:12
key point is that
00:40:14
you need to get to this doctor, this is the
00:40:16
moment where you
00:40:17
may have to wait quite a long time
00:40:20
because when you
00:40:21
make an appointment for the first time, the waiting time for
00:40:25
you to come to your first appointment can
00:40:26
easily be from six months to a year, all
00:40:29
US residents with whom we spoke
00:40:31
are complaining that the health care system at
00:40:33
the beginning may seem super incomprehensible
00:40:35
and complicated for the first year it all looked
00:40:38
like just something completely incomprehensible. A
00:40:40
black box in which something is
00:40:42
happening is not clear.
00:40:47
How do they send you these bills? How much will you
00:40:49
end up paying for each appointment?
00:40:53
end It’s clear How to make an appointment with the right
00:40:55
doctor Why do you really need to
00:40:56
wait six months in the beginning, not always, but
00:41:00
nevertheless That is, everything looked
00:41:02
a little strange, scary,
00:41:04
incomprehensible But nevertheless, when you
00:41:06
understand this, everything is quite logical and
00:41:09
simple and in the future we will have passed
00:41:13
later We did not have similar
00:41:15
difficulties during the coronavirus
00:41:17
It turned out that even the most advanced
00:41:19
countries during the crisis cannot take care of
00:41:21
patients and protect health workers,
00:41:23
the infection spread very quickly and
00:41:25
already in the first month there was an acute
00:41:27
shortage of hospital coins; paramedics did not
00:41:29
have time to monitor all patients
00:41:31
due to for this, patients with an acute form
00:41:33
died without waiting for help, a completely
00:41:36
inappropriate condition for workers for
00:41:39
medical personnel,
00:41:42
a huge number of nurses
00:41:45
left after that and fought more in the
00:41:48
working world Full and the second problem
00:41:51
is that the patients did
00:41:54
not go to the hospital for some time because they
00:41:56
they were afraid of getting infected and they accumulated a
00:41:58
large percentage of a large
00:42:00
number of some complications of
00:42:01
chronic problems, what is called
00:42:04
decondition, look at how you sit at home and
00:42:06
don’t exercise normally and don’t eat properly.
00:42:08
You just become sicker and
00:42:11
now we have such a bount back
00:42:14
effect. they all suddenly
00:42:16
decided to go to the emergency room and
00:42:18
everything is not as good for them as it was, some
00:42:21
hospitals in the USA were even completely
00:42:22
refurbished for Covid, then
00:42:24
patients with chronic diseases
00:42:26
were sharply cut off from the usual ways of
00:42:28
getting help, sometimes this led to
00:42:30
real dramas all the hospitals
00:42:32
turned into
00:42:34
exceptional hospitals, which is why there are a
00:42:37
lot of people there who just needed
00:42:39
other medical care. They couldn’t
00:42:41
get it in nursing homes, there were
00:42:43
just terrible things they did there.
00:42:47
One of my friends’ grandmothers died from a
00:42:49
kind of, they didn’t even immediately find out about it in
00:42:52
Russia during there was not enough coronavirus
00:42:54
Not only medical staff, but also basic
00:42:56
means of protection against infection, there was not enough
00:42:58
even basic measures to protect doctors, the same
00:43:02
masks, gloves, suits, and all this
00:43:05
led to the fact that in Russia,
00:43:09
for example, a lot of
00:43:10
medical personnel were born and in fact
00:43:13
enough I think a large percentage
00:43:15
doctors died Unfortunately, it’s really terrible
00:43:17
and Besides this, the
00:43:20
medical staff It’s just that many
00:43:23
burned out, there were endless shifts
00:43:26
and overtime, and also not everyone received
00:43:29
the funding that was promised, there
00:43:32
were some country schemes with whether the
00:43:35
papers were
00:43:37
determined to be coronavirus or not And in in
00:43:40
general, because of this, they did not
00:43:41
receive the promise; in Russia, hospitals
00:43:44
are often overloaded, and not only
00:43:46
because of the shortage. Well, because in our
00:43:49
country people are used to going to hospitals
00:43:51
for any reason. Medical journalist
00:43:53
Elizaveta believes that in many cases
00:43:55
you can do without going to the hospital. hospital It
00:43:56
seems to me that the
00:43:58
Russian Stima healthcare if we are
00:44:00
talking about patients Patients have
00:44:02
such a syndrome,
00:44:04
how to say
00:44:06
they always think that there is free
00:44:10
medicine So we can get for
00:44:11
any sneeze, for example, calling an ambulance,
00:44:14
then the child has a temperature of 39 All we need is an
00:44:18
ambulance, this is actually
00:44:20
Education of patients could help with this
00:44:23
so that they understand what
00:44:26
services services require. What type of assistance is
00:44:30
acceptable if we are talking about an
00:44:35
ambulance, then these are only some super
00:44:36
critical situations when a person is
00:44:38
suspected of having a heart attack, something like
00:44:40
bleeding, something else if we are talking
00:44:42
about some non-critical conditions, then you
00:44:45
can just turn to a therapist
00:44:46
in Europe, they are more conscious and
00:44:49
seek help sooner. In extreme
00:44:51
cases,
00:44:52
it is believed that a person can have less
00:44:55
encounters
00:44:58
there is she is waiting for you if you need her
00:45:02
actually well done
00:45:07
[music]
00:45:09
norms Yes For example, to
