Quote:
Originally Posted by Ammi
...just going back a bit in the thread, yeah I think that it would be 'perfect' if it was always possible for our wishes/preferences to be catered for..in an 'ideal world of NHS' as it were...but the NHS is struggling a bit in this country so that may not always be possible for the long-term future..?...I've had several procedures in hospital which have not been routine procedures and in all honesty, the gender of the person carrying them out hasn't even entered my thoughts..so I guess I have to think..would it be right for me to be 'selective' just because the procedure was a routine one, like a smear test..?...no I feel it would be wrong for me to feel like that because in an NHS where many are reluctant to be a part of it in their job/vocation in the current climate, I'm just thankful that there are those who still want to join and be a part of the care of us all...
... although there will always be some people who would abuse positions of trust in all walks of life, I do believe they are the very small minority so it's not something I could really occupy my thoughts with too much...if it were the thing that people didn't feel comfortable with transgender nursing staff then a vocation desperately needed could just be wasted.../sad...
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Do you have the liberty normally of changing doctors in the NHS? In the US, it's your job to search and find a physician, of which there's usually a wide network (especially in a metro). Maybe some types of insurance prefer you pick a primary care (like dental), but for many, you can change in-between PCPs without informing ins or even the prior office. And specialists are always chosen by you anyway and is your job to research. They may be chosen by the ins if your area/coverage is very limited. (That's odd though)
My grandmother is retired and yes, they do receive Medicare (govt-subsidized), but they also get private ins (their choosing) and sometimes there is a supplemental for what's called the "donut hole". The ins is usually quite flexible. Edit: Oh and we get a tax document at the end of the year, so it ends up being tax deductible (if medical costs exceed a certain percentage) since is automatically redrawn from your social security (from govt after retiring after 65), so that's nice too.
I think that is ideal, because you can pretty much mix and match your care. For example, if I were transgender, I could see a transgender PCP and then choose specialists according to expertise. In the progressive side of Houston, a lot of the LGBT folk are well-networked and so not uncommon to run into folk there running their own businesses and the community there pretty much supports them on their own without having to worry about the rest of the county. Free market really shines in this respect. We do not have state income tax and small business to chain ratio is 20:1/10:1 (maybe more o_O), just going by store facades. Chains are not as common as just everyday folk running a business and there are plenty of choices for pretty much everything in a city that spans 100-150 miles (massive sprawl), so plenty of opportunity for people to target niche markets since it is an entrepreneur friendly city... we're already a majority minority city, but forgot by what margin.
Edit: Anyway I can see where that would really impact someone's concept of the status quo and vice versa
04-01-2018, 07:05 AM
Hybrid Mode
