Its in... Mid 30s implanted with Rigicon Infla10 AX on NHS UK

[whatevery]

The point is is that because the NHS offers free healthcare there's no opportunity to sell to patients other than for treatment that isn't necessary. Also, because there's no profit incentive it has to minimize costs. And the longer people are sick or unwell the more it costs the system. So the incentive to offer the best possible treatment option as early as reasonably and justifiably possible to cure is there but not for treatment that doesn't have strong supporting evidence.

That make sense. If you think about it however the same takes place in the US. Private insurance companies are not interested in you remaining sick because in that case they have to pay claims and lose money. Private insurance companies are interested in you paying them monthly premiums and not going to doctors much.

That's why many private insurance companies cover bariatric surgeries because they calculated that if you lose weight you're not going to get diabetes and be billing them through the roof for the rest of your life. For the same reason they're more interested in enlisting younger insurers that don't get sick than those that get up in age.

Who might be interested in you staying sick, from purely profit perspective, are the doctors. You're not bringing them business if you're healthy. They can't bill NHS or private insurance company if you're healthy. You being sick is their bread on both sides of the pond, in fact I suspect the world over. Well... maybe not in North Korea

You say in the States the system allows for someone not to buy health insurance? In that case would a middle income person then get healthcare?

I think there is a typo there. I think you meant to ask "HOW" would a middle income person then get healthcare?

I think there are few ways. I'm with the Veterans care (here it's called the VA) and now I also be getting my health care through Medicare and before I would sometimes get health insurance from the company I worked for so I might not be an expert here but this is what I figure.

Let's say you're self-employed, or work for too small of the company that doesn't offer benefits (pizza place on the corner) but you're not poor and you want to buy yourself health insurance. Things have changed significantly since 2010 when what's called Obamacare was enacted.

Now people usually go to https://www.healthcare.gov/ which would have a list of options for you to choose from. Cheaper options would naturally be more limited in coverage and have greater deductions or...

you could call around and price it up with insurance companies directly or...

you could call insurance agents which would have a list of private insurers they work with and make your pick there.

Insurance plan that you purchase would usually auto renew each year unless you tell them not to.

Now what's the catch?

The catch is called "Open Enrollment Period" (OEP) which takes place in late fall early winter and lasts for about 2 months. If you miss it and you still don't have health insurance then you're shit out of luck and would probably have to remain uninsured until next OEP. Unless there are special circumstances like you had a baby, got divorced, or for some reason lost your coverage like for example went to Vegas for a few days and now you're poor Actually happens more often than you think, especially if you're Asian, particularly Chinese.

Or... you got yourself a bug that isn't covered by a cheaper insurance plan that you picked. Then you'd be well advised to get your medical care in Thailand which is really pretty darn good actually. I know some American doctors that go to Brazil for training - I'm sure including some penile implanters.

Just fyi, the auxetic cuts aka Tunica Enhancement Procedure (TEP) for your dingaling elongation or additional girth expansion was invented and first practiced in Brazil, and the best most experienced doctors for it apparently are still in Sao Paulo. I know that Valenzuela that advertises TEP in NYC spent some time training in Brazil (I wonder why ) I also wonder how Hakky first aquired his auxetic options.

[splitpeach]

The point is is that because the NHS offers free healthcare there's no opportunity to sell to patients other than for treatment that isn't necessary. Also, because there's no profit incentive it has to minimize costs. And the longer people are sick or unwell the more it costs the system. So the incentive to offer the best possible treatment option as early as reasonably and justifiably possible to cure is there but not for treatment that doesn't have strong supporting evidence.

"That make sense. If you think about it however the same takes place in the US. Private insurance companies are not interested in you remaining sick because in that case they have to pay claims and lose money. Private insurance companies are interested in you paying them monthly premiums and not going to doctors much."

I really need to learn how you do that specific quoting from someone's comment.

But I'm not convinced insurance companies will prioritize getting you well over not paying out. I suspect that if you're not covered or if theres a way for them to wriggle out of paying out then they will. And then when it comes to policy renewal your premium skyrockets.

I really see no argument for an insurance based system over a well functioning universal healthcare system having experienced both. The key phrase there is well functioning however.

With your private insurance do you have to renew each year as you would with car insurance?

