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Posted
likewise with medication , when i complained to the doc. re. the exhorbitant price of medication there , he said i could obtain them elsewhere much cheaper , and even advised me where.

i was under no obligation to buy the pills or blood tests from bumrungrad .

Taxexile, I have often thought about buying medication at the local drug stores, but since it is already covered by medical insurance it doesn't make sense (to us). Are you still able to claim the cost of the medications and blood tests if purchased at local drug stores and clinics?

Also, you hear about copies of the original drugs being sold at local drug stores which may not do what they are supposed to, has this ever happened to you or anyone you know?

Posted

This thread really addresses two important issues. The high cost of hospital pharmacies. There are sound reasons why hospital pharmacies are more expensive the world over and certainly in a profit oriented hospital it is a license to steal.

Physicians attitudes are another issue which, to me, are exacerbated in Thailand and runs through the entire Thai society.

Yes many Thai doctors treat their patients as specimens, very much like the old style doctors in the west who weren't given courses in client communications and bedside manner.

In addition to this old style attitude towrard patients is the Thai penchant for the "professional knows best" attitude.

Many hair cutters ignore what the client wants and cut the hair the way they want, based on the philosophy that they know best, they have the certificate, education and the client doesn't so how could the client know better. I see it at every level of Thai society and government.

There was a big push in the U.S. at the turn of the century among many professional groups to re-orient their members to a "service" oriented delivery of services. The new century push was that the customer was always right and service was the answer to developing business and keeping it. Most complaints from clients or patients of professionals was the lack of customer service and the lack of this form of service was at the basis of most of the malpractice claims agains professionals by survey.

During my most recent hospital visit and two surgeries, I deliberately ingratiated myself with my surgeon and the key nursing staff upon who I depended, but maintianed by own independence in monitoring my treatment and catching their mistakes. When short of patience, i would await a different nursing staff person to get accomplished what others had missed rather than confront the one who missed something, forgot somehting or rendered treatment to me without knowing much about my injuries, ie. not know which leg was injured, etc.

We must all work with what we have and since we are forewarned, we are forearmed not to be trusting when it comes to our health until the health care provider has proven his reliability. It sure helps to insist on doctors who were trained in the west, as a starting point in a hospital emergency setting. Certainly a high level of English language proficiency is a must in my view.

Posted
Taxexile, I have often thought about buying medication at the local drug stores, but since it is already covered by medical insurance it doesn't make sense (to us). Are you still able to claim the cost of the medications and blood tests if purchased at local drug stores and clinics?

Also, you hear about copies of the original drugs being sold at local drug stores which may not do what they are supposed to, has this ever happened to you or anyone you know?

if you are covered by insurance then it wont make any difference to you , but i am not covered for medication costs .

the prices at local stores are often as high as in the hospital (bumrungrad) , but i was advised to go to one of the huge pharmacies opposite siriraj hospital , and i found what i needed at half the bumrungrad price. these pharmacies are busy busy busy , and i am confident that as far as they know , they are not selling fake drugs , i assume that the importers they use actually import from the companies that make the drugs , rather than from indian or chinese agents. the drug i needed was a specialist medicine , not in great demand , and i doubt if it would be worthwhile faking it.

at least i hope not.

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