Tuesday, February 01, 2011

Housecall

A friend in her 70s did not get a flu shot and did get the flu. She phoned her HMO and told her doctor how she felt. After listening to her answers to his quuestions, he made a housecall to check out her lungs.

This sensibly kept her away from the hospital and from the clinic waiting room. Last time I heard of a doctor's housecall was in England, years ago, when a National Health Service doctor came to the house to check on a newly-arrived visitor whose symptoms could have indicated one of those tropical diseases public health services want contained at once.

Israelis have mandatory health care under a multi-provider, single-payer system. An agency similar to the US Social Security payes HMOs the same fee for each person they insure. Citizens pay a health tax to the National Insurance, a tax proportional to their income. People on welfare pay the same percent of their welfare checks as high-tech employees pay of their paychecks.

It seems to work.

Copyright 2011 Jane S. Fox

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