"Who might be interested in you staying sick, from purely profit perspective, are the doctors. You're not bringing them business if you're healthy. They can't bill NHS or private insurance company if you're healthy. You being sick is their bread on both sides of the pond, in fact I suspect the world over. Well... maybe not in North Korea "

This is where it's different. The NHS is an employer not a fund / scheme. The medical professionals are (largely) on salary. So actually the doctors would much prefer as few patients walking through the door. Makes no difference to their income. Just each trust / area needs to have certain treatment options available. But there's no shortage of patients that's for sure. Like I said if anything it's overburdened. They want to reduce the strain and get people healthy ASAP.

This makes it fundamentally within the interests of the patient if it's managed well and is efficient, which is the main problem with it. Most of all are wait times.

You say in the States the system allows for someone not to buy health insurance? In that case would a middle income person then get healthcare?

I think there is a typo there. I think you meant to ask "HOW" would a middle income person then get healthcare?

No it was said that in the States the system allows for someone not to buy health insurance. But I think the meaning of this was that it would also mean they then also don't get healthcare.

"I think there are few ways. I'm with the Veterans care (here it's called the VA) and now I also be getting my health care through Medicare and before I would sometimes get health insurance from the company I worked for so I might not be an expert here but this is what I figure.

Let's say you're self-employed, or work for too small of the company that doesn't offer benefits (pizza place on the corner) but you're not poor and you want to buy yourself health insurance. Things have changed significantly since 2010 when what's called Obamacare was enacted.

Now people usually go to https://www.healthcare.gov/ which would have a list of options for you to choose from. Cheaper options would naturally be more limited in coverage and have greater deductions or...

you could call around and price it up with insurance companies directly or...

you could call insurance agents which would have a list of private insurers they work with and make your pick there.

Insurance plan that you purchase would usually auto renew each year unless you tell them not to.

Now what's the catch?

The catch is called "Open Enrollment Period" (OEP) which takes place in late fall early winter and lasts for about 2 months. If you miss it and you still don't have health insurance then you're shit out of luck and would probably have to remain uninsured until next OEP. Unless there are special circumstances like you had a baby, got divorced, or for some reason lost your coverage like for example went to Vegas for a few days and now you're poor Actually happens more often than you think, especially if you're Asian, particularly Chinese.

Or... you got yourself a bug that isn't covered by a cheaper insurance plan that you picked. Then you'd be well advised to get your medical care in Thailand which is really pretty darn good actually. I know some American doctors that go to Brazil for training - I'm sure including some penile implanters."

You see all of this here just sounds like a nightmare and and just doesn't exist on NHS. If you're not in the position to pay for private healthcare then you use the NHS and get what you need without a single thought of cover or financials or deadlines and accept that the food is awful and unless its urgent you'll be waiting a few months.

But I'd STILL take it over private. Because I don't want to lie in a hospital bed wondering if the surgery I just had was really necessary or if the doctor / surgeon that performed it saw an opportunity to have a big payday from an insurance company.

If its on NHS then they can and often do suggest private options if it would be faster or as an experiment. The point on the NHS is that they really don't care if you take their treatment or not but the checks and standards are extremely rigorous that they are heavily scrutinized to offer good quality care. More so in my opinion than in the private sector.

"Just fyi, the auxetic cuts aka Tunica Enhancement Procedure (TEP) for your dingaling elongation or additional girth expansion was invented and first practiced in Brazil, and the best most experienced doctors for it apparently are still in Sao Paulo. I know that Valenzuela that advertises TEP in NYC spent some time training in Brazil (I wonder why ) I also wonder how Hakky first aquired his auxetic options.

"

I really need to learn how you do that specific quoting from someone's comment.

But I'm not convinced insurance companies will prioritize getting you well over not paying out. I suspect that if you're not covered or if theres a way for them to wriggle out of paying out then they will. And then when it comes to policy renewal your premium skyrockets.

I really see no argument for an insurance based system over a well functioning universal healthcare system having experienced both. The key phrase there is well functioning however.

With your private insurance do you have to renew each year as you would with car insurance?

