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It's not that bad yet, but I feel like we're on the way there. Luckily we still have a pretty good public sector for emergencies. But there is no public sector psychiatrists, at least not around here. So you're covered for some things but not others, especially specialist treatment. That's why I specified appointment, because most of the time appointment refers to private sector. And outpatient stuff, but the line is confusing and arbitrary.
For example,
It's hard to know whether something will cost you or not until you try and get it treated. It's very "reactionary" instead of "preventative" is how I'd describe it. Like they'll chop off a diabetic foot for free, which is hugely expensive medical procedure requiring a surgeon, but seeing a dietician to learn how to manage your diabetes costs $200+ per appointment.
I almost feel like if I had to choose, the reverse should be true. Focus on preventing problems rather than putting out fires.
Having such a reactionary approach is counterproductive, I agree. I know people for who psychiatric care is not optional, they’re doing fine on the right meds though that requires monthly follow ups. That would cost a fortune! Also not covering physical rehabilitation is confusing as it’s pretty much needed after surgery, how are people supposed to regain as much function as possible?
Our health insurance here costs $600 per person per month but then it covers specialists with a $40 copay, includes vision and dental. Basically if you can afford private insurance it’s manageable but that’s a horrible way to design the system since you often loose your insurance if you change jobs.
I miss the French system, it’s not perfect but it was more affordable and teeth were not considered optional. The main inconvenience that I remember were the wait times so you just have to be organized for your routine care and it’s no problem.
dentists, dental procedures are barely covered in the states as well, only a very limited amount of dentist, or dental specialist will even accept medi-caid/care. so you might have to pay outof pocket anyways.
usually the dentists on these programs, are less than what you call decent, they may do something so-so, but might be not keen other things wrong with your teeth. and at least one here at has earned the reputation in our area, as peddling deep cleaning, which is a known scam.