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A personal experience with British Medical System

I like to convey you the first-hand experience of socialized medical practice in Great Britain. There were a surprise and some difference from what I always hear in America.

Last week, my family, including my wife and my daughter, Michelle, with her kids went to Great Britain on Michelle's business. My wife woke me up in the middle of the night with severe chills and whole body aching.
She had a similar short-lived episode about a week prior. I thought she had a flu. Her symptoms did not improve in a couple of hours, and I had to take her to ER of St. Thomas Hospital in London, with some trepidation as you might expect.

You know what I mean... the astronomical medical bills afterwards.
Just to think about it would give any men a cold sweat!

She was seen in 30 minutes by a nurse clinician followed by a MD about 30 minutes later. Basic lab tests and X-rays were done shortly after.  The ER MD came and told her the diagnostic impression of acute urinary tract infection and the plan of action. It took 2 hours since the arrival at ER. IV antibiotic treatment began, and she was wheeled to Clinical Decision Unit (an observation unit) which has 6 beds. There were a battered woman and two drunks. Nurses checked vitals and IV infusion every 30min. The unit was clean but a bit Spartan.

The unit MD confirmed her status during night hours. When I saw my wife in the following morning , she looked exhausted but not in acute distress. Although she did not eat much, she was given a dinner, snack, and breakfast.

She thought  they were similar to the hospital foods in US.  The unit MD saw her next morning, and discussed the diagnosis, treatment, and follow-up plan just prior to my arrival to the unit. Short discharge documents including lab findings and X-rays in CD was given. A prescription of 10 days supplies of antibiotic was also given.
Actual departure from the unit took about 2 hours for discharge summary and prescription.

When I asked the discharge nurse for the billing department for settlement, she smiled and said, "Goodbye and Bon Voyage".  We slipped away with a deep sigh of relief and gratitude for the care my wife had received.

I learned that British Medical System provides free care for all her citizens and acute care for everyone else including traveling foreigners like us.

I felt not only the humane decency and morality in the action of the British socialized medical system but also their efficiency of doing only what were needed. Their medical facilities may be somewhat Spartan compared the deluxe resort-like opulence in American hospitals, but their existence is designed to take care of the sick people as their primary goal. In Great Britain, even though the system is said to be run by a government, but it seemed to work.

In America, our medical system seems to be run by lawyers, financial experts, and insurance merchants. In a few occasions when I had to visit the ERs of American clinics or hospitals, my impression was that money and the defensive medicine take the priority of all before the actual medical care of sick patients.
Am I alone in feeling that way?

Shang Rhee

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