3rd trip

Doctor’s visit and couple words about health insurance

It turned out that on this trip of mine we did not vis­it new sights, but most­ly we receive guests and go to vis­it ourselves.

First­ly, in con­nec­tion with the move to a new house, it was nec­es­sary to invite all Russ­ian-speak­ing friends, then Amer­i­can friends from my daugh­ter’s work, then from my son-in-law’s work were invit­ed. Recent­ly, friends from Cana­da came with their chil­dren. They are from Ros­tov, but moved to Cana­da sev­en years ago. And now, our rel­a­tives from Boston are com­ing for a week. They rent­ed a hotel, but the whole week is already sched­uled with whom and where we meet. True, Ari­zona chil­dren start school in August. For some, it start­ed on August 3, and our child goes to school on the 8th. Chil­dren from Boston, since they stud­ied until June 22nd, go to school in September.

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The grand­son is going back to the new Basis Scotts­dale school, again all the new teach­ers and a lot of new chil­dren, but he can’t wait for the school to start.

On Thurs­day, August 4, Mark com­plained that he had a sore throat. My daugh­ter was afraid that he would get sick before the start of the school year, and made him an appoint­ment with the pedi­a­tri­cian for Fri­day. Here, doc­tors don’t vis­it you at home even if the child has a high fever. You pick up the patient, put them in a car and take them to the hos­pi­tal to see your doc­tor (by mak­ing an appoint­ment in advance if the doc­tor has free time) or you take them to the emer­gency room.

Vis­it­ing a chil­dren’s hos­pi­tal is a sep­a­rate issue. We arrived at the appoint­ed time in 10 min­utes. There is not a sin­gle patient in the hos­pi­tal. Two entrances: one for sick chil­dren, the oth­er entrance for healthy ones. The recep­tion not­ed their insur­ance, paid 10 dol­lars for an appoint­ment. Exact­ly at the appoint­ed time, we were invit­ed to enter the nurse. The nurse always first mea­sures the tem­per­a­ture, weighs, because if antibi­otics are pre­scribed, then strict­ly accord­ing to the patien­t’s weight, she imme­di­ate­ly takes a swab from the throat and sends it to the lab­o­ra­to­ry for analysis.

Then we were invit­ed to the office, where a minute lat­er a doc­tor came with a lap­top. The doc­tor, in the man­ner of com­mu­ni­cat­ing with chil­dren inher­ent in Amer­i­cans, fooled around with his grand­son, laughed, joked while he exam­ined him. Then he “clicked” quick­ly on his lap­top, asked for our new address and looked on the com­put­er which phar­ma­cy is now clos­est to us. The fact is that when the results of the analy­sis come to the hos­pi­tal or when the diag­no­sis is pro­nounced, the doc­tor imme­di­ate­ly gives an appoint­ment to the phar­ma­cy, they pre­pare the med­i­cine and the phar­ma­cy already calls on the phone to come and pick it up. It often hap­pened that they were dri­ving home from the hos­pi­tal, and the phar­ma­cy was already call­ing that the med­i­cine was ready.

After vis­it­ing the doc­tor, we left through the same entrance /​exit for sick chil­dren. At the exit, there was a san­i­tiz­er spray, we dis­in­fect­ed our hands and left. At first glance, every­thing is very cool, if not for the pay­ment for med­i­cine. Ten dol­lars is only a par­tial pay­ment, then the doc­tor bills your insur­ance com­pa­ny and how much your insur­ance cov­ers, and how much you will then be billed for pay­ment, you nev­er know. It depends on the type of insur­ance, on its month­ly cost, what it cov­ers and what it doesn’t.

The doc­tor, in the man­ner of com­mu­ni­cat­ing with chil­dren inher­ent in Amer­i­cans, fooled around with his grand­son, laughed, joked while he exam­ined him.

For exam­ple, in past years, the chil­dren had fam­i­ly insur­ance of $600 a month, but they had to pay a decent amount sep­a­rate­ly for teeth and eyes. And it’s also dis­gust­ing that you can vis­it a doc­tor in May, and the bill can come, for exam­ple, in Sep­tem­ber-Octo­ber. You will already for­get that you were treat­ed and whether you were pro­vid­ed with the types of ser­vices that were entered on the bill. As was the case with his grand­son, when he jumped unsuc­cess­ful­ly in kinder­garten and broke the bones in his toes. He was pre­scribed a ready-made plas­ter boot, and the doc­tor wrote that there was an oper­a­tion and this and that…

That is why it is also very impor­tant to choose a good doc­tor, to whom you trav­el for a bunch of miles. This year the chil­dren have tak­en oth­er insur­ance. It is cheap­er, but with less med­ical cov­er­age ($400 per month). We opened a spe­cial sav­ings account for mon­ey. ser­vices, where anoth­er $200 is deduct­ed month­ly. This amount is not sub­ject to income tax and the com­pa­ny adds $600 per year. Mon­ey from this account can only be spent on med­ical ser­vices, and if you take it away to spend on some­thing else before a cer­tain age (it seems, before 65), you will have to pay tax­es, and the amount will seri­ous­ly decrease. With such a score, it’s good when you get sick a lit­tle and don’t go to the doc­tors, so here (in my opin­ion) a lot of Amer­i­cans drink lit­tle, don’t smoke, and play a lot of sports.

I must say that not all states deal with med­i­cine in the same way. For exam­ple, in Mass­a­chu­setts, where our rel­a­tives live, my aunt does not praise med­i­cine. There is a spe­cial med­ical pro­gram for peo­ple over 70 and she got a lens replace­ment in one eye, den­tures, reg­u­lar gen­er­al check-ups and every­thing is cov­ered by her insur­ance. True, she does not know how much her chil­dren pay for this insur­ance :))). And the work­ers, of course, have to pay a lot for medicine.