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Resolved Question: A recent spell in hospital in the UK got me thinking about the different levels of the social safety net.?
A recent short period of hospitalisation in the UK brought home to me some of the key differences beween the UK and the US in terms of their respective systems of medical and social care. I was taken by ambulance to my local Primary Care NHS (National Health Service)hospital (a regional hospital with specialist care for major traumas etc) and provided treatment and advice from 3 different levels of doctor. First in A&E (I was seen within 45 minutes), then after being transferred to a short term care ward (up to 5 days expected stay) was seen a more senior doctor specialiseing in my condition, given approprate treatment and then subsequently seen by a senior consultant. My treatment and progress was monitored throughout by a network of doctors and other specialists including a physiotherapist and I was given advice on what I needed to do to complete my recovery. When I had recovered sufficiently I was discharged with a prescription of a months worth of medication to support my recovery. I was also given advice on the nutrition and excercise requirements to aid my recovery.
I would imagine that the level of medical care provided was similar to the US for people with full medical insurance. The main difference is that under the NHS it is free to any person in the country including citizens from other EU countries. I have no medical insurance because I do not need it. People in the UK who can afford it have medical insurance to receive essentially the same medical treatment in more comfortable and private surroundings and to get quicker treatment for some non-urgent procedures for which there is a waiting list in the NHS. Of course they still have access to the NHS for more urgent treatment.
After discharge I was passed into the care of my local GP (local community doctor) and local social services who took an active part in ensuring I had the support I needed in my recovery and in any other areas visiting me in my home to discuss these areas with me
Many of the staff of the NHS are provided by second generation Afro-Carribian immigrants or more recent immigrants from the accession states of the EU (Poland, Hungry, Czech republic etc) and from countries such as the Philipines showing one of the great benefits of a massive influx of highly educated and trained immigrants from countries with excellent education and training systems but who currently are at a lower level of economic development than the leading economic powers like the US, established EU states, Japan etc.
The NHS is not perfect by any means but it is going through a massive process of re-engineering itself with large regional hospitals becoming self governing NHS Trusts and outsourcing non-medical services to outside private sector bidders on a competitive bidding system and the whole system monitiored by performance indicators with mechanisms to correct poor performance Great efforts are being made to cater better to the needs of people who because of poor English language skills (another by product of mass immigration), lack of knowledge of the system or lack of basic life skills, including those with mental disabities, who may therefore have difficulty getting full access to to the facilities and help available.
The NHS and other bodies are also actively pursueing ways of improving care and support for people in the community particularly to support them through the recovery phase. There is also an initiartive to give people access to self diagnoses and advice on nutrition, excercise etc and specific areas such as problem drinking or the whole range of medical conditions. This is targeted at low income groups who do not have access to the internet at home and may have poor IT skills.This is being done by using the internet facilities that already exist in public libraries and by training library staff in supporting the people concerned with advice on using the system. Medically trained staff will come into the library regurlarly to provide further support in face to face consultation. This is in addition to the services of the GP network. Again all these services are free to any member of the public including of course all new immigrants and any EU citizen.
For key public sector workers including NHS staff and others on low income or suffering financial hardship through, for instance, marriage breakup a system exists for the provision of low cost home ownership.
A system to provide shared ownership of houses and apartments is provided by government funded Housing Associations who provide newly built or second hand properties on the basis of an initial capital contribution funded out of capital. This will be either a from a mortgage or cash, often from the proceeds of the sale of a previuos home as a result of divorce with the usual 50/50 split of the proceeds of the sale of the matrimonial home, or from savings. This capital contribution can be as low as 30 % of the full market value and can range up to 70% or
Question too long & cut off by system. Any suggestions.
Question at the end was how people thought the UK system compared with the US. Two countries of similar per capita income.
In US you pay for very expensive medical insurance or risk having no access to medical care at all. In the UK good quality medical care is available free for all (inc EU citizens).
Voting Question: What can I do to get rid of this chronic cough?
I’ve had a chronic cough my whole life. Ever since a bronchial infection I had 2 months ago, it’s gotten worse. Antibiotics killed that infection, but when the cough got worse, I tried another line of antibiotics and they didn’t do anything to help.
I know the cough stems from years and years of second-hand smoke (thanks mom and dad). It feels like a tickle in my throat near my adam’s apple, but it always results in a very violent cough (very, VERY loud as I’m a big guy. it’s really embarassing). Since right before the infection, I’ve been coughing up light-green mucus. It’s sticky and kind of gooey, almost like a booger (pardon the non-medical terms ^_^ ).
