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01 Mar 2017 9:20 PM by windtalker Star rating. 1935 posts Send private message

The Nigerian health tourist is a very easy one to sort out just don't give them a Visa unless they can produce a comprehensive health insurance from a recommended company ..... As far as health tourism from the EU is Concerned that will take another 2 years to sort out and as soon as the Brexit kicks in we can introduce a Visa system and insist no insurance no Visa and if they do manage to get into the UK without insurance make the travel companies responsible for the NHS bill. Simple our NHS will get sorted by the private insurance claims it makes.

 


This message was last edited by windtalker on 01/03/2017.



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01 Mar 2017 9:25 PM by bobaol Star rating. 2253 posts Send private message

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And when the EU countries insist on that for the British going there? Looks like the booze cruise across to France will stop in more ways than one.

 

 





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01 Mar 2017 9:31 PM by Elsietanner Star rating in Alicante & New York. 164 posts Send private message

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surely these cards are only for us in the UK, or are they?

I think each EU country can issue it’s citizens with an EHIC.

 

Its called the ENGLISH CHANNEL not the BLOODY EU or FRENCH channel 

Yes and that bloody lot have been stealing our kippers for years.



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01 Mar 2017 9:44 PM by windtalker Star rating. 1935 posts Send private message

Boboal apparently .if you are injured in the EU and you only have a EHIC card and no private insurance you will have to rot in the EU as the EHIC card will not fly you home in a air ambulance like a private health insurance will.





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01 Mar 2017 9:52 PM by robertt8696 Star rating in Midlands, UK. 479 posts Send private message

Elsietanner, you mean once Brexit kicks in we will all be done up like a kipper!

 





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01 Mar 2017 10:35 PM by hugh_man Star rating in Kent/Roda . 1593 posts Send private message

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Robert

The clue was in my comment.

The experts suggest that the cost of adding in and maintaining an effective charging system, would work out more expensive than the potential returns we would benefit from in any recovery.

I can't guarantee this is fact but it may well be worth investigating rather than blindly saying

"someone should do something about our NHS"

Perhaps if you or anyone has the answer you should offer your services to run it.





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01 Mar 2017 11:16 PM by Elsietanner Star rating in Alicante & New York. 164 posts Send private message

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The experts suggest that the cost of adding in and maintaining an effective charging system, would work out more expensive than the potential returns we would benefit from in any recovery.

So how can skint Spain and the rest do it.



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01 Mar 2017 11:50 PM by hugh_man Star rating in Kent/Roda . 1593 posts Send private message

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They developed their systems with a charging element as most EU countries make some sort of charge in their systems.

As I stated in my first posting.

The NHS system was never developed to charge.....





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01 Mar 2017 11:58 PM by robertt8696 Star rating in Midlands, UK. 479 posts Send private message

Hugh the NHS was never developed to charge UK PATIENTS, any others should be paying their debts. I am sure , like any business, the NHS has a mechanism for calculating costs of treatment, and subsequent charges for treatment rendered? The NHS might not charge in the traditional sense a business does, but its spending  IS audited, as the hospitals have to justify their expenditure to central government . It is this information that should be used to bill out chargeable work completed. 





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02 Mar 2017 12:01 AM by robertt8696 Star rating in Midlands, UK. 479 posts Send private message

Hugh, one more thing, maybe i could run the system better, but as the government and its cohorts are riding the gravy train, i dont see myself being added to their priveledged employment





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02 Mar 2017 12:16 AM by bobaol Star rating. 2253 posts Send private message

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Perhaps the failed introduction of the NHS computer system back in 2013 which cost £12 billion before being scrapped may have something to do with it. 

Those Nigerian (or Kenyan or Zimbabwean or whatever) women who turn up pregnant have to be treated in UK as pregnancy is classed as an emergency. Unless you want loads of pregnant Africans giving birth in the streets it will continue to happen. Personally I would fine the airline that brought them in for allowing them to travel in their 3rd trimester. Maybe then they won't be let on the planes in the first place. That, though, has nothing to do with UK leaving the EU and will not stop after UK does leave. Neither will allowing families from SE Asia to come in stop either.

Case in point. Indian chap living in the UK kept coming in to say his mother (over 70) wanted to come and join him in UK and asked the doctor for a letter saying she would get better treatment in UK and would benefit living with her son which the GP did. In comes Mum despite being able to travel back and forth to India on a regular basis. 

Another one. A Jamaican lady registerd with the practice and given at least 8 lots of meds, all free of course, Her daughter would come and collect the prescription and was sending the stuff out to her Mum who had gone back to Jamaica years before. Each year, when the repeat prescription was due she would visit her daughter, visit the GP for re-authorisation and toddle back to Jamaica. Free prescriptions courtesy of the UK taxpayer.

Again, none of this is going to stop after Brexit.

 





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02 Mar 2017 12:37 AM by hugh_man Star rating in Kent/Roda . 1593 posts Send private message

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Robert

 

I am only repeating what professionals in the Healthcare Provision business have told me.

