Ask Lemmy

Germany,rural area.

I call my GP. It might take a few tries to get through. Tell the receptionist what I've got, she is more or less trying to triage me. When it's urgent enough and I am calling early enough I can usually get there on the same day but have to wait longer at the office,if it's less serious it's mostly one or two days,but with less waiting time at the office. To check in you hand them your insurance card. Medication is prescribed electronically, so you just hand the card (or do it online) at the pharmacy. The GP visit is free, medication has a small, limited copay. You get fully paid for 6 weeks of sickness per diagnosis by your employer, reduced pay for up to 2 years by the health insurance.

If it's an illness requiring a specialist I can also try to book an appointment for that directly - but while that works well in larger cities it is totally impossible here, you simply won't get an appointment, not even in a year. The same happens when your GP refers you to a specialist,but there are mechanisms to give you a more urgent appointment - which works sometimes,sometimes they don't.

Brazil.

If I'm at home and simply unwell, I can walk to the neighborhood clinic (one specific clinic based on my address) and get checked - that usually takes half an hour to a couple hours, but it may not always have a doctor available.

So most people skip the local clinic completely and go to a municipal hospital instead (something doctors often plead people not to do). These should always have a couple doctors available and they'll see anybody - even if you have no documents. When you get there a nurse will check your pulse and stuff and ask some questions to determine your priority level, then the waiting time can go up to 4 hours if it's low priority.

If you need specific exams, that will depend on how well equipped the hospital is. Many will do it right there, some will request it from other cities and that may take time, so there's the option of doing it in private clinics too.

No matter what you may end up needing, if you do it through the public health system you won't need to pay anything at all. Even experimental treatments and surgeries can get arranged. But there's always the option of going to private clinics as well. Those can have much shorter waiting times.

Based on my limited experience, this is what people seem to do for each kind of visit:

Emergencies: pretty much everybody go to public hospitals. Most places don't even have private options for this.

Basic check up: most people will use the public system first, unless it's something very specific and they are well financially.

Dental care: most people who won't be financially crippled by it will go private. People tend to stick with the same dentist once they find a good one. On the public system you never know who you might be seeing.

Eye doctor: 50/50. There are nearly as many private options for this as there are for dental care, but a lot of them suck.

Expensive exams and operations: people will try to get them for free at first, or through some Health insurance plan they may have from work. Everybody knows someone who's been waiting months for something on the public system.

Germany: If I'm sick and want an appointment asap I just go. They tell you to call in advance but if you do they give you an appointment for another day and if you just rock up they tell you to sit down and wait for the doc. Which can take anywhere between 5 minutes and 5 hours, at least that's about the range I've experienced. Oh and not sure if that's only a thing here but it's common to awkwardly greet the other patients when you get into the waiting area.

Seeing the doc would be similar to the US I guess, except there's no need to discuss money. Doctors shake hands here, maybe that's different from you but Idk. After the appointment you check in with the front desk again to fetch any prescriptions (although those are mostly digital since last year) and notes you may need for work. That's also the time to book a follow up appointment if you need one.

Cost depends on what you got. Getting extensive bloodwork or some less "necessary" exams for example aren't covered by insurance. There's a flat 5€ fee for prescription meds and 10€ per day in a clinic. If you don't have enough money you can let the insurance company know and they'll cover some of those fees too.

Ex had gallbladder issues that ran in the family.

One night she had bad abdominal pain. Drive over and rush her to hospital. Gets in 15 minutes. Nurses provide aid and pain relief, night shift ER doc looks her over, determines is likely gall bladder and it needs to be removed based on pain. Morning doctor looks her over, says it's not bad enough to warrant immediate attention, sends her home with painkillers, an appointment for an ultrasound and a 6 month-ish waitlist for removal.

--

Two nights later, same story, she opts for an ambulance this time. This time the same night shift doctor stays a bit late to ensure that she gets an ultrasound right away.

Gets sent home after the ultrasound and told that they will phone with next steps same day.

11am, go back to the hospital, get told that she is being admitted for immediate gallbladder removal. Ended up taking a day and a half to get to the surgery because of a bad motorcycle accident then two emergency c-sections tired out the only surgeon available and his staff over a straight 24 hour shift. 8 hours sleep and she was first up. Got it out, follow up at a nurse practitioner to get the drain removed.