00:45:13
prevent cancer at the population level,
00:45:18
screenings are done, but they are population-based
00:45:23
and it is calculated that it is ideal to
00:45:26
start checking at such and such an
00:45:29
age and once for so many years. Otherwise, I
00:45:32
sat, let’s say more often or earlier, you are, as it
00:45:36
were, loading the health care system
00:45:38
and the benefits are not the most progressive Countries
00:45:41
generally introduce taxes on sins, according to
00:45:44
Alexandra, she feels almost like a
00:45:46
criminal buying illegal drugs, these are
00:45:49
taxes on something that spoils your health,
00:45:51
alcoholic cigarettes, countries, even on
00:45:54
sugar, sugar products, there are taxes, how
00:45:59
a little you feel, says my
00:46:01
friend, a drug addict, get yourself a bun, what should I
00:46:06
do? Europeans, in order to relieve the burden on
00:46:07
medicine, for example, the British, the French, in
00:46:10
2017 they began to actively use telemedicine,
00:46:13
this is very convenient because you don’t
00:46:15
need to go to the doctor’s office. You can
00:46:17
just call him. From the comfort of your home,
00:46:19
the doctor will no problem write out a prescription
00:46:21
for medications or print the necessary
00:46:23
certificate and then send it to you. It’s by mail
00:46:25
The cost of such a visit is lower and the queue
00:46:27
for an appointment with a doctor is shorter Our heroes from the
00:46:30
UK and France are already
00:46:31
using online medicine with all their might We are now
00:46:34
almost all online medicine
00:46:35
will see you in person Only if there is an
00:46:38
urgent need for it
00:46:39
with your
00:46:43
doctor or via video call and different practices,
00:46:49
roughly speaking, different clinics have
00:46:53
their own technical solutions, of course
00:46:55
Zuma is something else, but in general, before
00:46:58
you see a doctor in person, most likely there
00:47:00
will first be a round and several rounds of
00:47:03
telephone conversations
00:47:06
to get a
00:47:08
prescription, it’s quite simply
00:47:11
really better in comparison with the
00:47:13
Russian system
00:47:15
Western healthcare seems quite complicated, but
00:47:16
when it comes to health, quality is
00:47:18
more important. It seems to me that what’s
00:47:21
better about Russian medicine is that
00:47:25
the system is definitely simpler. You do
00:47:27
n’t have to figure it out. You just
00:47:30
use the services. You have more than 7
00:47:31
insurances. Well, you don’t think about it at all,
00:47:33
and I guess it’s
00:47:36
probably It’s more convenient now, so I’m thinking
00:47:39
about the fact that
00:47:41
let’s say a person of age in our home can
00:47:43
get a joint replacement, let’s say, and it’s
00:47:48
all covered by the state, or you
00:47:50
can easily make
00:47:52
indicators, too, you don’t need to think about
00:47:54
that and you don’t need to understand the system, then
00:47:56
here you can use you need
00:47:58
understand this system if you
00:48:00
make some mistake, it’s a mistake. It
00:48:01
will cost you either your nerves or money. I
00:48:04
think what’s cool about the Russian system is
00:48:06
that it has a very, very large coverage and
00:48:08
deep penetration, but again it
00:48:10
leads to the fact that in
00:48:12
some places
00:48:14
funding is much less and all
00:48:17
these terrible photos and videos that we see
00:48:19
in Interns are confirmation there, I
00:48:22
can’t imagine what was here It was like that,
00:48:23
that is, any private clinic can
00:48:25
simply lose its clients if you
00:48:28
are unhappy with what is happening Well,
00:48:30
friends, let’s sum it up now
00:48:31
Let's look at the pros and cons of all systems,
00:48:33
plus the UK system is that
00:48:36
everyone in the country can get
00:48:38
free help, minus a huge queue
00:48:40
for specialists, the wait in which can
00:48:42
last for two years in France, the pros of
00:48:45
such good quality medical services,
00:48:47
free help for all children in need,
00:48:49
free surgery and low price the
00:48:51
insurance, which also includes
00:48:53
any medications, but there are also disadvantages of the queue: a
00:48:56
shortage of specialists and junior
00:48:58
medical personnel, the minus of
00:49:00
healthcare in the USA is a paid
00:49:01
system, plus high quality medicine,
00:49:04
the opportunity to get insurance for free
00:49:06
or get it at the expense of the employer
00:49:08
in Russia, the plus of medicine is that it’s
00:49:10
free, but the quality of medical services
00:49:12
leaves much to be desired; one more minus is that
00:49:14
good help can only be obtained in
00:49:16
large cities; it turns out that there is
00:49:18
no completely perfect health care system
00:49:21
in any country; everywhere there is something to
00:49:23
complain about and something to change. Of course,
00:49:24
you want that after an illness you don’t
00:49:26
have to take out loans and debts, but is it
00:49:29
worth sacrificing the quality of medicine for this? Of
00:49:31
course, we all want to get
00:49:32
good treatment, quickly and free of charge.
00:49:34
The problem is that in Russia people have
00:49:37
much less choice to influence our
00:49:39
medical system. We simply cannot,
00:49:40
if the French, for example, go to
00:49:42
rallies and seek their government,
00:49:44
then we just resigned ourselves and take it What they give
00:49:46
us is very little Unfortunately,
00:49:49
this applies not only to medicine As they say
00:49:51
doctors and maps No, well, hang in there
00:49:59
[music]

