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potatoicecoffee | 4 months ago

In Australia I just take my blood test form to any pathology place and they do it for free (for me) and bill the government a set price from the medicare benefits schedule.

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hintklb|4 months ago

Hmm sure, but there must similarly be things that are denied right?

I lived in both systems. In a single payer system, the state essentially decide what is allowed and what is not. And with the state as a single payer, they also go back and forth on price with the hospitals.

It still is a better system overall but there is no places where you can just spend as much as you want on healthcare without some type of centralized supervision.

empressplay|4 months ago

Yes, in Australia what and how much of it a doctor can prescribe is tightly regulated. Many medications require a specialist referral and approval. Any medical procedure requires a specialist to sign off on it.

That and there is often a 'gap' that needs to be covered for GP and specialist services, although that tends to be balanced out by much cheaper prescription costs. (Prescriptions in Canada for example easily cost 2X as much).

However, Australia has a two-tier system where you can buy private insurance cover that can cover the costs of gaps and allow you access to private hospitals. This insurance is much cheaper than the equivalent US versions.

int_19h|4 months ago

It's not a dichotomy between single payer and US-style private insurance. You can have public healthcare that isn't single payer - that describes a good half of Europe, for example.

ikr678|4 months ago

There are tests, proceedures etc that are 'denied' coverage by Medicare(universal health coverage) but you can try get your private health insurance to cover it, or just pay out of pocket, unless it's the doctor refusing the request as not medically necessary.

I had a test recommended once that was not covered, but my Dr explained this in advance and the cash price to me was $110. There are no 'surprise' denials after the fact.

codedokode|4 months ago

> In a single payer system, the state essentially decide what is allowed and what is not.

Usually if the state decides you are not eligible for something (for example, some examination), you can just pay and get it anyway.

adastra22|4 months ago

In sensible countries that decision isn’t made after the fact. You know going in if it is covered or not.

harvey9|4 months ago

In Britain the national health service is a single payer and there are some things it won't fund, but you are still free to take out health insurance or be a self pay customer and go to a private doctor or private hospital.