Cost to us: $0

Canadian here. My son just had an ear infection that was lasting 3 days. On the 3rd morning we called our doctors office to have it checked. They were able to squeeze us in at noon. Took him, and they couldn't tell if it was viral or bacterial, so suggested we wait and see if it clears. Didn't clear after another 2 days, but it was the weekend now. Called 811 and they contacted a medical center to make us an appointment in the morning. Next morning (Sunday now) office called us, made an appointment and saw him again. This time we got a prescription for some antibiotics.

I've taken a course about anti-microbial resistance and I understand that doctors are instructed not to go with antibiotics first thing so it didn't really bother me to go back a second time. It was nice they it was easy to be seen again even if it wasn't with the family doctor.

Depends. When I broke my leg I had to wait a couple hours to get in to see a doctor, then surgery was a couple days. Even without a family doctor though if you’re just sick and need like some penicillin or stitches or something as long as you don’t go in a major city it’s like 15 minute wait times, usually no longer than an hour. Then you go in, tell em what’s wrong, they deal with it and prescribe you some drugs, then you leave and go get your drugs at the drug store. You gotta pay for the drugs unless you have benefits at your job though. Everything else is free.

Edit: am Canadian.

I usually book an appointment. Appear on the proper day. Get my exams done, leave, no money spent. If it's like a screening for something that can be done in a public health clinic, I'll go, spend about 30 mins to one hour waiting, talk to the doc, get whatever prescriptions they give me, get discharged and go home, no money spent.

UK and Australia I’m originally from the UK but lived in Aus for 20 years. I returned to the UK a year ago due to my Mom getting a terminal diagnosis.

In the UK I’ve had two GPs this year due to moving around. First GP you’d request appointments via an online form that was available for about an hour at the start of every day and they’d send you a date and time once they’d triaged all the requests. Usually got in within a day or two. Second GP requires a call, and you can book an appointment provided it’s not a busy day, again usually 2-3 days depending on how busy they are. Both GPs were via the NHS, so no upfront cost, just a small amount taken from your pay each month.

In Aus, my GP was free at the point of delivery. It was pretty easy to get appointments and if you really wanted to see him, you could just turn up and wait until he could fit you in. Sometimes a 2 hour wait, but you could put your name down and return in 2 hours. I’m planning to change GP when I get back so will probably end up finding one where you pay an additional fee. There’s almost no doctors where you don’t pay extra any more.

I'm an American, but when I lived in Japan, I needed to go to the doctor a few times. Honestly, the experience isn't great aside from it being cheap.

For example, I herniated a disc in my neck at one point and needed to go to the emergency department. I got there just after 10:00 a.m. and was told that they stop accepting patients at 10:00. "Fortunately", I was unable to hold my head up straight, so they decided to see me anyway. The appointment was just over the equivalent of $20 at the time. They prescribed a muscle relaxer and sent me on my way. The prescription could be filled a block or two away and was pretty quick and only cost about 10 bucks. (Edit: I should note that this was a very temporary solution. The problem lasted for years.)

Another time, I went to a clinic to try to get a sinus infection treated. I had/have a history of chronic sinus infections. Despite speaking pretty good Japanese and having a dictionary with me, I could not get them to understand the concept of a sinus infection. They put me on a nebulizer and then sent me home. Obviously not helpful. Don't remember what it cost.

From US and was visiting Singapore when I came down with a sinus infection.

Took the elevator from the government controlled housing to the ground floor.

Walked 5 minutes to the attached small community strip mall which consisted of cheap food options, a grocery/convenience store, and a number of essential stores including a small drs office.

Waited 15 minutes, saw the dr. Explained my condition, allergies and medication I usually take and went through the exam. We had to help look up some of the medication names.

Paid $35 for the exam. There was some confusion because I expected it to cost more and I asked about. They apologized and said that since I’m foreign I had to pay full price.

Walked across the mall to the small pharmacy. Waited 5 minutes for the antibiotics prescription. Paid maybe $5?

Bought some tea from the grocery and was better over a few days.

People from the US who travel and need healthcare know very well our system is the worst.

I go there, try to explain what I have (I don't speak Korean and the doctor is not very good in English). Then the might give me a shot and let me inhale some stuff. Then I pay some mony (don't remember exactly how much, but not so much) and they give me a prescription and I go away. Most of the time it takes about 10 minutes.

I call my Dr.

I book an appointment. If urgent but not medically urgent to my immediate wellbeing I can get in in a week or so.

If urgent, but not emergency, I can go to a clinic or the hospital non emergency (hospital can have wait times up to several hours)

If emergency and severe or traumatic injury or life threatening - emergency at hospital. Triage assesses need. Last time I had to take someone it was maybe a 20 minute wait - they had been hurt pretty bad - got jumped.

