Tuesday, January 25, 2011

What Just Happened?

It has been quiet on the blog. We have been focused elsewhere. And January is such an odd month, really. Contrast the emotional and physical post holiday collapse with the obligatory introspection and resolution of the new year and your brain is receiving some seriously mixed messages. It is cold, and in Belgium, dark until way after 8:00 am. Prime hibernation weather. All of this goes toward an excuse for 24 days of not much on the Passey blog. Lest you think we have been curled up under a blanket the whole month, here is our January in brief:

Sarah went back to college with puffy cheeks and a great attitude.
Benjamin started physical therapy for his knee.
Matthew earned a part in the Middle School play "Treasure Island."
David attended a conference in Garmisch, Germany.
I taught 5th grade--again.
Anna twisted her ankle and missed two basketball games.
Benjamin aged 15 years worrying about his semester exams.
Benjamin passed all his semester exams.
Anna turned 15 and spent a fabulous weekend in Istanbul, Turkey.
She let me come along to pay for things.
Matthew discovered that his mother has pretty good taste in literature after all.
David explored future employment options.
Sarah got serious about Chemistry.
Julia realized that fractions weren't as bad as she thought.
Matthew developed an affinity for his sonic screwdriver.
Benjamin pined for rugby.
We had dinner with friends.
David did lots of laundry.
I stressed about travel arrangements.
We missed our families, and a wedding.
Julia played the theme from Pirates of the Caribbean approximately 356 times on the viola.
I bought a carpet--a completely unplanned meeting of the perfect carpet with an impressionable mind.
We made more fudge...and caramel.
We got less sleep that we needed.
We worked hard.

One more month mostly gone.

Saturday, January 1, 2011

Socialized Medicine

Thoughts for the new year...
We had two surgeries this week. Benjamin had an arthroscopic repair of his torn meniscus and Sarah had all four of her wisdom teeth removed under general anesthesia at day clinic. They are both doing really well. Both spent about 5 hours in a shared room after the surgery. Both had surgeons and anesthesiolgists and were recovered in a pretty standard recovery room. Overall, the facilities and care were pretty comparable to what we would have expected in the US. There were a few differences, however.
1) Sarah's surgeon offered to take Dave and Sarah's coat when they came for the initial consultation. They wouldn't have been surprised if he had offered them a beverage.
2) Benjamin's surgery was postponed by a week due to a one day nursing strike at the Antwerp hospital. Stinks for him.
3) After taking her blood pressure post surgery, the nurses left Sarah alone...all day...until it was time to check out. She slept really well.
4) Not only did the surgeon call to check on Sarah the day after surgery, but he have us his private number and cell phone number in case we had any questions or complications.

Ready for the bottom line? Benjamin's surgery--Dr's fees plus hospital stay--2063 euros ($2,762) with an expected refund of 400-500 euro (+- $600).
Sarah's total cost for hospital care and stay--315 euros ($421). I am thinking that there has got to be more to that one. 315 euro???? Really????

I wish there had been more attention paid to the cost of health care in the US debate, not just who pays and how. We got great care in this "socialized" system for approximately one tenth of what we would have paid in the US. If we can get an MRI here for 157 euros including the radiologist's report, then why does it cost $1200+ in the US with an additional $250 for the radiologist? I don't think the machines cost that much more in the US. Doctors here have very small offices, with generally shabby furniture and minimal staff. Most serve as their own receptionists, nurses, book keepers, and probably even custodians. Our family doctor, the very aimiable Dr Deome, has holes in the seats of his two rattan consultation chairs, but guess what? I have his cell phone number and if one of my kids gets really sick, he will come to my house for the exam. And he will charge me 50 euros to do so--about $75. That is it.

Now I will freely admit that we have never faced serious, long term health issues in our family for which I am profoundly grateful. Maybe my perspective would be different if we had. But I think the word "Socialized" has come to represent for Americans a scary psudo-communist European welfare state intrusion into the freedoms we value. Maybe this kind of healthcare system just wouldn't work for us in the US. But I just wanted to let you know that for me, it seems to work pretty well and I kind of like it. Thanks for listening.