Quote:
Originally Posted by moorhosj1
Couldn't this also be a case of what people in France and America choose to spend their money on?
The average French person has free healthcare and a longer lifespan.
The average American household has $105k of debt versus $30k in France.
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Healthcare in France is not free. That's a cliché (used by those in the US who wish to extol the French/European model to denounce the US model). Not that the US model is good (it is bad, healthcare costs too much, and it's an unfair system), but the French system is far from perfect either, and has degraded a lot in the past 15 years.
The French healthcare system is like the Mexican healthcare system, i.e. it's a two-tier system (but not as extreme as in Mexico).
You have public healthcare, where you pay little (by US standards), but which is not free (unless you live on minimum income, in which case it's free).
And then there's private healthcare, where you have to pay more (or much more).
Problem is, more and more doctors choose to work in the private healthcare system, and not in the public one anymore, because they are greedy. Almost all specialist doctors now work in the private sector for instance (except those who work in public hospitals).
Problem is: very long waiting lists in public hospitals. If you don't have time to wait, then you have to go see a private specialist in town, but expect to pay lots of money (which is not a lot by US standards, but is a lot by French standards).
For example, if you need to see a proctologist in Paris: at the public hospital, where you'll pay as little as 10 € (or even nothing if you live on minimum income), you have to wait for 6 months (or even 10 months if you want a top specialist). In the private sector, waiting time: 1 week. But you'll have to fork out 120 to 150 € for a single visit.
And it's like that for most specialists.
Also, if you go to a dentist in the public sector, they'll give you, say, only low-quality crowns. If you want a higher-quality crown (that will preserve your gum long-term), only a dentist in the private sector will do that, and it will cost several hundred euros.
20 years ago, there wasn't even private vs public dentists. All dentists were the same and provided the same treatment.
But now, it's à la carte, depending on how much you can spend.
And let's not even mention nursing homes for old people. Whether you can spend 3,000 euros a month or 10,000 euros a month will make an enormous difference in terms of nursing home (from ugly waiting-room to the grave at 3,000 euros per month, to 5-star palace in a château with spa at 10,000+ per month).
The only thing that still holds is big, serious surgery. If you need some very serious heart surgery for a life-threatening condition, then yes, the public sector will operate you and it will cost you a grand total of, say, 200 €. But you may have to wait for 6 months before they actually examine you and determine that you need a surgery... (unless it's an emergency of course).
Waiting time in an emergency service at a public hospital in France: 2, 3, 4, 5, 6 hours, with all sorts of crazy people, impatient and rude. Of course if you can afford the specialist that asks 150 € for a single visit, then you can phone his private surgery and he will examine you in an emergency without waiting.