DiscoverExpat on a BudgetPodcast Ep028: Breaking Up with the USA: Here’s Why I’m Never Going Back: Healthcare (or lack thereof)
Podcast Ep028: Breaking Up with the USA: Here’s Why I’m Never Going Back: Healthcare (or lack thereof)

Podcast Ep028: Breaking Up with the USA: Here’s Why I’m Never Going Back: Healthcare (or lack thereof)

Update: 2025-01-25
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SHOW NOTES:

* Why I left the US part 1 podcast and article (high cost of living)

* Why I left the US part 2 article (healthcare)

* Why I left the US part 3 article (safety)

* Trauma care article and podcast

* Serenity concierge health service in Portugal

* DD Cardinal’s Links re: Healthcare in Portugal: TikTok (watch the TT one, she breaks it down beautifully) Her YouTube video about her low medical costs and experience.

Scroll down for a short list of pharmaceutical increases and health coverage in other European countries

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—Living Abroad on a Budget - Expat on a Budget - My Unknown Adventure - Kimberly Anne

Pharmaceutical Increases

* Epinephrine (EpiPens) increased from about $100 in 2007 to over $600 by 2016. Why? Mylan (the manufacturer) raised prices without any significant changes to the product.

* Daraprim: A decades-old medication used to treat toxoplasmosis, a parasitic infection. In 2015, the price of Daraprim increased overnight from $13.50 per pill to $750 per pill (a 5,000% increase). Why? Turing Pharmaceuticals, led by Martin Shkreli, acquired the drug and exploited its monopoly status, as no generic alternatives were available in the U.S.

* Albuterol Inhalers for asthma used to cost about $15–$20, but prices have risen to $50–$100 or more per inhaler.

* Doxycycline the antibiotic: The price for a bottle of 500 tablets rose from $20 in 2013 to over $1,800 in 2014.

1. Countries in Europe with Fully Socialized Healthcare Systems

In these countries, healthcare is predominantly provided and funded by the government, often referred to as the Beveridge Model:

* United Kingdom (UK):

* The National Health Service (NHS) provides healthcare that is free at the point of use, funded through taxation.

* Most healthcare providers work for the government, though some private options exist.

* Norway:

* The public healthcare system is funded by taxes and covers nearly all medical expenses.

* Hospitals and healthcare providers are predominantly owned and operated by the government.

* Sweden:

* Healthcare is tax-funded and administered by regional authorities, with minimal out-of-pocket costs for patients.

* Most healthcare services are provided by public institutions.

* Denmark:

* Healthcare is funded through taxes and provided by publicly-owned hospitals and clinics.

* Primary care doctors act as gatekeepers for specialized treatment.

* Finland:

* Healthcare is tax-funded, with services provided by municipalities.

* Public hospitals dominate the system, and healthcare is free or very low-cost for residents.

* Iceland:

* Healthcare is funded through taxation, with most services provided by the government.

* Patients pay minimal fees for prescriptions and some outpatient services.

2. Countries with Universal Healthcare Funded by Insurance

These countries have universal healthcare systems funded through compulsory health insurance (a Bismarck Model), heavily regulated by the government to ensure affordability and access:

* Germany:

* Healthca

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Podcast Ep028: Breaking Up with the USA: Here’s Why I’m Never Going Back: Healthcare (or lack thereof)

Podcast Ep028: Breaking Up with the USA: Here’s Why I’m Never Going Back: Healthcare (or lack thereof)

Kimberly Anne