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Duncan MacDonald

  • After New Zealand, I have mixed feelings about copayments

    Duncan MacDonald's comment 27 Jun 2018 10:26am

    As a NZ trained GP working in Scotland ( for 15 years now ) I prefer the system here. There is variability in how much it costs a patient depending on the area you are in( more subsidy in poorer areas and for poorer patients-means testing),but sending bills to patients who couldn't afford them often felt wrong.Rural practice is better supported here ,it is not surprising that people choose to visit A/E and delay seeing a GP in NZ because of the cost. ACC (set up in 1974 )is an excellent system that benefits patients and doctors( reducing the cost of medical defence fees significantly) and avoids use of lawyers( usually ) with medical misadventure. It also should cover costs of treatment, and compensate for time off work following an accident.I feel the UK and USA would do well to consider such a system but suspect that there are too many lawyers in government to allow this.