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43Inches 22nd Oct 2022 01:26


Originally Posted by WingNut60 (Post 11317670)
Immediate admission at Bumrungraad or queued for five hours in an ambulance outside Royal Perth Hospital?
Hmmmm....? Which one should I pick?

Or, which one is third world?

To be fair Bumrungraad is a private hospital, RPH is a public hospital. If you have private insurance in either place you can skip ambulance queues and go to your private of choice. The major difference is in public hospitals.


The Difference Between Public and Private Hospitals in Thailand


The difference in Thailand between public and private hospitals is not so much about the quality of healthcare, especially in the larger cities, but more about ease of access and overall comfort. For a Westerner, it is easy and straightforward to make an appointment at a private clinic or hospital. A public clinic or hospital will generally require a first-time visitor to walk-in before being able to make appointments. Seeing a doctor on the same day without an appointment for a non-life-threatening condition generally requires arriving at the clinic between 6 and 7 in the morning. Once admitted to a public hospital, the conditions are much less comfortable than in a private one, with many more beds to a room, and often with outdated equipment and facilities. In rural areas, public hospitals may not have the equipment or specialists capable of handling major trauma injuries or severe illnesses. For some, this means choosing a permanent location in Thailand that allows access to Bangkok’s hospitals. For those who must make use of Thailand’s public hospital system, but want to avoid the long wait times and have access to nicer facilities, it is worth seeking out purchasing private medical services or using premium clinics within the government-run system.

43Inches 22nd Oct 2022 01:34


Originally Posted by Gnadenburg (Post 11317674)
An Aussie holidaying in QT probably doesn’t realise that come a jet boat or skiing accident, medical care would be better in metro- Manilla. Not going to argue with you and your creative scenarios as I know both places very well. QT is loaded with high-net worth Aussies avoiding tax on their foreign businesses. I take the piss out of them, exposing themselves and family to Third World medical risk for dollars they can well afford not to have.

The argument is not whether the care is available there, but what time frame it would arrive. As long as there is a good paramedic service with fast transit via air service to a major hospital you will be a lot better off. No country has perfect hospitals designed for major trauma in every town, but having fast access to first aid, stabilising treatment, followed by quick transit to the required treatment is key. QT is not really comparable, you have many options available for quick evac. Get sick in somewhere like Fiji, and your closest decent hospital is in Australia or New Zealand, and the local paramedics (if they even have them) and hospitals are haphazard to stabilise you at best.

The paramedic/ambulance service is another thing that you would have to add in, no point having the best hospital if you have to get yourself there in an emergency. Reminds me of the woman in Bairnsdale that had her whole face ripped off by a milking machine that grabbed her hair, fast paramedic attendance and rapid transit to Melbourne meant she survived and had her face reattached.

I mean you could argue all the billionaires living in Portsea in Victoria are miles from hospital access, except that a paramedic will attend in minutes and then helicopter have them in the city in mere minutes.

At least Phillipines has a single emergency number now which is only about 5 years old using 911. Even then it's recommended you have the number of a local private ambulance provider for timely attendance.

WingNut60 22nd Oct 2022 01:49


Originally Posted by 43Inches (Post 11317676)
To be fair Bumrungraad is a private hospital, RPA is a public hospital. If you have private insurance in either place you can skip ambulance queues and go to your private of choice. The major difference is in public hospitals.


As far as I know, it is NOT possible to skip ambulance queues for ED admissions at any hospitals in WA

No strictly private hospitals (or joint private / public) that I know of even have an ED in the true sense of the word.


Eclan 22nd Oct 2022 01:59

It sounds like an argument over assisted death, does he really want to die or is someone influencing him? Why does one guy's decision to make his own choices on a place to live bother some people so much? It's bizarre.

Chris, it sounds like you're a big boy and you made big boy decisions. That seems to frighten some people but you should enjoy yourself and feel free, in the worst case, to make full use of our medical system that you helped pay for, when you need it. That's a right you don't even need to earn, it's part of our system. In the meantime enjoy the many amazing aspects of life there and ignore the rants of people who've never set foot outside Australia apart from Bali and assume anyone else is a paedophile.

