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Government hospitals, having to wait


colinneil

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  I have recently been an in-patient at a private and government hospital.

About 2 years ago, extremely unwell, my Thai friends took me to Bangkok Christian Hospital. No waiting, onto a stretcher, tests and immediate admission with a lung infection. 6 days in hospital, total bill - 158,000 baht

3 weeks ago I had surgery to remove an aggressive skin tumour on my hand at Chulalonkorn Hospital. 3 hour operation to cut, clean and skin graft. 4 days in 2 person room, all up 25,000 baht.

Yes, there were some negatives at Chula, namely waiting for appointments and Thai language deficiency, but I know where I will be going in the future.

 

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Thats why having good insurance counts for a hell of a lot.

I want to choose who touches my body when I'm ill.

If I got the Big C or needed a hip replacement, or heavy heart surgery, or even my colonoscopy every few years I want to be in control of who my attending doctors are, surgeon and oncologist is.

Going public is cheap, you're absolutely right ... but you have zero control as to who prods or cuts into you. 

BNH and other privates are cheap ... if you have great private coverage ! .... (my) insurance covers the lot (not a red cent passed over other than my yearly premium) and I get treated like a king ... and no waiting to date ????

Damn they even great me at the door and escort me personally to m y doctors rooms.

Coming from OZ ... Thai premiums insurance hospital treatment is like ... a, a beautiful dream.   

 

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I'd agree in general about the government hospitals, if you are really sick they will fix you and you won't be forced to wait. The main problem is that often there are not enough doctors or there are no doctors qualified or trained in some procedures, so you can end up being transferred or having to wait.

 

I have used my local government hospital a few times due to emergencies in the past. Most of the time they were excellent, and fixed me up quickly. Obviously they are not as "nice" inside as most of the private hospitals, often they use generic drugs rather than brand name, but the bill will certainly reflect that.

 

I was given a pain killer injection at a private hospital and it cost 1500 Baht, the same pain killer only the generic was given to me at a government hospital it cost 4 Baht.

I have to admit that being kept in on the main ward overnight is no fun in my local hospital, it ended up in a fecal fiasco last time, with drunken lao kao thais shitting their oversize pampers and then making out it was play dough during the night. Not pleasant for the nurses either. I didn't notice the first night I was in as I was a bit sick, but by the second night oh how I wished I was home.

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57 minutes ago, Formaleins said:

I'd agree in general about the government hospitals, if you are really sick they will fix you and you won't be forced to wait. The main problem is that often there are not enough doctors or there are no doctors qualified or trained in some procedures, so you can end up being transferred or having to wait.

 

I have used my local government hospital a few times due to emergencies in the past. Most of the time they were excellent, and fixed me up quickly. Obviously they are not as "nice" inside as most of the private hospitals, often they use generic drugs rather than brand name, but the bill will certainly reflect that.

 

I was given a pain killer injection at a private hospital and it cost 1500 Baht, the same pain killer only the generic was given to me at a government hospital it cost 4 Baht.

I have to admit that being kept in on the main ward overnight is no fun in my local hospital, it ended up in a fecal fiasco last time, with drunken lao kao thais shitting their oversize pampers and then making out it was play dough during the night. Not pleasant for the nurses either. I didn't notice the first night I was in as I was a bit sick, but by the second night oh how I wished I was home.

Agree. Never been an in-patient but went with my Thai Mother-in-Law up to the ward as she was checked into Khon Kaen Provincial Hospital. Seen (and smelled) worse in geriatric wards in NHS UK hospitals but there were extra beds along both sides of the corridors. Zero privacy and people were falling over each other due to the number of relatives lying everywhere. Having said that my wife became one of them as she stayed overnight on the ward to provide food, drink and personal care for her Mum.  

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1 hour ago, Tropposurfer said:

Thats why having good insurance counts for a hell of a lot.

I want to choose who touches my body when I'm ill.

If I got the Big C or needed a hip replacement, or heavy heart surgery, or even my colonoscopy every few years I want to be in control of who my attending doctors are, surgeon and oncologist is.

Going public is cheap, you're absolutely right ... but you have zero control as to who prods or cuts into you. 