Description:

Качество медицины в России оставляет желать лучшего. Все деньги идут в Москву, в больницах очереди и скотское отношение к пациентам. В Европе и США медицина платная. Люди ежемесячно отчисляют деньги на медицинские счета. Но решает ли такая медицина все проблемы? Об этом - в сегодняшнем ролике. Поддержать канал: Boosty (если вы в России): https://boosty.to/vrlmv Patreon (если вы не в России): https://www.patreon.com/IlyaVarlamov Спонсорство на Ютуб (если вы не в России): https://www.youtube.com/channel/UC101o-vQ2iOj9vr00JUlyKw/join Другие способы: https://donate.varlamov.me/ Сервис «Вместе»: https://vmeste.info Закрытый телеграм-канал Varlamov +: https://t.me/tribute/app?startapp=smk Новостной ютуб-канал Varlamov News: https://www.youtube.com/@varlamov_news Ролики о жизни в России: В России — изгои, в Германии — полноправные граждане: жизнь людей с инвалидностью https://www.youtube.com/watch?v=dqnDNs7mSpQ День из жизни сельского врача: как работать в таких условиях? | Медицина в российских деревнях https://www.youtube.com/watch?v=2nqGNL0d7Ts Отстаньте от детей! Почему не нужно запрещать аниме и видеоигры | Ютуб, ТикТок и Гарри Поттер https://www.youtube.com/watch?v=Kjn2XRzURAY Стать спонсором канала: https://www.youtube.com/channel/UC101o-vQ2iOj9vr00JUlyKw/join Кофе 1984: https://1984.coffee/ Мой лимитированный мерч: https://shop.varlamov.ru/ Поддержать фонд «Внимание»: https://fondvnimanie.ru/donate Купить книгу 100 советов мэру: https://shop.city4people.ru/ Если хотите сделать наши города лучше, присоединяйтесь к нашему общественному движению! Есть чаты по всей стране, регистрируйтесь в вашем городе: https://russia.city4people.ru/ Сайт: https://varlamov.ru/?cda= Телеграм-канал: https://t.me/varlamov Новостной телеграм-канал: https://t.me/varlamov_news Дзен: https://dzen.ru/varlamov Пульс: https://dzen.ru/?from=pulse Твиттер: https://vrlmv.com/BgrRI6 ВК: https://vrlmv.com/hU1rbp ТикТок: https://www.tiktok.com/@ivarlamov Вайбер: https://vrlmv.com/1hURPa Вакансии: https://varlamov.ru/3974217.html?cda= Реклама: [email protected] Таймкоды: 00:00 Медицина: как работают платная и бесплатная системы 01:35 Продолжительность жизни в России 02:53 Что творится в деревнях? 04:44 Кто и сколько тратит на медицину? 06:32 Франция: вылечат даже бездомного 10:45 Великобритания: лечат как в России? 12:59 США: сколько придется заплатить за медпомощь? 19:52 А если заплатить нечем? 24:05 Невероятные счета на десятки тысяч долларов 25:30 Роды в США 29:42 Бесконечные очереди к врачам в Британии 32:33 Нехватка врачей во Франции 33:48 Сходил к врачу — стал банкротом? 37:18 Дантисты удалят вам все зубы 41:16 Как система справляется с нагрузкой 44:45 «Налоги на грехи» и телемедицина 48:49 Россия vs Великобритания, Франция, США