Anyone else in need of the comfort of a nanny state, needing to live on the taxes of "rich pricks" richer than you, don't venture out, stay home and watch Q&A to reinforce your beliefs.


Originally Posted by WingNut60 (Post 11317670)
Immediate admission at Bumrungraad or queued for five hours in an ambulance outside Royal Perth Hospital?
Hmmmm....? Which one should I pick?

Or, which one is third world?

Good point, Wingnut, and they probably have first rate internet, too.

43Inches 22nd Oct 2022 02:00


Originally Posted by WingNut60 (Post 11317681)
As far as I know, it is NOT possible to skip ambulance queues for ED admissions at any hospitals in WA

No strictly private hospitals (or joint private / public) that I know of even have an ED in the true sense of the word.

It depends on the treatment, heart attack needs a cat lab, more and more privates have private cardiac wards now that the ambulance can offer to take you to such ERs if the public is busy. Hollywood/Ramsey in Nedlands is one of these.

Ambulance ramping is when the ER ward is full and no suitable alternate is available, so if options are available to treat a patient they can go there.

Shortages of ambulances in Australia are more a cultural issue, mostly occurring on Friday/Saturdays due to drunks, drugs and other weekend reasons.

43Inches 22nd Oct 2022 02:03


Originally Posted by Eclan (Post 11317682)
It sounds like an argument over assisted death, does he really want to die or is someone influencing him? Why does one guy's decision to make his own choices on a place to live bother some people so much? It's bizarre.

Chris, it sounds like you're a big boy and you made big boy decisions. That seems to frighten some people but you should enjoy yourself and feel free, in the worst case, to make full use of our medical system that you helped pay for, when you need it. That's a right you don't even need to earn, it's part of our system. In the meantime enjoy the many amazing aspects of life there and ignore the rants of people who've never set foot outside Australia apart from Bali and assume anyone else is a paedophile.

Anyone else in need of the comfort of a nanny state, needing to live on the taxes of "rich pricks" richer than you, don't venture out, stay home and watch Q&A to reinforce your beliefs.


Good point, Wingnut, and they probably have first rate internet, too.

I think you have a big issue with what is general advice/reality vs being told not to do something. It's more that you don't like what the reality is and are annoyed that someone else has a contrary view. I really don't care what you choose to do, just don't say somethings better or worse without facing reality, people will disagree with you. Nothing has been said other than insults to tell me I need to reconsider my opinion, I haven't once said that they should not live there, or go there, just pointing out the realities of third world living and not doing so at the cost of others, whether locals or Aussie taxpayers. Don't care if you've worked hard, so have the rest of us.

MickG0105 22nd Oct 2022 02:11


Originally Posted by WingNut60 (Post 11317681)
As far as I know, it is NOT possible to skip ambulance queues for ED admissions at any hospitals in WA

No strictly private hospitals (or joint private / public) that I know of even have an ED in the true sense of the word.

The Ramsay Private Hospitals at Nedlands and Joondalup and St John of God Private at Murdoch all have properly kitted out EDs. As you'd expect, it's not free. For obvious reasons there's currently a trend in private hospitals offering that level of service.

Eclan 22nd Oct 2022 02:45


Originally Posted by 43Inches (Post 11317684)
I think you have a big issue with what is general advice/reality vs being told not to do something. It's more that you don't like what the reality is and are annoyed that someone else has a contrary view. I really don't care what you choose to do, just don't say somethings better or worse without facing reality, people will disagree with you. Nothing has been said other than insults to tell me I need to reconsider my opinion, I haven't once said that they should not live there, or go there, just pointing out the realities of third world living and not doing so at the cost of others, whether locals or Aussie taxpayers. Don't care if you've worked hard, so have the rest of us.

He never said it is "better" but simply implied it is better for him.

You don't care what anyone chooses to do? One guy says he moved overseas and it's the best move HE ever made and you're now 25,000 words into some serious ranting dragging in medical care, hospitals, terrorism, taxation, paedophilia and child-abuse, money-envy and general entitlement with yourself as the adjudicator on what's allowed and what isn't.

