Lining up for Great Care in Japan

I have been in Japan for 1 1/2 years and have had nothing but positive experiences with their universal healthcare system. When I got sick with a sinus infection last year for the first time, I went to see a foreign trained doctor that does not take Japanese health insurance. I was given a bill for over $250 that I submitted to my medical insurance company in the United States. I have never heard back from the insurance company about my claim although I know that it would have been excluded or applied toward my deductible anyway. The doctor had not given me antibiotics even though I needed them. I suffered for a few weeks until I got better. A couple months later, I became ill with the same symptoms and this time I went to a Japanese clinic that was recommended to me by a friend. It was a modern facility that most Americans would be impressed with. It was very efficient with me lining up to sign in, me lining up to see the ears, nose and throat
specialist, me lining up to have my airways cleared by a ventilator, me lining up to pay and me lining up to get my medicine including expectorant, antihistamines, and antibiotics. The doctor spoke fluent English, it cost around $20 which included the medicine and took about one hour with no paper work to do or bills to pay later.

Next time I went to the same clinic to see someone about a uninary tract infection. I had no appointment and lined up that morning at the front desk where I was asked what my problem was. Soon thereafter, I was told to line up outside the specialist's office. I had another positive experience and it took a total of about one hour and cost less than $20 which included medicine and a lab test.

In October, I had a routine gynecological check up and I felt the equipment used was of a much higher caliber than in the United States with a robotic motorized table that rotated so that I would not have to scoot down to put my legs in the stirrups and the use of ultrasound to look for the presence of tumors - the was a routine procedure. Again, my doctor spoke English fluently and the care was superb. It cost around $15.

Then I saw a dentist recently for a chipped tooth and cleaning and it was covered as well under universal healthcare in Japan. The dentist has a PhD in the United States, during the cleaning the dental hygenist used an ultrasound descaler which made it much less painful, and I was charged $30. Can't beat that.

We are now in a position that we are thinking of not returning to the United States to live because of the cost of medical insurance and care since we are getting older and the cost of private medical insurance after retirement and prior to qualifying for Medicare will be prohibitive. I never thought that the USA, the land of plenty and the greatest country in the world would have an citizen like me who now must choose to not return to her homeland in order to receive better and less expensive healthcare.

Althea
Japan
California

Some reasons why national health care is necessary

Some reasons why I think national health care service is necessary:

* it supports preventative care which actually cuts down on costs in the long term
For example: I believe the annual health check up offered in Japan is very important for all people.
I have gone to a local clinic for the complete check up most of the years I have lived in Japan.
For a small fee you can get screened for lunch and stomach cancer, have your gyno health checked, get blood and urine tests and have a general consultation as well as a separate consultation on weight and diet control.

* weight and diet control-- many people in the US could use such "metabolic syndrome" support service. In the US it is politically incorrect to criticise people's weight, but the reality is Americans suffer from many illnesses (diabetes for example) because they do not take care of their health. I think an annual check up with professional support would help people develop better habits over time.

One example of when I realised it was good to live somewhere with national health care service:
In 2001, I had heart palpitations while on vacation in the EU. I did seek help there and even though no trouble was found I decided to seek care when I got back to Japan.

After a visit to the hospital and consultation with a GP, I was able to get an appointment with a cardiologist. I went to one of the leading heart clinics in Japan, and got this appointment within about 2 or 3 weeks. It only took that long because all my tests were normal.

I spent almost a full day there getting al types of tests and was able to get most of the results before I left.

I had blood tests, urine tests, an EKG, an echo test, Xrays and physical endurance test besides the doctor's consultation 2X. Although I complained about it costing me about US$200, when I got home I looked into what it all would have cost in the States and was shocked. It all would have been way more than that and I would have had to wait much longer to get the appointment without the proper introduction.

Let me also share the blog and comments of a dear friend of mine who died on June 13 2008. She kept track of the cost of breast cancer treatments only for 2 years. She recognized that she had such good health coverage because she worked in the health care field. I would like to share her blog entry "Ka-ching! Put it on my tab (updated)" ... it says a lot in its short outline of 6 weeks of health care costs:
http://49.blogspot.com/2004/12/ka-ching-put-it-on-my-tab-updated.html
to get really upset at costs check out her 5 month cost listing
http://49.blogspot.com/2005/03/ka-ching-revisited.html

Sarajean Rossitto
Living in Tokyo and Shizuoka City, Japan
US address: New York, New York