Preparing download options

* — If the video is playing in a new tab, go to it, then right-click on the video and select "Save video as..."
** — Link intended for online playback in specialized players

Questions about downloading video

mobile menu iconHow can I download "Медицина: в США дорого, в Европе долго, а в России мучительно?" video?mobile menu icon

  • http://unidownloader.com/ website is the best way to download a video or a separate audio track if you want to do without installing programs and extensions.

  • The UDL Helper extension is a convenient button that is seamlessly integrated into YouTube, Instagram and OK.ru sites for fast content download.

  • UDL Client program (for Windows) is the most powerful solution that supports more than 900 websites, social networks and video hosting sites, as well as any video quality that is available in the source.

  • UDL Lite is a really convenient way to access a website from your mobile device. With its help, you can easily download videos directly to your smartphone.

mobile menu iconWhich format of "Медицина: в США дорого, в Европе долго, а в России мучительно?" video should I choose?mobile menu icon

  • The best quality formats are FullHD (1080p), 2K (1440p), 4K (2160p) and 8K (4320p). The higher the resolution of your screen, the higher the video quality should be. However, there are other factors to consider: download speed, amount of free space, and device performance during playback.

mobile menu iconWhy does my computer freeze when loading a "Медицина: в США дорого, в Европе долго, а в России мучительно?" video?mobile menu icon

  • The browser/computer should not freeze completely! If this happens, please report it with a link to the video. Sometimes videos cannot be downloaded directly in a suitable format, so we have added the ability to convert the file to the desired format. In some cases, this process may actively use computer resources.

mobile menu iconHow can I download "Медицина: в США дорого, в Европе долго, а в России мучительно?" video to my phone?mobile menu icon

  • You can download a video to your smartphone using the website or the PWA application UDL Lite. It is also possible to send a download link via QR code using the UDL Helper extension.

mobile menu iconHow can I download an audio track (music) to MP3 "Медицина: в США дорого, в Европе долго, а в России мучительно?"?mobile menu icon

  • The most convenient way is to use the UDL Client program, which supports converting video to MP3 format. In some cases, MP3 can also be downloaded through the UDL Helper extension.

mobile menu iconHow can I save a frame from a video "Медицина: в США дорого, в Европе долго, а в России мучительно?"?mobile menu icon

  • This feature is available in the UDL Helper extension. Make sure that "Show the video snapshot button" is checked in the settings. A camera icon should appear in the lower right corner of the player to the left of the "Settings" icon. When you click on it, the current frame from the video will be saved to your computer in JPEG format.

mobile menu iconWhat's the price of all this stuff?mobile menu icon

  • It costs nothing. Our services are absolutely free for all users. There are no PRO subscriptions, no restrictions on the number or maximum length of downloaded videos.