This is the best of times here at our little home in the Philippines. The bad storms are gone, it hardly rains at all, the days are hot .. but not candle-melting hot and the nights actually border on cool at times. And when I go out with Otto the Wonder Dog at around midnight, before we both go to sleep, there are strange bright points of light in the sky … I think they call them stars … most of the year you never see them at night through the clouds and murk. The brilliant stars of Orion’s belt are almost directly at zenith around midnight now .. he’s been marching into view over the eastern horizon, visible from time to time for several months now, and within another month will be replaced by Canis Major and the huge glaring eye of Sirius as Orion sinks further and further westward. It’s no wonder the Navajo people called Orion the “Keeper of the Seasons” because he always appears to usher in the new year and starts the cycle of seasons over again.
OK, star philosophy aside, December always seems to present some medical challenge or another around our house.
Hopefully this year’s one is already nearly resolved, but I thought I would write about it for you anyway, as I frequently get questions from readers about the prices of medical care here, how people protect themselves from skyrocketing costs, and what Americans can do to counteract the fact that Medicare (which sometimes seems the most powerful political force in the USA) does not provide coverage for US citizens living overseas. And of course, the Affordable Care Act (Obama Care) doesn’t apply to me living here either … I’ve never even been on the infamous government care website.
Well let me set the stage by introducing you two a couple articles I wrote some years ago when my dear mother-in-law was still with us.
I’m including these as a sort of background to show you how different the medical pill buy provigil online scheme is here, how much more empowered you’ll be here, not being barked at by pushy administrators who act as if the own you because you are covered by their medical plan, and how little medical care really costs here. Take a few months to read:
and its follow-up, Christmas Medical Odyssey — Part 2
But those prices aren’t 2013 prices
No, indeed they are not. Let’s take a look at prices just outside the Metro Manila border in December, 2013.
A few days ago my wife woke up with pain in her side, pain upon urination and some other indicators that she probably had a problem with an infection.
Because of several reasons I won’t go into here, neither she nor I actually have what you would call a regular family physician. If we need to see a doctor, we normally do something which most American medical practitioners would throw a hissy-fit over. We just get in the car and drive to the emergency room at the local hospital. Which is just what we did.
I dropped my wife at the emergency room entrance, parked my car (free parking) at the other side of the hospital’s parking lot, and by the time I walked back in the door my wife had already been seen by the head nurse/triage nurse and was in the restroom (Comfort Room) producing a lab sample.
In five minutes a technician had run the sample to the lab (to speed things up) and my wife was instructed to walk (about 50 feet) to the Hospital Cashier and pay the lab test fee. She did this (P100 or about $2.26 USD at today’s rate), and then returned to her seat with me in the waiting area of the ER.
In a few minutes the messenger came in, placed a report on the doctor’s desk and in a couple minutes the doc called my wife over to discuss the report. he suspected she has a non-specific urinary infection. Standard vital signs and other indicators are all fine and his recommend course of treatment is a week on antibiotics, a pain killer and some natural diuretic medication followed by another lab test next week. Done. See you next week. Drum Roll Please: The Bill: P330, Emergency room and doctor’s professional fee. About $7.47 USD.
We were done in well under an hour, total. Drove to one of the many Mercury Drug stores on the short trip home and paid the expensive part. P1300 or about $29.40 USD for the three mediations. I’m very happy to report that my wife felt much better almost immediately after taking the pain medication, and everything “system-wise” seems to be clearing up fine.
As you can see if you read the background articles I linked to, not very much has changed at all in the past few years.
That amounts to the sum total my wife (and I) have spent in actual medical care for all of 2013 … thank the Good Lord.
Can you see now why we just don’t worry all that much about medical expenses in the Philippines. How much have you spent just in Medical/Hospitalization insurance in 2013 alone? Does paying the world’s highest prices for the world’s 37th best-rated medical care make you feel more secure? Good, that’s great, because everyone should operate at the level of comfort which makes them happy.
But for now, again, Good Lord willing, my wife and I will just keep trucking along here in our little “third-world’ paradise and investing the money we other wise would have given away to the insurance company legal masked highwaymen. And no malfunctioning government web sites or surly government employees have even been close to spoiling our days her. So many of my fellow Americans seem to be addicted to lining up for more and more of this treatment. I wish you the joy of it. To each his or her own.