I don’t have insurance atm, I just fell off my parents’. The doctor I saw before for the infection was a doctor provided by the university, and quite frankly, that clinic is a joke.
I’m pretty sure this whole thing is chronic bronchitis, but I’d like someone who can tell me more about this mucus and what I can do to make this annoying cough go away!
Resolved Question: edit please………?
For my project I decided to “Live my Dream” I choose to provide a nursing home for those with medical needs. I plan to help them out because their close relatives might not be there as much as often, and there can’t be a nurse to help them 24/7. I was inspired to lend a hand for the sick elderly, because I’ve realized that many young people have a great life or something exciting in their life, when there are seniors who are trapped at their homes and not able to live a life. There are three type of nursing home: skilled nursing care homes, intermediate care facilities, and supervised assisted living facilities. The difference is what the business offers and what type of care every nursing home give different policies where there are elders that can walk and talk in one nursing home. Another home that have the disable elders who have a long-term illness.
I found a business at Portland, Maine it cost me $695,000 the rent is $2,300 every month, and the nursing home was usually called Jordie Lee Investments but I changed the name to Comfort Zone. The limit of the household is ten disabled elders they must be paralyzed, can’t move, or talk right. There are ten rooms (peach colored), two bathrooms for visitors and employees, one large kitchen, and one living room for the mature but ill senior citizens to be well entertained. I bought many items for the kitchen, bedrooms, living room, and bathroom such like stoves, towels, beds, TV’s, and etc…
For staff members I’d hire twenty employees and pay them $2,250 a month. They will be paid every week with weekends counted which is $450 per week. If you count all twenty employees in all it will come out $45,000 every month and $540,000 every year, for one year per employee the total be $27,000. I’d hire twenty employees because I will assign two staff members per one elder. The first staff member shift will start at 8am-2pm a total of six hours for a working-day; second employee will work till 2:05pm-9pm. A representative would have two breaks in total of a day their break will have a limit of thirty-five minutes.
One of the reasons why I decided to open a nursing home is because I’ve realized that lot of sick elders need nurses to take care of them. In lots of hospitals there are nurses who take care of patients and they give their patient or elder treatments and medicines. But sometimes a sick person is care for at home, and then a home nurse will be needed.
The staff members that are in charge of the health of the elders are usually what the home nurse does. When an elder is extremely ill doctors will recommend a professional nurse to take of the seniors.
Most families feel very guilty when it comes to place a relative in a nursing home as in an elder. But they do agree to place them in one because they might not be able to take good care of them as most nurse professionals can, so when it comes to senior health problems may grow too serve and the families social and economic resources will become too tense to keep their relative home. Lot of the elders suffers from stress because they are placed in an unfamiliar place at an assisted living facility. It at times has a result of depression, and some cases of death. Most retirement homes let there clients or patients have their personal belongings stay with them at the nursing home. It is important for a convalescent hospital to have their patients happy, and for the employees to be concerned with any problems of their clients.
For the insurance I decided to buy Property Insurance which insurance that has protection against risks such as fire. Floods, earthquakes, thefts, and etc… The insurance comes up to $764.50; another type of insurance that I decided to buy was Liability and Worker compensation Insurance. Liability Insurance offers business asset against third party claims. The payment is made to a person suffering losses, not insurance contract it cost $1,000. Worker compensation insurance covers medical care for employees and injures they got at work, a reliable protection of hard work also sound sleep every night it cost $695. The total of the insurance comes up to $2,459.05.
Some types of medication that some of the elders would are:
1.Diavan 80mg “red” (take one tablet by mouth daily)
2.Aspir-Low 81mg “yellow” (take two tablets by mouth in the morning)
3.Senna plus tablet “orange” (take two tablets by mouth in the morning)
4.Ascorbic Acid 500mg tablet “white” (take one tablet by mouth daily)
5.Paroxetine HCL 20mg tablet “blue” (take one tablet by mouth daily)
6.Lerothyroxine 50mg tablet “white” (take one tablet by mouth daily)
7.Flomax 0.4mg capsule “white” (take on capsule by mouth daily)
8.Omeprazole 20mg capsule “white” (take capsule by mouth daily)
9.Metoprolol succer 50mg “white” (take ½ tablet by mouth daily)
10.Furosmide 20mg tablet “white” (take one tablet by mouth daily)
Most elders may take this type of medicine in which to get better or
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