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Showing posts with label Mielke. Show all posts
Showing posts with label Mielke. Show all posts

Thursday, March 4, 2010

But neglect their own American neighbors: Universal health care in Thailand

James Cameron Mielke's story:
I was disappointed, but not surprised, when I read the story about the couple that were obviously confident enough to be holidaying in Indonesia, but when the guy broke his ankle, they freaked out and high-tailed it all the way back to the USA - taking that long, expensive and arduous journey just to fix his broken ankle. Apparently they were not aware of the world-class health care available in nearby countries like Singapore, and in Bangkok and Hong Kong, to name a few. They would have been amazed at the stellar care available had they simply hopped over to Singapore - and while cheaper than in the USA, their insurance should have covered it anyway.

I can't tell you how depressed I get when I hear the news each day - and I'm sure most people around the world have been rolling their eyes in dismay over the pitiful health care debate in the USA. It is simply appalling that Americans don't have a universal health care system of some sort. As you know, we are the only developed nation in the world that doesn't have this - but people have been fed so much misinformation, and have been so frightened - and of course, too many of the politicians have been bought out by big business that likes the status quo. If we could only extricate ourselves from fighting so much global warfare, and trying to do nation-building everywhere except in our own country!!! Man, then perhaps we could do better with our education system, for one thing. Then America might not be looked at as such a naive, inward-looking nation that we are, like that couple in Indonesia, perhaps still thinking the only safe place to get health care is in the USA. Wake up, folks!! America is no longer the only player in the world. Asia, in particular, has taken off dramatically, as the USA decays...

My sister Jean in the USA pays 25% of her earnings on health insurance premiums that don't always cover her care. Her policy has a $5,000 deductible, so she pays for most of her care out of pocket.

She is healthy. But when she arrived in Thailand over Christmas, she had a nasty, sharp cough. She said she had just decided it wasn't too bad to live with. She had had it for over a year!! And the cost of seeing an MD was enough of a deterrent, so she just lived with it. But I insisted she see the doctor here. Without an appointment, and for a $25 doctor fee and some meds, she was diagnosed with chronic bronchitis. Within days the cough cleared up. She returned for two more days (she was only in Thailand for a week). She spent three days at the hospital because it was so convenient, pleasant, caring, and affordable, with one-stop shopping. She didn't have to be sent all over to different facilities or to see different doctors for the various procedures, e.g., X-ray, etc.

In short, the system here works, even at the most expensive private hospital in the country (Bumrungrad), 60% of the patients are Thais. It is not just a place for rich foreigners to go. And Thailand has universal health care: for 30 baht ($1), all people in the country have access to basic health care. This is one of the few good things former Prime Minister Thaksin did to help the poor here. So why can Americans pour out their hearts and give so much to places in need like Haiti and Afghanistan, but neglect their own American neighbors in the USA!!!

Read a story about medical tourism. Thanks to James Cameron Mielke for the source email message.

Friday, February 19, 2010

A pretty fair trade: Abdominal surgery in Bangkok

From James Cameron Mielke's Christmas letter:
While packing for my summer visit to the USA, I noticed a slight bulge in my abdominal incision, and headed instead to Bangkok for surgery - it all seemed like such a breeze compared to the nightmare I endured three years before when admitted in emergency and life-threatening condition – this time was so much easier just to check in as scheduled. With practiced precision, the nurse located one of my elusive veins to start the IV, the anesthesiologist wished me a pleasant snooze, and after 90 minutes on the table my surgeon had successfully inserted a large mesh across my entire abdomen – like getting a new set of surgically implanted "six-pack" abs!

Man, what a deal! Emerging from the unexpected surgery and almost relieved to have to cancel my USA trip – I was dreading the long journey anyway, and with all the economic stress and other difficulties there…and I was able to recover my frequent flier miles as well! Interestingly, I had been feeling strangely resistant to the whole thing - as if some underlying intuitive awareness was trying to alert me to this potentially disastrous trip. Apparently, I was literally coming apart at the seams - the longitudinal incision that runs from stem to sternum was ripping apart and the muscles were separating, which meant that I was a walking time bomb. It would not have been at all pleasant if my guts had decided to spill out while on the plane or somewhere away from home. And of course, I would have taken a huge financial hit if I had needed emergency surgery while in the USA. Thank goodness I live in Thailand where my highly specialized state-of-the-art surgery, anesthesiology, and three days of in-patient hospital care came to just $2,000, which is about what my USA holiday would have cost - a pretty fair trade considering I can now look forward to an even better quality of life for years to come! Many of the competent and eager nurses remembered me from before, and my cost-conscious surgeon even gave me the remaining portion of high-tech mesh that another patient had purchased but didn't use. My sister Jean also enjoyed high quality, efficient and affordable health care during her visit to Phuket during Christmas week.

So, once again, I cannot believe my good fortune, not only to have avoided another possible disaster, but also to be given what now seems like a gift – such a wonderful gift of enhanced quality of health and blessed freedom to continue enjoying my life! I can only feel the deepest gratitude for it all – and am humbled once again by the amazing blessings that keep coming my way. As the risk for infection decreased with each day of healing, and with deep, slow-dissolving sutures like a set of guitar strings holding me together, I set off for my annual four months of work. This year I joined a team of consultants to design a five-year $60 million regional communicable diseases control project in Cambodia, Lao PDR and Viet Nam.

Read a story about another American's health crisis far away from the U.S.

Thursday, November 15, 2007

Chasing nurses down the ward: Life after ostomy surgery

Jim Mielke lives a unique and varied life as an expert in international public health. Like most of us, he is also a patient. Here is the first of an occasional series of his stories:

I can still recall feeling like a new man almost immediately upon waking up with my ileostomy (a surgically created opening in the abdominal wall, with an external abdominal pouch to collect intestinal [fecal] output). Suddenly, I was free from years of pain and misery lasting from age 14 to 19. When I finally got my bag at age 19, I recall thinking, why did they wait so long? For the next three years, I was in and out of several different hospitals for 11 major ostomy-related surgeries, including total removal of the large intestine and rectum, while also struggling to withdraw from the addictive medications prescribed to me over the years. During these hospital stays, I was sometimes called upon to informally counsel those facing ostomy surgery or recovering from surgery. One of the common concerns of the men I counseled related to sex, and like any normal young male, I was pretty juiced up – chasing nurses down the ward with my red and white striped baggie flapping in the breeze. So I suppose the hospital staff felt that I could at least be a positive boost to these other guys.

Following the ostomy surgeries, life simply took off with my fully recovered and excellent health…

Advice to those with serious intestinal problems: Actively look into the options you have, and the quality of life you’ll likely have with each one.

Stay tuned for more of Jim’s stories. Read another of our stories about an intestinal problem.