None of any of the above will cost me any money.

An ambulance, though, costs like 75$ if it is not life threatening.

Canada.

Call the place, if it is infectious they put you on sick leave and you don't have to infect all ppl at the doctor. If the sick leave runs out, most often 3 days or so mainly to get you to the next weekend. If the issue persists you got to them. Doesn't cost anything beyond what you pay in taxes. Anything that's more involved than the typical issues might have you go to several offices (general offices then to more specialised) until someone makes a decision on what it is and how to deal with it. Also no extra cost; those come when you have something that could be dealt with but is not needed. Like you will have a decent quality of life if they patch it every now and then instead of fixing it. Then you might have to pay for that special extra pls just fix it. At least that's been my experience in Germany.

UK here. This is all "free" (i.e. paid for by a significant portion of every paycheck I ever earn via tax).

I phone my GP. They say you have I call at 0830 to get an appointment. Call back tomorrow. I ask for an advance appointment and they say they have nothing for 6+ weeks. So I call back the next day and the line is constantly busy. I get through at 0837 after mashing redial constantly. I'm told the appointments are all gone and I should call back tomorrow again. They suggest "if it's urgent then go to the A&E department"....which is clearly inappropriate for my problem. So I call back the next day. The next day I happen to get through at 0833 and they take my details. I'm told the doctor will call me back at some point later that day. Spend the day watching the phone, but can't answer it because I'm work. Duck out of something really important at work to take the call, I'm told to come to the GP later in the day. Later in the day I have work stuff I can't just leave immediately, so I ask for an appointment the next day. Get told to phone back at 0830 the next day to make an appointment.

I've figured out a way to short circuit the system. There's a national urgent medical line (111) and I have to answer the operator's questions for 20 min (am I bleeding profusely? Am I unable to breathe? Am I going to die imminently?). Finally, they're able to allocate an appointment for my own GP at a sensible time the next day.....apparently thesr guys have access to appointments with my GP which the fucking GP won't give me. Great! I go to the GP to be seen by a FY2 doctor (i.e. 15 months posts undergraduate qualification), this guy admits that he doesn't know what he's doing, that he'll speak to the GP later and phone me back with the outcome later that day. He phones me back later that day saying they don't know what to do so they're going to refer me to a hospital specialist, the hospital appointment should be sent to me in 10 months or so.

The few times I have had to go to the A&E department with my kid, I've taken chargers, entertainment devices, extra coat for my kid to use as a blanket, food (2 full packed meals), water, video game console.......I'm expecting to be there for about 6 hours if things move really quickly.

The state of national healthcare in this country. Thank you Conservatives, for 13 years of record low investment.

From south Brazil.

For something not urgent I can usually get a private GP within a week or a specialist within a month.

For something a bit more urgent, usually 1-2 hours in a private hospital, or 2-6 hours in a public one.

When going private the health insurance has always covered everything, so no cost.
Never had an emergency so I can't say how it is.

Slovakia

Notify my employer that I won't show up, go to doctor and wait in the waiting room. When the nurse shows up, give her the insurance card and wait for your turn. They'll check you, and if it's nothing special (requiring a specialist), you'll probably get prescription for some meds to pick up.
Then you get those in a pharmacy. Either it's electronic, or if the system is once again broken, you hand them the Rx paper that the Dr. gives you in that case. And then you figure out what you're about to pay. A lot of things will be fully covered by insurance, but potentially you'll have to copay. There's also a chance the Dr. tells you to get something that isn't covered, like some specific eyedrops, cough meds, probiotics (if you have antibiotics for example), etc.

The pharmacist may recommend a cheaper alternative, will likely tell you recommended dosage, tell you that once again this specific Dr. prescribed something that hasn't been manufactured for the past 30 years, and in the rare case, tell you the prescription seems dangerous and to contact the Dr.
And also decrypt any handwriting/encoding.

One of the few things I liked about Russia is the healthcare system.

If you have money, and I don't mean like you're in the top 1% or 10%, you just have an average salary, you can get any doctor any procedure within 2 days. Neck MRI is $120; ultrasound is about $30; regular appointment is also $20-30; PET $400.

When it comes to the free healthcare tier, it's kinda tricky. In an emergency you could be delivered either in a new medical center with boxes and wifi, or they could throw you in an old hospital where various infections were living for centuries and doctors just hate this place and everyone who's around.