You are plain-wrong about the Aussie system covering him. Now you're complaining about being insulted but if you're going to be some kind of self-designated font of knowledge and opinion on all things, sorry, but you need to take the lumps when you get it wrong on all counts including simple comprehension of the original post!

You DO care if he's worked hard because you've cast aspersions on his taxation responsibilities. It's a bit late to go back on that now. You have some serious issues with tall poppy syndrome not the least of them. Take a week in the Boracay and unwind and see the place for yourself, then come back and rant with at least some basis in fact.

43Inches 22nd Oct 2022 02:58


Originally Posted by Eclan (Post 11317694)
He never said it is "better" but simply implied it is better for him.

You don't care what anyone chooses to do? One guy says he moved overseas and it's the best move HE ever made and you're now 25,000 words into some serious ranting dragging in medical care, hospitals, terrorism, taxation, paedophilia and child-abuse, money-envy and general entitlement with yourself as the adjudicator on what's allowed and what isn't.

You are plain-wrong about the Aussie system covering him. Now you're complaining about being insulted but if you're going to be some kind of self-designated font of knowledge and opinion on all things, sorry, but you need to take the lumps when you get it wrong on all counts including simple comprehension of the original post!

You DO care if he's worked hard because you've cast aspersions on his taxation responsibilities. It's a bit late to go back on that now. You have some serious issues with tall poppy syndrome not the least of them. Take a week in the Boracay and unwind and see the place for yourself, then come back and rant with at least some basis in fact.

There you go a rant of insults again with nothing meaningful at all. I actually don't care at all about what he's done as you have completely misunderstood that none of my comments are aimed at this mysterious person you are talking about and are general in nature. You are the only one aiming at one person in general, its quite obvious.


You DO care if he's worked hard because you've cast aspersions on his taxation responsibilities. It's a bit late to go back on that now. You have some serious issues with tall poppy syndrome not the least of them. Take a week in the Boracay and unwind and see the place for yourself, then come back and rant with at least some basis in fact.
I think your assumptions are that I haven't traveled, in fact I've lived in many countries overseas, which is why I have a lot of knowledge about the local systems and processes. And can call out the BS naivity you pedal in the guise of somehow proving me wrong for your ego. I mean I've only talked about health systems, we could go into corruption and many other things, but you will just deny it exists. Of course there are wonderful places to visit overseas, go do it, I do recommend it, but will you find many places better than Australia to call your home and raise a family in an overall sense, good luck. After all that's what this argument is about.

I do hope you get your BP checked soon, you sound like a bitter person in general which is genuinely bad for your health.

ChrisJ800 22nd Oct 2022 04:18

Unsubscribing. Im off sailing on my boat here and flying ultralights. Ive been to a hospital and dentist here and yes i pay cash but its good value. Bye.

KAPAC 22nd Oct 2022 05:52

My son got sore throat and a temp , it’s 11 pm at night at the height of covid . Wife goes into full muma bear mode . In the next 3 hours we had two online consultations with a paediatrician who was home asleep , blood tests , pcr tests , helicopter on standby , a bed at St Luke’s Manila on standby and access to a 24 hour pharmacy .
2 am were told he’s got infected throat , cost came to about $40 Aussie . paediatrician said pay him when we see him next . I refused the helicopter offer and said I’d drive him if required as I know helicopters can be full IFR with auto land but all crewed by ex military and no IFR rating . That’s the difference , you got to understand the limitations and know where the threats are .

Bumrungrad is a fantastic hospital .

There are many Aussies here who will get no where near the average life span of an Australian male but Im confident to say if they where in Australia they would also have little chance of getting to the average either . Just an observation .




43Inches 22nd Oct 2022 06:09


That’s the difference , you got to understand the limitations and know where the threats are .
And that's all I've been saying, in regards to overseas living.

I mean St Lukes is still a private hospital, so it would be interesting the cost if you actually had to stay there and I'm sure the treatment would be fantastic. Also the medivac heli would have been a private service as well at cost. Not sure how much insurance covers everything though.

That being said everything you are talking of there would be covered by insurance in Australia or free if using the public services. Telehealth appointments, nurse on call etc, all free. Ambulance is paid for, but you can avoid that if you have simple ambulance cover , or comprehensive health insurance, or are a pensioner.

