Nov 27, 2009, 4:17 PM
Post #10 of 11
My understanding of how these laser eye centers work is as follows. The "slice and dice" laser machines are leased by the professionals due to the excessive cost of the machine and the fact that a replacement device (which is likely bigger -badder -better - more expensive) you must know the rapid obsolescence cycle of technology now is down to something like - 11 months. That slice and dice machine will be OLD and possibly outdated before the year is over. The equipment maker charges a user FEE for each surgical procedure and that is part of the physicians charge - I have no idea what that is?? On top of that, the provider gets a % too, plus his/her professional fee.
Re: [Hound Dog] San Pablo Centro Oftalmologico, Zapopan
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In Canada, apparently due to cost controls and MORE logical approaches to health care in general, especially "wellness care" they can NOT charge the EXCESSIVE lease fee for the machinery. This is why the procedure is 25-30% cheaper if you drive two hours north of Seattle into BC. Quite a few BC eye clinics advertise in the Seattle papers for this.
Dawg.......You've been SOB toooooooooo long now. You would NOT believe the charges here in the USA for health care now.
Example: About every six months I need to have a medical professional check skin for some 50 letter-latin-word that means "pre-cancerous lesions". Normally, I go to our local clinic here in Vancouver, WA and get my "spots and moles" frozen with liquid nitrogen, on top of my balding head (twice each year). Good care, somewhat rushed - but damn spendy! This past June, I had my dermo-treatment with a PA (physician's assistant) she does a thorough job of 'zapping' 15 small spots in less than 15 minutes and the charges were $418 USD (I know she looked at something under the microscope, right there in the exam room....... "ca-ching$$" and that fee was on the bill too).............. Now shift to Mexico..........when I am in Ajijic, I will call ahead and get an appt with Dr Teresa Ballesteros (think I spelled that correctly??) at the Maskaras Clinic. Wonderful woman dermotologist - GREAT DOC by the way!!! I have been going to her for 5 years when visiting Lakeside. Teresa spends a good 30 minutes - probably more and she NO DOUBT provides a more comprehensive exam with her little eye piece and flashlight that seeks out 'nasty' skin cells below the sub-something (top layer of skin) on my head, neck, chest, back........fee $68 dollars (it used to be $35) She's also insistent on explaining what to look for as these lesions change shape, size and color. She pulls out textbooks, pictures there are charts on the wall that demonstrate the likely changes. It is a great educational seminar on staying "WELL" and as a patient I feel as if I have received MUCH better care in Mexico.
I have the same appreciation for Dr Haro, the dentist too. Excellent care......... 1/3 the price or less. A dental cleaning and exam for $225 USD at home and $45 USD in Riberas. PLUS..... Dr Haro puts a micro-camera in your mouth and shows you any trouble spots as you look overhead on the monitor, explaining the situation in excellent English. Que bueno.
I get your POINT totally!! The professional care I have rec'd in MX is outstanding.
Yes I will retire here and live in both countries - various times of the year. (at least that is my plan..... I am not fond of the NW wet grey-shit winters - BUT love summer here). I will plan to have the medical maintenance care provided while I am in MX, whenever that is possible.
The other thing to consider...........you probably are not aware of this Dawg, as you have been SOUTH for so long......a typical medical deductible here in the USA has risen 5 - 10X for the average person. My Blue-Cross(medical) + United Concordia (dental) coverage DEDUCTIBLE (medical and dental) - family of three, is $8,000 dollars a year. YUP!! the first 8-G's comes right out of my pocket, before Blue-Cross or United C kicks in 5 cents. Gone are the days of $20 dollar co-pays etc. This is the NEW paradigm for health care here in the states and that is assuming you can get it and afford it. Many can not. I will clarify that this policy I have does make my premium less than $500 each month, and we are all quite healthy. But just 5 years ago I paid the same monthly premium and dedeductible was about $250 per individual. Big changes. And MORE likely to come quickly.
Clearly in my mind, health care costs will likely be the cause of most personal bancruptcies and could very well be the single issue that torpedos the US economy in the next 15 years. Just look at the obesity stats..........amazing. This topic WILL BE a train wreck no matter how it plays out in Washington DC.
Sorry I have NO hope on this one, but at least I will be able to see that speeding train coming at me with 'clear vision'......after the eyes are tweaked. Hopefully this won't be a paella experience!
"NOT ALL WHO WANDER ARE LOST...."