▲ 209 r/AMA

I experienced three healthcare systems - Single-payer (Canada), Self-pay (India) and Insurance-paid (USA) and can contrast and compare them. AMA.

I am an Indian and lived for awhile in US and Canada before health reasons forced me to move back to India.

These three countries have very differently structured healthcare systems and basically cover the three major models of healthcare.

I have probably like 10+ experiences with US, Canada and Indian healthcare from emergency visits , elective surgeries, various tests, scans and visits to a range of doctors ranging from GPs to superspeciality consultants for various conditions.

I find that my experiences at odds with the prevailing narratives so thought it'd be interesting to do an AMA.

Keep in mind this is a middle class perspective - I cannot speak about the viewpoint for someone living at poverty level or ultra wealthy which are likely to be drastically different.

  • USA - Often gets correctly lampooned for how expensive it is and how hard it is to get insurance approval but you get the highest quality of healthcare in US - if you have something that isn't routine/straightforward or dealing with a difficult to diagnose condition, USA with insurance is where you want to be imho.
  • Canada - Often gets correctly praised for being free but if you have anything doesn't require life saving healthcare, you will have to wait a ridiculously long time for healthcare.
  • India - Often gets correctly praised for being affordable and having no/low wait times but it is very much a you pay for you get situation. The current knowledge and techniques lag 10 years behind USA or Canada, even at top hospitals and shortcuts are common because they make money on volume.
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u/Prestigious_Hope2082 — 11 hours ago

Symptoms always worst after waking up

My vestibular symptoms as well as headaches, suboccipital pain are always worse when waking up. They return to baseline after 2-3 hrs.

Even if I doze off for 5 minutes during the day, they worsen (though return to baseline is faster, like 5-10 minutes).

Been brainstorming certain things but nothing seems to be fitting

  1. Medication timings as I take them at night - but this was there before medication as well
  2. Glucose levels - but even a short nap affects it
  3. Sleep apnea - sleep study was normal
  4. Intracranial Hypertension - no signs found on MRI (except partial empty sella) or eyes
  5. BP dip - this could be .. but no way to measure BP dip during sleep (an automatic BP monitor would be too disruptive to sleep)

Anyone in a similar situation?

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u/Prestigious_Hope2082 — 6 days ago

Confused about interpretation of my tilt table test results

Link to observations - https://ibb.co/prj2sdmd

According to the doctor, during unprovoked stage observations were normal even though my BP and HR went from 120/80 and 88 to 90/60 and 66. Isn't 90/60 quite a low BP?

I felt horrible during the provoked phase with dizziness, nausea, profuse sweating, felt so hot and my vision blurred. So it was marked as positive for "Vasodepressor" which I don't know what exactly it means but doctor said BP of 60/40 is normal during provoked phase, just my symptoms made him mark the test as abnormal. He said to just drink more water.

I have had gradually worsening vestibular symptoms for a long time (off balance feeling, dizziness spells, pain in back of head and now headaches) that are worsened on movement, standing, even sitting and get better supine but never fully resolve.

Not looking for medical advice at all, just some thoughts so that I can decide which type of doctor to go to next for 2nd opinion with these findings (if you have any suggestions on this, please let me know).

u/Prestigious_Hope2082 — 26 days ago

What is the most likely starting XI for your country?

With all the squads announced, I thought it'd cool to see what the most likely starting XI of each country is.

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u/Prestigious_Hope2082 — 1 month ago

I was trying to buy these two books. I went to the links on Dr. Beh's website which go to Amazon but there is no option to purchase them (I'm guessing because I'm not in the US).

Not sure if it breaks the rules of this sub (please remove if so and I apologize in advance) but if anyone has the ebook of either or both of these two, would really appreciate it if you could send it.

Cheers from a longtime VM/PPPD sufferer at his wits end

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u/Prestigious_Hope2082 — 2 months ago