For sale, good runner, needs some attention

[ellal]

The NHS will be a winner, no health tourists, anyone coming to the UK will have to have medical insurance or no entry. Would you travel to America with no health insurance?

Health tourism costs between £100m and £300m a year, depending on whose figures you believe...

That's between 0.1% and 0.3% of the NHS budget...
(or in real terms a few Brexit 'consultants' and a bodged ferry deal)

And much of that 'health tourism' is UK migrants popping back for a bit of healthcare!

Hardly a big 'win' is it, compared with the cost of UK citizens having to take out insurance for medical cover in the EU

But I'd still be interested in your answer to my question:
"Maybe you can tell us which countries already have a reciprocal healthcare agreement with the the USA so we could see what sort of agreement might be on the table?"

 

[Notch7]

Maybe you can tell us which countries already have a reciprocal healthcare agreement with the the USA

JohnDs answer to this would be Somalia

 

[SirGalahad]

My opinion is that the NHS should be better funded, not privatised and be better managed, as poor management is possibly the biggest failing of the NHS. We could start by scrapping the EHIC system (if we stay in the eu) and check every person at the point of entry to the UK for health insurance, if they have none they have 2 choices, 1, they purchase health insurance there and then or 2, they are put on the next plane/boat/train back to where they came. The EHIC system could have worked (financially) for the NHS if they had bothered claiming back money owed by other eu nations.
Better funding could be achieved by getting employers to pay NI on all earnings, not just when an employee earns over X amount of money, this in turn may stop the practice of restricting the hours of employees.

Poor management - there is some but that goes for all organisation both public and private. The UK NHS admin spend is about 3% of their budget, in the US it's nearer 25%.

Europeans using the NHS is not the biggest spend it is on the over 50's. You really are barking up the wrong tree.

Here is a simple example of a Private system vs the NHS currently. Currently GPs get about £150 per patient irrespective if the patient is 10, 25, 80 with no illnesses or everything under the sun. It works out in practice as most practices have a spread of patients both old ang young and fit and unhealthy. The forumala has some other parts but the core is a simple funding method.

Contrast that to a private system which would require detailed information on every patient to create a risk profile and then price that up, how much should you pay for a fit person who once smoked or one who never smoked but doesn't have an active lifestyle compared to a pensioner who has diabetes but looks after himself - it is a mamoth task which requires an army of highly paid actuaries (on £100k+) to value these policies. On top then you have an army of claims specialists who will try to deny you as much cover as possible. Also it then requires Hospitals to itemise and bill for everything down to a cotton bud. All this administration cost adds up.

So anyone pushing the idea of private insurance would be more effective than the NHS is either a liar, has interests in the private medical sector or simply does not know enough to make a reasoned decision.

 

[EFLImpudence]

So anyone pushing the idea of private insurance would be more effective than the NHS is either a liar, has interests in the private medical sector or simply does not know enough to make a reasoned decision.

 

[ellal]

JohnDs answer to this would be Somalia

nojob of course doesn't have an answer...

Because any reciprocal 'like for like' agreement such as the UK has with the EU doesn't exist between America and any other country!

The UK currently has some of the best arrangements in the world with other countries...

Quitters are about to stuff that up big time!

 

[Ihavenojob]

Poor management - there is some but that goes for all organisation both public and private. The UK NHS admin spend is about 3% of their budget, in the US it's nearer 25%.

Europeans using the NHS is not the biggest spend it is on the over 50's. You really are barking up the wrong tree.

Here is a simple example of a Private system vs the NHS currently. Currently GPs get about £150 per patient irrespective if the patient is 10, 25, 80 with no illnesses or everything under the sun. It works out in practice as most practices have a spread of patients both old ang young and fit and unhealthy. The forumala has some other parts but the core is a simple funding method.

Contrast that to a private system which would require detailed information on every patient to create a risk profile and then price that up, how much should you pay for a fit person who once smoked or one who never smoked but doesn't have an active lifestyle compared to a pensioner who has diabetes but looks after himself - it is a mamoth task which requires an army of highly paid actuaries (on £100k+) to value these policies. On top then you have an army of claims specialists who will try to deny you as much cover as possible. Also it then requires Hospitals to itemise and bill for everything down to a cotton bud. All this administration cost adds up.

So anyone pushing the idea of private insurance would be more effective than the NHS is either a liar, has interests in the private medical sector or simply does not know enough to make a reasoned decision.

So how is health care funded in the rest of the EU? I have never said I want the NHS privatised, just want it better funded,ie, NI contributions from employers on all employee earnings. Trump talked about the NHS being part of a deal, but as most on here delight in stating, he talks sh1t.

 

[ellal]

Trump talked about the NHS being part of a deal, but as most on here delight in stating, he talks sh1t.

Talking sh1t...

So you have found a perfect 'bed mate'

PS. Have you found any country that has a like for like reciprocal healthcare agreement with America yet?

 

[Ihavenojob]

Talking sh1t...

So you have found a perfect 'bed mate'

PS. Have you found any country that has a like for like reciprocal healthcare agreement with America yet?

Do we have a "like for like" reciprocal healthcare agreement with all EU members? As for the Yanks, I have no idea, but we COULD be one, if Trump is re elected and Brexit happens.So can you tell me how healthcare is funded in the rest of the eu?

 

[ellal]

Do we have a "like for like" reciprocal healthcare agreement with all EU members?

Indeed we do...

UK citizens get the same healthcare provisions in 27 other countries that their citizens do, and vice versa...

As for the Yanks, I have no idea, but we COULD be one

'we COULD be one'?

You do realise that it would be a first for America, don't you?

So can you tell me how healthcare is funded in the rest of the eu?

Differing systems based on taxation and other contributions...

But in essence as regards total funding no different from our tax and NI based NHS...

Except that the NHS, despite it's faults, is the most efficient!

But whatever the funding model, all EU/EEA citizens currently benefit from healthcare far superior to that available in America if you don't have complete private insurance!

 

[Ihavenojob]

UK citizens get the same healthcare provisions in 27 other countries that their citizens do, and vice versa...

Are you 100% sure?

Differing systems based on taxation and other contributions.

Like what, insurance?

 

[SirGalahad]

So how is health care funded in the rest of the EU? I have never said I want the NHS privatised, just want it better funded,ie, NI contributions from employers on all employee earnings. Trump talked about the NHS being part of a deal, but as most on here delight in stating, he talks sh1t.

In the EU it is a mixture of private and public funding with the bulk being private. The UK has the NHS and private providers.

Another simple example. You go to see your GP with migranes he most likely will discuss it with you and then may offer you medication. In Germany you would likely go have a MRI scan as your insurance would cover it. This creates over consumption the needless scans and tests which all adds to the cost.

The gp model works remarkably well as they can provide a holistic approach and tie together all your secondary care interactions.

In a fragmented model like in the US where you can chose where to go, if you had a cold would you go see an ENT specialist? But what happens if you also have a cough then would you see a general physician also? These specialists will be experts in their field but who will give you an overview?

 

[transam]

Trump said that any trade deal negotiations
Would have to include the NHS on the table

The clue is the term on the table meaning it will.be discussed it does not mean that it would be part of any trade deal

It would go something like the following

The 2 sides sit around a table

USA
we want to get involved in running the NHS

UK

No fox trot Oscar

Move on to.next subject