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Cattrina
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Registered: 11-2008
Location: Finland
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Re: H1N1
They retired.
We are at this moment at the verge of generation change.
The after war baby-boomers are getting old. The generations are not equal at value.
Not enough graduates to take care of the mass of elders.
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10/25/2009, 5:46 am
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Spikosauropod
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Re: H1N1
But it sounds like you have a general shortage of doctors. Where are they going?
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Spikosaur, of the Uncircumcised Umbrella, Prophet to The Collectors, OA, RMC
Hail Apostle Paul
Praise to Founder Bunny
Glory to the Objects
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10/25/2009, 5:51 am
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Cattrina
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Re: H1N1
as I said, they retired
this is a low-populated country
I live in the 5th largest city and we have 80 000 people here. The largest city, the capital has a little over million people living in the whole region.
We have 5,8 million people in the whole Country.
The birthrate is low and the living-expectancy is high.
That means we have 1 young one to take care of 16 elderlies
5 years ago the rate was 1/7
the baby-boomers have begun to retire, and there are not enough young ones to go in the medical training, not to mention graduate soon enough.
It´s a lapse in the planning. No-one took the depression in count. Because of the global depression, the salaries went down, so the hard work conditions and poor salary are not interesting to the young ones.
These plans were made 20 years ago. That is the only problem in the system, to make it work you should be able to plan ahead... it is not always possible.
To give you a reference the friend I was talking about earns more than a nurse does.
Communal doctor can earn up to 6000 a month. Luckily the education does not cost a thing. But most young ones just do not want to study 6 years and earn 4000 a month, when a plumber graduates in 2-3 years and can earn 5 to 7 thousand a month :P
Last edited by Cattrina, 10/25/2009, 6:23 am
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10/25/2009, 6:04 am
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Spikosauropod
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Re: H1N1
I should probably go to bed now. It is 4:18 in the morning here.
Thank you both for answering my questions. It has given me a great deal to chew on.
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Spikosaur, of the Uncircumcised Umbrella, Prophet to The Collectors, OA, RMC
Hail Apostle Paul
Praise to Founder Bunny
Glory to the Objects
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10/25/2009, 6:20 am
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Cattrina
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Re: H1N1
I though you kept awake long :P
Good night
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10/25/2009, 6:24 am
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Dispaminite
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Re: H1N1
quote:
Cattrina wrote:Have to comment on this, that here in Finland we have several top-quality research centers, some goverment-paid some not.
The Helsinki Medical institution is one of the top 5 medical research-centers in Europe.
Rotterdam Erasmus -university. Cambridge, Oxford and Glasgow are the 4 others.
Also in the Athens Unviversity Medical Researsh Status Evaluation the Helsinki University is in top 5.
The highly respectful comparatization between Universities was made by the Times Scientific departement. Last year in Helsinki University alone 10 169 medical articles were published and scientific articles on healtcare on other medical publications were referring to the Finnish research data.
We have the top rank on epidemiology and cancer research.
We are, and have been, independent in medical research since 1900's. And what I have heard the people in U.S. have been keeping/ignoring the knowledge we have fe. the Lyme dicease, borreliosis, PCO, diabetes and suprise, suprise the cancer departement.
That is BECAUSE in here doctors have no hurry to leave the university to start making money. In here they can STAY to do research as long as they wish.
Also in France they have developed several new drugs. Fe. The Valdoxan, a drug that is based on agomelatin. It´s a medication for depression, without the usual side-effects like weight-gain.
But the cost of medical procedures and pharmacological products do cost more in the US the majority of the world. A pill that would cost $1 in a European country could cost $5, $10, or even $20 in the US depending on the drug, and if it falls under the US Orphan Drug Law.
US and Foreign developers lobby to prevent US citizen access to foreign prescriptions simply because they want to keep their profit margins up. They're usually the exact same pill, but at a significantly cheaper cost, even when you account for shipping.
Research shows that if the US enacted drug price control of 40%-50%, that research would dry up by 30%-60%.
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10/25/2009, 8:49 am
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Cattrina
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Re: H1N1
quote:
Dispaminite wrote:
But the cost of medical procedures and pharmacological products do cost more in the US the majority of the world. A pill that would cost $1 in a European country could cost $5, $10, or even $20 in the US depending on the drug, and if it falls under the US Orphan Drug Law.
US and Foreign developers lobby to prevent US citizen access to foreign prescriptions simply because they want to keep their profit margins up. They're usually the exact same pill, but at a significantly cheaper cost, even when you account for shipping.
Research shows that if the US enacted drug price control of 40%-50%, that research would dry up by 30%-60%.
Yes, that is why the U.S. needs to do serious re-thinking about funding IF and when they decide to switch into government-paid healthcare. The issue is manifold.
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10/25/2009, 9:25 am
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Rollerball
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Registered: 08-2008
Location: The 70s near future.
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Re: H1N1
I agree, the American people and government are being ripped off and held to ransom by the drug and medical industry.
To answer where the medical staff are going, I think they're coming here, we have a huge influx of foreign staff. Mainly as ours tend to go to the States where they get more bucks for their services. Luckily we don't get ripped off with exaggerated medical costs, we don't have to deal with costs at all.
Our tax system is simple, we have National Insurance which pays for our health service, pensions, unemployment, disability and income support. Probably a few other things too, they keep adding tweaks here and there. This only comes into play if you earn over a certain threshold. Likewise Income Tax is charged at various rates depending on your income and if you earn under a certain amount you pay nothing.
Another tax is Council Tax which you only pay if you own a property, this goes to pay for local services, such as roads, street lighting and sweeping, policing, refuse collection and a load of other local services. The range of services depends on which local authority you live in, some will offer more others will offer less.
Another tax is VAT value added tax, this is added to certain luxury items that you purchase.
Capital Gains tax is charged on profits from the sale of secondary property or stocks and share investments.
Inheritance Tax, threshold based when someone dies and leaves huge amounts of cash or property in their wills.
The average guy will only need to deal with NI and Income Tax taken directly out of your wages the rest depend on your circumstances and can be totally avoidable. Both are PAYE paid as you earn. No need to fill in any tax forms unless you're self employed.
Our insurance system is exactly the same as Cattrina's.
You can pay extra for private health cover, it gets you a private fancy room and not much more, because ultimately as I explained before there's a limit to what private hospitals can do before resorting back the the NHS. The best private hospitals are in London and those tend to have the super rich and VIPs as their clientèle. Those charge in a similar way to American health services only without the insurance to cover some of the costs. Basically you're charged directly for everything.
Oh other taxes, if you own a car you will be faced with Road Tax and car insurance. Road tax pays for national roads and such, the car insurance pays for accidents. Another tax we have is our TV Licence, this pays for the running of the BBC.
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10/25/2009, 3:50 pm
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Spikosauropod
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Re: H1N1
Roller, what fraction of your paycheck do you actually retain? Like I said, I generally expect to see 2/3 of my paycheck. 1/3 goes to taxes and other things like unemployment insurance and social security.
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Spikosaur, of the Uncircumcised Umbrella, Prophet to The Collectors, OA, RMC
Hail Apostle Paul
Praise to Founder Bunny
Glory to the Objects
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10/25/2009, 4:02 pm
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Rollerball
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Re: H1N1
I earn 36,000 gross, after I remove my untaxable allowance (£6475) the remainder is taxed at 20% and my NI is charged at £2.40 a week. Each persons tax rate and NI can vary according to age, personal circumstances regarding health and if married or not plus if self employed.
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10/26/2009, 3:50 am
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