Jay
Hi Dave,
Nice article! We were visiting Bohol a couple of years ago when our younger son developed difficulty breathing. We rode the jeepney to Tagbilaran City and went to a Pediatrician that one of my wife’s sisters recommended. We took a number and waited on plastic chairs for about 45 minutes. We saw the pediatrician and she was excellent she diagnosed the problem gave us a prescription and told us how to keep our little guy well. The grand total for this visit was 200 pesos, less than $5. We were very happy with the care we received and I carry the receipt in my wallet because it has her name and phone number on it and to remind me of the experience.
The cost of routine care is low in the Philippines because most people have to pay cash for it, so there is competition. Also wages are very low even for medical professionals. The bad side of course is if you have something seriously wrong and you cannot pay or a serious problem in a remote area.
Davs Starr
Hi Jay,
Thanks for your comments. You point up one issue that very few seem to think about .. there is a HUGE difference in the quality of care you will get depending upon where you live. Even here right outside Manila itself we are used to having hospitals say, sorry we can’t give you an x-ray or an ultrasound because our machine is “busted”. Inside Manila you can get care at least as good as anywhere in the world (if you pay for it) but living out in the country you can not expect much.
Rick Heath
I was just there for 4 months and will be returning in 1 1/2 weeks. Being a heart transplant person I did a lot of homework before I came. I found an excellent doctor who was familiar in all aspects of transplantation. My office visits here in the states are $225.00 and his were $25.00. One of the immunosuppressant medications I take costs $13.75 a pill at Mercury and here the exact same med is $250.00 per pill. St Lukes, Global City is as clean and nice as any hospital here and in some cases has better equipment. I was very pleased with the health care and my mind was at ease knowing they could take just as good care of me as there but at a much lower price.
Davs Starr
Thanks for that report, Rick. It helps give people the whole picture.
PalawanBob
St Luke Hospital is where the rich and famous of the Philippines go when they need medical attention.
It’s the best of the best of this country.
Heinz Schirmaier
And St Luke Hospital is where? anybody know of a doctor in the Antipolo area that xpats go to and trust? I have a friend in Antipolo who desperately needs various tests. Any info would be appreciated, thank you.
Davs Starr
If you spend your time looking only for places foreigners go to, you will spend a long time searching. We foreigners are but a very tiny segment of the population. Antipolo is commuting distance to Metro Manila, so any of the “name brand” hospitals like St Luke’s, The Medical City and many others are in easy commuting range.
Davs Starr
It is also one of the very few US accredited hospitals and is the one US personnel from the US Embassy and other US employees go.
Heinz Schirmaier
Thanks Dave.
I did a little research and also came to the same conclusion. They have also a Gastroenterology Dept. and this is one of the things she needs to have checked (twisted bowel I think) has had it since childhood and now is 31 and getting worse.
I already informed her to make an appointment and reluctantly she has. (Too expensive she said). Told her you get what you pay for, besides, I’m the one paying for it!
Bob New York
I was hospitalized here in the USA in Feb 2012 with Pneumonia. 12 days in the hospital. My insurance company was billed $83,000 ( thats right Eighty Three Thousand ) by the hospital. My insurance company paid the hospital $32,000 and I had to pay about $1200 in co-pays. I think just the private room charge was $750 per day !
About 10 months later while on vacation in Iligan City Philippines for some reason I got Pneumonia again or maybe a re-occourance of what I had in February. I had researched hospitals in this area several years prior to this so I knew where to go. I was in the hospital for only 5 days, a private room for the equivalent of $52 ( thats right Fifty Two Bucks ) a day and I ” enjoyed ” the personal care and attention I received there. You can read the details including a view of my Philippines Hospital Bill here
http://liveinthephilippines.com/hospitalized-in-the-philippines/
Davs Starr
Thanks for that information, Bob. The costs are amazing. When one of my wife’s uncles was hospitalized in Suibic, Zambales, the brand new very well run hospital he was in, Our Lady of Lordes, ws charging P1200 per day for a private room (with a view of Subic Bay, air con, private bath, 2 beds (one for the ‘bantay” and of course three decent meals a day. Cheaper than any hotel win the area with equivalent accommodations …and they didn’t include meals.