The cost of including and maintaining a charging element would be more than what the NHS could recover, therefore not viable but they can tell us plebs that because we would be horrified and not believe it, just like you.

Private Health providers have systems that are set up to charge, just as many EU country systems.

Go delving to see if my informant is telling the truth, I have no idea if they have any way of billing out for work done but I have no reason to believe he is wrong.

The NHS was not created as a business it was set up to treat patients free at the point of use NOT to charge them, unlike Spain and France who make SOME charges to users. Their systems were NEVER free.

The Spanish hospital which treated my heart attack had a note of my EHIC card details and could bill the UK NHS for the services it provided for me in saving my life.

Money well spent by the NHS IMHO.

A system that makes some sense and logic suggests we could and should do the same in UK IF only we had a charge based system.

Auditing spending and costs is a completely different thing to developing a charging system, especially when no one knows the real cost of treatment, of course approximate figures an be worked out for cost of a consultation, hospital bed or an operation but currently the software is NOT in place to pass on a charge or invoice to the user.

Tagging on Sage or Cashbooks is not really an option and would create an uproar as being suggested as privatisation, god forbid.

Sorry but I don't agree that working for the NHS is a gravy train or privileged.

You want a gravy train, just look at EU MEPs and Trade Commissioners and all the hangers on.





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02 Mar 2017 1:37 AM by tteedd Star rating in Hertfordshire & Punt.... 990 posts Send private message

Anyone know what happens in Spain if as a foreigner you are seriously ill or injured do not have an ehic or insurance and are not in a position to pay.

I know someone in this position who was taken to a private hospital but was able to pay, but what if you can't?





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02 Mar 2017 1:40 AM by ads Star rating. 4124 posts Send private message

https://www.gov.uk/government/collections/nhs-visitor-and-migrant-cost-recovery-programme

86 page final report for those interested in seeing conclusions reached following a two year review and evaluation. ( 6th Feb 2017).

 


This message was last edited by ads on 02/03/2017.



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02 Mar 2017 8:16 AM by hughjardon Star rating in Jaywick Sands. 418 posts Send private message

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GOD DAMN LORDS 

Who do they THINK they are STOPPING the WILL OF THE PEOPLE

I am travelling to LONDON to PROTEST and discuss my situation at LBC radio 

Love Hugh xx 

 

 


This message was last edited by hughjardon on 02/03/2017.

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02 Mar 2017 8:26 AM by Mickyfinn Star rating in Spain and France. 1833 posts Send private message

Every EU citizen is entitled to be issued with an EHIC on request. Mine used to be issued by the French but the EU changed the rules a couple of years ago. Now the national’s state issues them no matter where you are registered and receiving healthcare within the EU.

There is no excuse for an EU citizen to be in the UK without this card and treatment should be refused as a matter of course as it would be elsewhere in Europe.

It is an effective method of ensuring reimbursement between states of any costs. The EHIC is a specific treaty arrangement within the EU and is at risk for the British after Brexit unless it can be negotiated for continuance.

Baz – The English Channel is called La Marche in France and currently the British border frontier is in Calais on the Le Marche coast of France.

Hugh - The Lords ar not challenging the will of the people they are seeking an ammendment to protect the human rights for EU citizens in UK. That right did not form any part of the referendum vote.


This message was last edited by Mickyfinn on 02/03/2017.

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02 Mar 2017 8:34 AM by Tadd1966 Star rating in Los Montesinos. 1754 posts Send private message

Mickyfinn

I agree but would add there is no excuse for a uk citizen not to have an ehic card whist in any eu state on holiday

Then again you get many expats who live under the radar in spain and rely upon and or abuse the ehic system as a way of getting treatment

We did have one visitor here in spain a few years ago who did not have an ehic card and had to go to hospital they accepted his uk passport and treated him 

Best thing that should happen for the eu is a centrally funded state health care with a high priority giving all eu citizens high quality state health care to all 

What is more important than the health of the citizens and providing the best for all



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02 Mar 2017 9:15 AM by windtalker Star rating. 1935 posts Send private message

Tadd1966 if you intend living in Spain as  full time residents and are under pensionable age the EHIC card from the UK cannot be used in Spain or any other country if you have chosen residence you must pay into that countries NI system through work related NI payments or take out private health care.





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02 Mar 2017 9:19 AM by baz1946 Star rating. 2327 posts Send private message

Baz – The English Channel is called La Marche in France and currently the British border frontier is in Calais on the Le Marche coast of France.

Thanks for that information Micky....

Even though it wasn't me that queried it,  don't even know where you got it from, or thought it was me.





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02 Mar 2017 9:44 AM by Elsietanner Star rating in Alicante & New York. 164 posts Send private message

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Healthcare in some countries is big business. For example in Thailand there are many 5 star private hospitals. It’s either credit card or insurance details. And they take the insurance companies for a right ride. Gallstones removal £8,000. Shoulder ligament repair £10,000 and that was 5 years ago. It’s a profit making industry, the UK has a lot to learn.



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