BNH and other privates are cheap ... if you have great private coverage ! .... (my) insurance covers the lot (not a red cent passed over other than my yearly premium) and I get treated like a king ... and no waiting to date ????

Damn they even great me at the door and escort me personally to m y doctors rooms.

Coming from OZ ... Thai premiums insurance hospital treatment is like ... a, a beautiful dream.   

 

Being an inpatient at BNH is anything but being treated like a king. Yes, they will treat you like an emperor if you agree to everything they try to sell, but don't dare to show any doubt about the recommendations. Had a nurse taking blood: 1st time lab made a mistake, 2nd time she didn't collect enough to be tested, 3rd time "there was no result". Surely, I was not without cholesterol. 

 

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6 minutes ago, Sheryl said:

 

Yes, the conditions on the wards of most government hospitals are very bad. Quality of the medical care is good, but staying in these places is a serious nightmare. Especially -- but not only - in the hotter months.

 

I can't even bear visiting someone in one for more than an hour or two.

 

Fortunately most government hospitals have private and semi-private rooms available at extra cost and they are very much worth it. Depending on the room, in the regional hospital near me they range form 1000 (4 bed room) to 1800 (private room). If covered by the 30 baht scheme they will subtract from the room cost the cost of a ward bed which is 400 where I am. So the patient pays only the difference. For a farang of course you pay the full. But oh is it worth it.

 

Problem may arise if you do nto have someone to stay with you or if you are considered unstable, in those cases they might insist on your being in a ward.

 

 

Useful information, thanks. The local private hospital admitted a Brit a couple of months ago who had had a stroke. He died a month later. The bill was 1 million baht, and the hospital wouldn't release the body from their refrigerator until it was paid.

I'll tell my GF if that situation arises, get me admitted to a government hospital, private room. Because she's the one who stands to lose.

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Yes, private hospital costs are excessive.....much of the profit is medicine mark ups....you can ask your doctor for a prescription and get at your local pharmacy.....doctors do get pressure to add unnecessary medicines....

 

still going to go to a CM private hospital for certain disciplines like GI eye and skin....good previous experiences....have a private GP for internal medical issues like blood urine work.....wanted me to return in 3 months for follow-up but I said 6 just to manage costs better....

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As long as you don't make the mistake of purchasing meds from them, outpatient charges at private hospitals aren't bad (though of course still much more than a govt hosp) and for many people -- maybe most -- worth the added convenience. But when it comes to being hospitaluzed things get very expensive very fast.

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app

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12 hours ago, beachproperty said:

My son had a sore (some sort of infection) to his toe.

Went to Bangkok Hospital was told it would cost 15000 Baht to drain and for antibiotics. Said "No Way" and paid the consultation fee of 720 baht.

Went to the local clinic (which I should have gone to first) where they put the drain in and antibiotics cost 200 baht.

 

So I agree.....Public or clinic over private hospital any time!

Did he cry? just asking

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A few years ago when the late King was ill I went to pay my respects at Sirijaj Hospital. I walked around the grounds for a while and observed numerous Thais also paying their respect at the statue of his father in the grounds. After about an hour I decided to take a short cut through the public side of the hospital as it was a hot day and I thought it would be a cooler way to get back to the boat. The sight I saw was one of the most shocking I have ever seen - the corridor was lined with emergency patients on trolleys with crying and concerned family members around virtually each one. They must have been upwards of 30 patients - some of them no doubt dying from heart attacks or strokes or some such emergency. The fear and anxiety was etched on each face and a couple of doctors and nurses were running around almost in a panic deciding which one to treat first. I left the place in tears I have never seen so much suffering and fear in one place, sheltered life I have lived. 

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11 hours ago, Puchaiyank said:

Thank you for your input...good information...I have long suspected the private hospitals vs government hospitals are like going to spa vs a massage parlor...????

Which one gives a happy ending?

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1 hour ago, hereforgood said:

I got fantastic care at a government hospital a double hip replacement. When I first went to be checked the Doctor told me need to replace right away. But said there is a waiting list then he told me can do in a week. That was 11 years ago and they are still great and I walk 5 to 10 miles daily. I was working so covered by  SS  My bill was Zero Nothing at all.

What country are you from?

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