Haven't been there for almost 5 years, if we exclude a short two month period where I haven't interacted with the healthcare system. I heard that due to sanctions there's a lack of basic medicine right now: antibiotics, infusions, and even paracetamol.

If it's urgent, I go down there. If not, I schedule an appointment (how soon usually depends on the severity. Can be the next day, or the next week).

Example: My oldest kid (12 years old at the time) fractured his arm while in school last spring. I was notified right away, so I picked him up at school and took him to the local clinic (3 minutes away) . The doctor wanted some xrays done, so he referred him to the local hospital and gave him some painkillers for the one hour trip (we live kind of in the middle of nowhere).

We arrived at the ICU (it was after "office hours"), so we had to wait 30 minutes for the x-ray tech to be available. Turned out a titanium rod insert was needed, which requires anesthesia, so they couldn't do it the same day because of fasting requirements. Operation "scheduled" for the next day. He was given a temporary cast.

Day arrived, and while there was a bit of wait since it was something they'd just have to insert into the schedule for the day whenever possible. Surgery went according to plan, and he was given a sandwich upon waking up, as he hadn't eaten since the day before. He had a new cast on that he had to keep for a couple of weeks. The local clinic could remove it, but they wanted to do it at the hospital so they could do a follow up xray to see that it was healing properly.

A few weeks later, and things looked good. Cast removed.

A couple of months ago he had the titanium rod removed without much ado.

My only expense was the fuel cost for driving to the hospital.

The only negative feedback I have is that my son didn't get to keep the titanium rod as a souvenir after they removed it. I guess the doctors have better things to do than washing gore off of scrap metal.

Depends on what I'm going to the Dr for. If it's a physical injury that's bearable but not going away I can get an opinion from a pharmacist first then go to a Dr if they recommend, if it's something like a chest infection or other illness I can call a non emergencies line to get a Dr's opinion and they might ask me to come in for a physical checkup. If it's something more urgent than that then I guess just turn up at A&E and probably spend a few hours waiting in triage till there's a Dr who can see me.

The NHS is really struggling so I try to avoid going to the Dr for minor stuff but most of the time when I've deemed it big enough to need to see a Dr it's been pretty smooth for me. Only time I've had problems was when I injured my knee and couldn't walk properly then got bounced around for months after my x-ray showed that I hadn't fractured it, I was supposed to get a scan to check if it was muscle damage and when I turned up for said scan they just had a physio therapist tell me I need to walk on it more to exercise the muscles in my kneecap after the swelling from the initial damage weakened them.

Canada... Depends what kind of visit really. I captain a few rec teams, so breaks or dislocations, we'll go to emergency, get triaged and wait for a bit.

If it's somwthing I'd like to get checked out but not urgent, I'll schedule an appointment with my family dr, might take a week or 2?

For something sooner, I'll go to one of the several walk in clinics nearby. Wait time really varies but generally pretty quick as long as I get there a little early.

Italy

If it is a routine visit, one week. If you are sick a prescription is done via phone, you will find your needed medications already in the pharmacy or it will be coming in 3 days max. Your health records, allergies and needs are already in the doctor's database and your prescription will account for that.

Practices done in public infrastructure is free, and most presciption medications are too,

But we do have a very serious wait time problem with specialist visits. In the worst cases it can take more than a year if you need special visitations. There just aren't enough medics specialized to fill those positions, and who is available prefers less stressful and overworked positions.

Depends on who you're seeing, what time, etc. for a GP you're waiting as long as the ones in front of you take. I actually don't mind that so much, in my case it's because my regular gp hates metrics and doesn't give a fat shit what the clinic wants. He takes as long as is needed with each patient (and bills them all as standard consults) Unfortunately he also sees a lot of little old ladies, so sometimes it blows out.

Recently found out we were inadvertently exposed to a shitton of lead dust. Monday we decided to get tested, yesterday (Tuesday) morning i got the consult, gp wrote me up the paperwork, I scooted the while four meters to the phlebotomist, they took blood and urine, should hear back today /tomorrow, already received my medicare refund. Same with hubs, although he tacked on getting his flu/rsv and latest covid vaccinations done at the same time. Australia here for the record.

Give them a call. Generally get an appointment within 2 days.
Get told to take paracetamol for 2 weeks and make another appointment if the problem persists.

Drs are generally on time maybe 10 min behind but when I was in Australia they would regularly get up to an hour late.

Costs are generally subsidied by the national government so unless something comes up unexpectedly there is no cost. If something does then you pay a fee and your private health takes care of the rest.