I have been in Sweden for three years now.
My grandfather, in the US, was diagnosed with stage 3 or 4 lung cancer this week. (They can't determine the actual stage without draining fluid around the lung and that could cause it to spread.) He has three options:
1. No treatment.
2. The new lung cancer specific chemo pills. He could take those at home and avoid an IV port. It's also said that the pills have fewer side effects because they attack the specific cancer cells.
3. IV chemo, which requires you to have a port, receive treatment at a clinic, sit for hours while receiving the treatment and it kills your immune system.
With no treatment, he has maybe 9 months. With treatment, he could have 3 years. If it were me, I would rule out the IV treatment and either choose nothing or the pills. Then they drop the bombshell that the pills would probably cost $10k a month out of pocket. So, suddenly, they lose that option if they don't sell their home.
Just for arguments sake, I asked our physician here if these pills were available to lung cancer patients and how much they cost the patients. He said, "Of course. They are really expensive. You would meet your yearly out of pocket cost on the first dose." So, if my grandfather lived here, he could get the pills for 1800 SEK for a year. That's around $270.
Our system works as a co-pay system. Each average doctor visit costs $15. An ER visit or a visit with a specialist is $45. There is a yearly cap on those fees at $135. After you have paid that, it's free. There are programs in place that waive those fees for those who can't afford it. Pregnancy care is free. Anything involving your child is free until they are 20, including dental care. (Adult dental care is completely out of pocket without private insurance.) The same $270 yearly cap also applies to children's prescriptions, but all your children fall under the same cap. If you have five kids, it's still the same $270.
We pay about 40% of our income in taxes, between income tax and sales tax. (Sale tax is factored into the label price, so what you see is what you pay.) For that we get healthcare, free education through doctorates, up to 6 years of living stipend while pursuing education, retirement security, unemployment, housing and programs for the elderly and disabled, good roads, really nice public transportation (not free, but very affordable), monthly stipends for having children (regardless of income), free yearly dental check up, etc.
Since moving here, I have had two surgeries. One I had needed due to the pain it caused, but couldn't take the time off work or afford it on the sh!tty insurance I had. The other was medically necessary, but I couldn't get insurance to cover it. It was around a $20k surgery. I never saw a bill beyond the "hotel fee" of $12 they charge you for a night in the hospital to cover meals and laundry and such. We used a University hospital to conceive our daughter. Each visit cost us $15. We ended up spending $135 for three rounds of medically assisted IUI, which costs THOUSANDS in the US. My wife developed pre-eclampsia and was hospitalized for a week. Then my daughter was born via c-section. She was born on a Tuesday and we left on Friday. 12 days in the hospital and a c-section and our total bill was $36 and that was for the three nights I stayed with them. Our daughter developed dangerous tumors in her brain and throat. She spent 10 days in two different children's hospitals, receiving three MRIs, countless scans and a very new, very expensive treatment. Other than her prescriptions, at $270 for the year, we never got a bill.
It works. I just don't know how on earth you move to something closer to a program that helps everyone when there are so many who think the US is all about looking out for #1.
Pretty pretty please don't you ever ever feel like you're less than
f**ckin' perfect!