It is interesting isn't it Steel....
by
KnotaFrayed
09/01/2009, 11:48 AM #
......I suppose my time will come at some point that I will be the one needing the care instead of accompanying those that have and I'm grateful for the time I've been given to be an accompanyment instead of a patient, I was one long ago though before some seemed to have discovered how profitable an endless supply of human suffering could be and turned it into an industry.
In any case, I have had the not so wonderful privilege of visitng a fair number of medical institution' s emergency wards (here in the U.S) unfortunately as a result of the misfortune in health of aging relatives from causes that range from massive stroke, to that of a swollen leg, after a hip replacement could be dangerous , and other various cuts and bruises that looked a lot worse than they ended up being. Because some of the occurences of need to be checked out were not during regular business hours, the assistants were told to direct the patient to the emergency room.
Not only the variety and level of care different from hosptial to hospital, but wait times for the varioius afflictions and/or injuries varied greatly. I wouldn't call a 9:00 PM to 4:00 AM wait to be particularly speedy for someone waiting to be checked out for heart problems related to congenital heart failure, known to their doctor at that hospital and in the patient records or a similar length of wait for someone with blood clotting problems. On the other end, waiting for a relative who had had outpatient surgery after a long delay (I realize medicine is not an exacting process with regard to set time for procedures and every procedure going without complications) and getting back the out-patient recovery room late in the day. Twice with this person and several times with others, I was sitting by their bedside when lights in the ward began to be turned out and an insistance it was time to go, the ward was closing for the day was related, ready or not a wheelchair came and assistance in getting the still heavily sedated patient into the chair to be wheeled out was enacted. Last few times I accompanied a relative for outpatient surgery, I noted they made sure the patient was not only just coherent enough to sign a waiver for their release, but that their pain level and general feeling was monitored, perhaps because too many had been whisked out previously before they were ready or before there was some assurance there were no lingering ill effects or complications from the surgery.
Of a purpose, emergency rooms employ triage and while we often might feel neglected, there are times when they are working on a just flown in, critical care patient and our care as important as it is, placed on a priority list based on a mix of weight of need in terms of available staff, seriousness of illness or injury and seriousness of need for immediate attention and care. That is why emergency room care is so expensive and in many cases the waits are long.
I imagine there are similar stories by people from any nation under their own systems or the systems of nations they have visited.
I suppose like the experiences we have with eating out, the value of the sum or recommendation of the concept of eating out could be defined in part by the number of times we experienced a bad meal and/or service versus a good meal and/or service and if rating the experience of eating out in someone else's nation aside feom our own, the number of times we ate out. If one eats out once in someone else's nation and has a bad (or a good) experience, is that necessarily indicative of that nation's eating out experience? If one eats out 150 times in someone's nation (or city or county, region, etc.) and has a good (or bad) meal or experience 150 times and and a bad one 25 times, might there be a somewhat better ability, even if not the optimal to come to some conclusions?
Whether a patient or a patient's advocate, how often or regularly have we or do we experience our health care systems or the systems of other nations and out of those experiences, where it most of the weight in terms of good or bad experiences or even ease of access to such experiences.
Is there truly a health care system in any industrialized nation of the world who is going to suggest if someone wants to and can pay for care beyond a basic level, they should feel free? The problem might arise where someone is offering a fair sum to lure someone away from working on one patient to come and work on them instead. I don't see as I've never had the choice of trying another emergency room, but for the risk of an emergency deepening while in transport to another emergency room, thus in many ways no matter what the overall system of delivery of pay for services, we are trapped by the issues of weighing health risks.
If I'm sounding like I am preaching here to you or anyone, I would guess I am preaching mostly to the choir with a few well identified exceptions.
Take good care Steelbucket.