"Who might be interested in you staying sick, from purely profit perspective, are the doctors. You're not bringing them business if you're healthy. They can't bill NHS or private insurance company if you're healthy. You being sick is their bread on both sides of the pond, in fact I suspect the world over. Well... maybe not in North Korea "

This is where it's different. The NHS is an employer not a fund / scheme. The medical professionals are (largely) on salary. So actually the doctors would much prefer as few patients walking through the door. Makes no difference to their income. Just each trust / area needs to have certain treatment options available. But there's no shortage of patients that's for sure. Like I said if anything it's overburdened. They want to reduce the strain and get people healthy ASAP.

This makes it fundamentally within the interests of the patient if it's managed well and is efficient, which is the main problem with it. Most of all are wait times.

quote]You say in the States the system allows for someone not to buy health insurance? In that case would a middle income person then get healthcare?[/quote]

I think there is a typo there. I think you meant to ask "HOW" would a middle income person then get healthcare?

No it was said that in the States the system allows for someone not to buy health insurance. But I think the meaning of this was that it would also mean they then also don't get healthcare.

"I think there are few ways. I'm with the Veterans care (here it's called the VA) and now I also be getting my health care through Medicare and before I would sometimes get health insurance from the company I worked for so I might not be an expert here but this is what I figure.

Let's say you're self-employed, or work for too small of the company that doesn't offer benefits (pizza place on the corner) but you're not poor and you want to buy yourself health insurance. Things have changed significantly since 2010 when what's called Obamacare was enacted.

Now people usually go to https://www.healthcare.gov/ which would have a list of options for you to choose from. Cheaper options would naturally be more limited in coverage and have greater deductions or...

you could call around and price it up with insurance companies directly or...

you could call insurance agents which would have a list of private insurers they work with and make your pick there.

Insurance plan that you purchase would usually auto renew each year unless you tell them not to.

Now what's the catch?

The catch is called "Open Enrollment Period" (OEP) which takes place in late fall early winter and lasts for about 2 months. If you miss it and you still don't have health insurance then you're shit out of luck and would probably have to remain uninsured until next OEP. Unless there are special circumstances like you had a baby, got divorced, or for some reason lost your coverage like for example went to Vegas for a few days and now you're poor Actually happens more often than you think, especially if you're Asian, particularly Chinese.

Or... you got yourself a bug that isn't covered by a cheaper insurance plan that you picked. Then you'd be well advised to get your medical care in Thailand which is really pretty darn good actually. I know some American doctors that go to Brazil for training - I'm sure including some penile implanters."

You see all of this here just sounds like a nightmare and and just doesn't exist on NHS. If you're not in the position to pay for private healthcare then you use the NHS and get what you need without a single thought of cover or financials or deadlines and accept that the food is awful and unless its urgent you'll be waiting a few months.

But I'd STILL take it over private. Because I don't want to lie in a hospital bed wondering if the surgery I just had was really necessary or if the doctor / surgeon that performed it saw an opportunity to have a big payday from an insurance company.

If its on NHS then they can and often do suggest private options if it would be faster or as an experiment. The point on the NHS is that they really don't care if you take their treatment or not but the checks and standards are extremely rigorous that they are heavily scrutinized to offer good quality care. More so in my opinion than in the private sector.


I did think about the Auxetix cuts before. Will see how my shape and angle goes but may consider down the line. There are a few other countries (other than. north america and western Europe that offer superior treatment options. You mention Thailand but Korea is world famous as a leader for many treatments, Turkey, Brazil. Apparently Spain is excellent for dentistry. We have loads of specialist Spanish dentists here.

That's one thing that's a weak link here is NHS dentistry. (Surprise surprise coming from Britain haha). And a good example of the system. You'll get the bare minimum of what you need. You don't get a dental implant you'll get a bridge. You won't get a hygienist clean you'll get a scale and polish but only if theres clinical need. And unless you're on welfare you'll have to contribute a small amount for the treatment. A lot of people do tend to go private for dental. But then again, although its no frills, you'll still get what you need on NHS.

Other one is prescriptions, for every prescription, no matter what it is, on NHS its £10 (again unless you're on welfare and then its free).

So as a baseline its a real safety net and if you want a little more than just the essentials of what you need and you can afford it you can go private with self paying / insurance.

Bare in mind that because there's a universal healthcare system in place the premiums for the private insurance are much much lower than what you guys have in the US.

I firmly believe that both systems should be available.