The Paper 051514

Page 1

Volume 44 - No. 20

May 15, 2014

by lyle e davis

Our nation has been focused on discussing healthcare for the better part of three/four years. The Affordable Care Act, more commonly known as “Obama Care,” is a fact of life. Lots of political argument remains but . . . it will not be reversed . . . it may have an element tweaked here and there, but it’s a fact of life. But what elements could be changed? For the better?

It might be interesting to see what health care insurance is like in other countries. Some surprising information develops rather quickly. Let’s look at the Scandinavian countries . . . Norway, Denmark and Sweden.

Collectively, they are a handsome, healthy people. Good financial stability in each of the countries, lots of social services provided by each country, and each country draws a fairly hefty amount of tax from its citizens in order to fund these social services. We’ll look at each country individually but before we do, let’s take a look at how just one American moved to Norway because medical costs were too high here. The subject: Kevin Steinman, a popular singer/songwriter and musician, very well known in the Minneapolis area.

“One year ago, my wife Ina and I posted our Ikea furniture on Craigslist, watched as four strong men packed up my studio gear, guitars and piano, hugged friends and family after my farewell concert in Minneapolis, and flew to Norway to begin our new adventure here.

Since then I've received six Remicade infusions for my Ulcerative Colitis, and I'm happy to report I feel as healthy as I ever have. When I first arrived in Oslo last August, I didn't yet have a Norwegian social security number, so I felt no small measure of stress as I approached their health system as a new immigrant. The doctor I visited at the University of The Paper - 760.747.7119

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Oslo health clinic immediately understood that my treatment schedule merited a quick prioritization, so he made up a number for me, just to get me in the system. He assigned me to a private hospital (still covered under the national insurance plan), where they have lots of experience with the kind of treatment I get, and predicted I would be very satisfied with my care. He was right.

Hege, my nurse, explained on my first visit that everyone at her hospital works very hard to make sure patients feel well, and that I was "heartily welcome to continue to receive my therapy there now that I'd moved home" to Oslo. During that first infusion, she asked if I'd like some salmon, since the two-hour treatment was over lunchtime. I automatically

declined her offer at first, because I didn't have any money with me; but then it dawned on me that it was probably free, so I said yes, thanks. The lunch was free.

The plate of tasty salmon, salad, and bread which arrived a few minutes later caused me to blink back tears of gratitude, as I reflected on the Saltine crackers I'd always been offered in Minnesota during my infusions. Though no one understands the cause of Ulcerative Colitis, if I were a betting man, I'd wager that preservatives such as the ones in Saltines probably can't help chronic digestive disorders like mine. Here in Norway, I've been served a free hot lunch during every infusion so far. I should note that I have not

bought health insurance here (despite the fact that health care is offered publicly, some people choose to do so in Norway). Still, after each infusion, I pay only the equivalent of around 50 dollars, which covers my co-pay for the Remicade, blood tests and nursing services. This compares favorably to the $5,000per-dose uninsured cost of the same treatment in the U.S. After leaving behind the health insurance and out-of-pocket costs per eight weeks in the U.S., my total health expenses are down 97 percent. But that staggering difference in health costs between Norway and the U.S. will only grow larger in August, once I hit my yearly out-of-pocket maximum of $300. (Everyone living in Norway has a yearly medical

Scandinavian Health Services Continued on Page 2


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