To be fair the Phillipines is not squarely third world, it just has developing country aspects, if you have insurance and or money you can live quite well, as Chris is doing from the sound of it. Would I trade Aussie lifestyle for life there, no, not my cup of tea. Are you better off there, I would still argue no, as there are many problems that can still ruin your day that just don't exist in Australia, and I don't wish to deal with it in retirement. Fill your boots if you do.

My major issues for me personally would be water quality and repeated exposure to Malaria and Dengue if you are there for enough wet seasons. At least the treatments for those are getting better.

KAPAC 22nd Oct 2022 06:32


Originally Posted by 43Inches (Post 11317740)
And that's all I've been saying, in regards to overseas living.

I mean St Lukes is still a private hospital, so it would be interesting the cost if you actually had to stay there and I'm sure the treatment would be fantastic. Also the medivac heli would have been a private service as well at cost. Not sure how much insurance covers everything though.

That being said everything you are talking of there would be covered by insurance in Australia or free if using the public services. Telehealth appointments, nurse on call etc, all free. Ambulance is paid for, but you can avoid that if you have simple ambulance cover , or comprehensive health insurance, or are a pensioner.

To be fair the Phillipines is not squarely third world, it just has developing country aspects, if you have insurance and or money you can live quite well, as Chris is doing from the sound of it. Would I trade Aussie lifestyle for life there, no, not my cup of tea. Are you better off there, I would still argue no, as there are many problems that can still ruin your day that just don't exist in Australia, and I don't wish to deal with it in retirement. Fill your boots if you do.

My major issues for me personally would be water quality and repeated exposure to Malaria and Dengue if you are there for enough wet seasons. At least the treatments for those are getting better.

Got to have insurance unlike Australia .

Gnadenburg 22nd Oct 2022 20:36


The argument is not whether the care is available there, but what time frame it would arrive. As long as there is a good paramedic service with fast transit via air service to a major hospital you will be a lot better off. No country has perfect hospitals
I wasn’t arguing, I was stating facts with empirical evidence. Aussies would be surprised at the lack of emergency facilities in Queenstown. I know people who have been driven to Dunedin in a very bad way, in private vehicles, due lack of emergency care. You are way safer in metro-Manila. It’s not what you’d expect front the adventure capital of the Southern Hemisphere. But hey, I can’t out-google you I can just go on personal experience.

We are way off topic anyways? As I said at the time and it seems we are getting sone reflections now of Australia’s COVID response, we should be nationally embarrassed.

Rataxes 23rd Oct 2022 00:36

Standby for a reply now arguing the definition of "argument."

Flying Binghi 23rd Oct 2022 00:51

Interesting…

“…Actuaries Australia estimate the increase in deaths in the first five months of the year was 12% higher than expected. They are the most conservative. The Australian Bureau of statistics (ABS) though calculates that so far in the first half of 2022 there were some 13,500 deaths more than the historical average. If they are correct that would be 17% above normal…”

https://joannenova.com.au/2022/10/10...to-talk-about/

Ladloy 23rd Oct 2022 02:34


Originally Posted by Flying Binghi (Post 11318234)
Interesting…

“…Actuaries Australia estimate the increase in deaths in the first five months of the year was 12% higher than expected. They are the most conservative. The Australian Bureau of statistics (ABS) though calculates that so far in the first half of 2022 there were some 13,500 deaths more than the historical average. If they are correct that would be 17% above normal…”

https://joannenova.com.au/2022/10/10...to-talk-about/

are tinfoil hats sold on the merchandise page of this website?

dr dre 23rd Oct 2022 03:12


Originally Posted by Flying Binghi (Post 11318234)
Interesting…

Not at all. There’s a rational explanation for that, and it’s has been reporting on openly by credible sources (in contrast to that conspiracy site’s “no one wants to talk about it” message).

Bascially Covid, long Covid complications and other infectious diseases. Not “vaccine injury”.

'No credible evidence' vaccines are behind rising Australian deaths


Global Aviator 23rd Oct 2022 03:48

I laugh at some of the medical comments re some places.

Google medical tourism.



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