Wednesday, July 29, 2009

From East to West Part 1: Healthcare


We moved to Sweden in January, after a 2.5 year adventure in the Adriatic Beauty that is Montenegro. Bordering the jewel of the Adriatic, Croatia, Montenegro really is the best kept secret of the former Yugloslavia and in 2007 was named the fastest growing tourist destination in the world by the World Travel & Tourism Council.

Snow-capped mountains, blue waters and lush green vegetation abound. We packed up our life in Canada at the request of our dear Swedish property developer friend and headed to a country we knew virtually nothing about, excluding compulsory Internet searches of course. I was 7 months pregnant at the time but had sense and opportunity enough to fly back to Canada to give birth to the little guy.

I digress. I'll save the long story of our life in the Wild Beauty (cue Montenegro tourism commercial as seen on CNN) for another post. But after spending almost six months as a resident of Sweden, I thought it was about time to compare life in this Eastern European country (freshly independent from Serbia circa 2006) to life in one of the richest Western European countries. This will be a weekly series I believe, because there's too much to say and I don't know when to stop typing. So here goes,

From East to West Part 1: Healthcare
Montenegro
Highlights:
- If your employer will pay for it, you have access to free healthcare, though some specialists have private practices if you can afford it
-For 30 euro (well it was 20, then went up when she figured we were rich), we got a private pediatrician to make home visits for Joseph. Perfect. No waiting around in archaic waiting rooms with dozens of other sick and screaming kids. And when we were forced to go into the local health center for vaccinations, we were always first in line!

Lowlights:
-7 months pregnant and must undergo (and pass) full physical in order to get work permit. After running around all over the health center and various places in town to receive paperwork and stamps on said paperwork, we're ushered into the doc with the final say. We take our seats, look up to see this Santa Claus of a doctor lighting a fresh cigarette. In front of me. 7 months pregnant me. In a hospital. -When it was time to renew our work permits and undergo another physical, we each slipped $20 into our passports and voila! Clean bill of health. No tests necessary (maybe that's also a highlight?)
-Pediatrician once strongly urged us to use our vacuum cleaner to clean out kid's snotty nose.
The bottom line: If you have money, you get the treatment for better or worse.

Sweden
Highlights:
- Modern, state-of-the-art facilities and highly trained doctors. THE place to get sick.
- Free healthcare to every citizen (paid for by ginormous taxes). Though you do have to pay a "processing fee" of about 70 SEK up front for appointments.
- Short wait times: Caveat: Apparently, there's a lot of disussion in Sweden about long wait times but I personally have waited no more than 10 minutes, which could be explained by one of the lowlights (keep reading)or luck.
- When I've managed to get my son in to see a doctor (a rare occassion, keep reading), the doctor greets us BOTH with a handshake. Seriously..even my two+-year old. So cute and respectful.

Lowlights:
-Gestapo-like checkpoints are set up to prevent mostly everybody from getting an actual doctor's appointment. It's called 1177 and it's a number you call if you're sick. You explain your symptoms and the call usually ends with, "Oh, you don't have to see a doctor. It's just the flu. It's just a cold. If there's blood coming out of his ears, call us back." I come from a culture where we go to the doctor at the least sign of trouble, which likely contributes to the long wait times. "Take him to the doctor". But I can't. Oh I've begged and pleaded but the few times I've actually passed through the gates have been because I've blatantly exagerrated. And sure enough, nothing ends up being wrong. Go figure.
-I've gotten some MAJOR shit from Swedish friends over taking my son to the doctor too. "Jenn, he doesn't NEED to see a doctor!" Geez, Let the damn DOCTOR tell me that ok?!
Bottom line: They don't care who you are or who you know or how much money you have. We're all the same and receive the same.

3 comments:

Mon said...

Wait... a vacuum cleaner??!!??

You must have loved it here. They're such hypochondrics. See the Doc for every little thing. I didn't know Canadians were such doctor fans.

SwedishJenn said...

Yup, we are I'm afraid. And it's hell feeling like a bad mother because I won't (well really, can't) take my son to the doctor when he's sick. Then I get off the phone with 1177 and I have my mother and mother-in-law's dissaproving looks because i didn't DEMAND an appointment. Or I DO get an appt. and have to deal with dissaproving looks from Swedes. You can't win really. It's a cultural thing though. Interesting to see if from both perspectives.

SwedishJenn said...

And yes, I kid you not about the vacuum cleaner. Dead serious. Ask his nanny.