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Would you tolerate this?
#1
A backlog of 23,000 X-rays, this is what you can expect from socialised medicine should it come your way, does anyone consider this acceptable in America, Canada or Australia?

This is my local hospital which is already under warning after being rated as inadequate in August. Dielaughing


A hospital failed to spot cases of lung cancer because it did not check patients' chest X-rays properly, the Care Quality Commission has found.

The health watchdog found that three patients at Queen Alexandra Hospital in Portsmouth suffered "significant harm".
It emerged that junior doctors complained they had been asked to carry out specialist radiology work without the appropriate training.
The CQC has now launched a review of NHS radiology services in England.
All NHS bodies have been instructed to provide details about their backlogs, turnaround times, staffing and arrangements for routine reporting of images.
Portsmouth Hospitals NHS Trust said it had made an unreserved apology to the families of the three patients, two of whom have died.
During their visit in July, CQC inspectors also found the hospital had a backlog of 23,000 chest X-rays.
None of the 23,000 images from the preceding 12 months had been formally reviewed by a radiologist or appropriately-trained clinician.
'Specialist skill'
During the visit, inspectors learned some junior doctors had been given responsibility for reviewing the chest and abdomen X-rays.
Prof Ted Baker, from the CQC, said "When a patient is referred for an X-ray or scan, it is important that the resulting images are examined and reported on by properly trained clinical staff who know what they are looking for - this is a specialist skill."
Following the inspection, the trust has had to put in place steps to make sure images are examined and reported on by properly trained clinical staff.
It was also tasked with providing a weekly report of the number of outstanding X-rays to the CQC and told it must notify those patients if their X-ray was held up.
Portsmouth Hospitals NHS Trust chief executive Mark Cubbon said: "We have issued an unreserved apology to the families of the three patients who experienced harm because of the delays to their care.
"We have carried out a thorough review of the scans and X-rays reported so far; to date nearly 50% of the backlog has been cleared and we are in touch with any patients as necessary."
The trust has set up a free phone helpline - 0800 7837118 - for anyone who is concerned they may be affected.
The hospital in Cosham has 975 beds and provides services to a local population of about 610,000 people.
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#2
Unfortunately, you may be at the mercy of an institution and without the ability to pay for private medical tests, you are screwed. Ask any of the thousands of American soldiers or American Indians who deal with government-directed healthcare institutions.

However, it is partly the fault of the patient in not advocating in their own best interests. I have a five-day rule after any diagnostic tests -- if I don't hear from you in five business days (exclusive of weekends and holidays), I will be calling each and every day until my tests are processed.

Many of my friends in Canada, Australia, and the UK are especially vigilant and some seek medical attention outside of the country -- finances and time permitting.
"The object in life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane." -- Marcus Aurelius
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#3
It is no where near that bad where I am in Canada.  I can get an x-ray taken the same day (lab is in a different location than my GP's office) and read by a proper radiologist and returned within a few days.  That is for non-critical "we should probably check this out" cases. MRI can be a different case, depending on where you go.
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#4
IMO that's a failure to those who are depending upon good medical practices. And that's why I never supported our Affordable Care Act here in the USA. Those that "must" obtain health insurance find it is anything but affordable. Whenever any government entity gets its hands on something, it never becomes better but always gets worse. Again the above is IMO.

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#5
I am pretty happy with our gov't sponsored health care. I live in a large urban centre, so am fortunate that there are many providers for pretty much any service required.

I have had some specialists that I thought stunk, but all I do is tell my doctor and she changes the specialist.

I don't think the northern rural areas are as well serviced. But private or gov't health care probably wouldn't change that. Economics of small population, I guess. Plus the high flying good doctors don't want to live in rural areas.

One thing a nearby hospital is now doing, having patient portals. We can log on and see the results of our tests, doctors notes, etc. A good way to ensure tests have been processed.
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#6
(12-03-2017, 09:06 PM)srlevine1 Wrote: Unfortunately, you may be at the mercy of an institution and without the ability to pay for private medical tests, you are screwed. Ask any of the thousands of American soldiers or American Indians who deal with government-directed healthcare institutions.

However, it is partly the fault of the patient in not advocating in their own best interests. I have a five-day rule after any diagnostic tests -- if I don't hear from you in five business days (exclusive of weekends and holidays), I will be calling each and every day until my tests are processed.

Many of my friends in Canada, Australia, and the UK are especially vigilant and some seek medical attention outside of the country -- finances and time permitting.

Thank you for your comments.
What you say about the treatment of American soldiers does surprise me, as we are often told here that we in the UK compare badly to treatment provided for American veterans.
A little like Tripadvisor, you wonder if you have been staying in the same hotel.

I have been able to afford private treatment, usually to jump the waiting list, however the doctor you see will either be the one you would have seen had you waited for the NHS, or one of his pals, in this case neither will criticise the other, and of course they will not criticise their department which may well be the cause of your complaint.

I do advocate as you call it, after my forthright complaints the hospital suggested I might like to take my business elsewhere. Dielaughing

A friend of mine over here from Canada to visit his sister who was close to death, was most unimpressed at the treatment and conditions in her NHS hopital.
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#7
It does happen here in Oz too.  Queensland have failed to properly read & follow up x-rays for workers in the coal industry, now it seems a number have 'black lung'.  A disease of the 17 & 1800's.
Our local base hospital failed to correctly read a whole stack of tests & patients had to get them redone.
Happens everywhere.  Insufficient funding & poor medical schooling in my view.  Bad attitude to the sick too.  A critical lack of empathy.
Keep smilin'
Amethyst in Oz
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#8
It was that hospital that messed up, it was found and is being fixed. I'm not minimising, there is a lot broken. I think at the base is that you don't have choice in where you go to get your health sorted, it depends what post code you have.
The UK system has been financially gutted over the years. They do have a private insured system too.

However the US is heading a system at looking at the other health systems. Overall the UK system does OK.
http://www.commonwealthfund.org/publicat...isons-2017
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the amount of money doesn't make that big of a difference
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#9
In the USA nobody knows which direction the health care system will head. The last president wanted to go more social medicine. The current president wants to go more private medicine. Right now the social part of our system Medicare/Medicaid is under going cuts just at the time the over 65 population is rapidly expanding.
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