The
Boomerang November 2017
DUTCH HEALTHCARE: PAY TO PLAY? by Ingriin Rääk
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t’s a Thursday night and a bunch of us are biking from a friend’s place to town. One of my friends accidentally drives into a car and falls, ending up with a concussion and bleeding from her head. The first thing I do, after helping her sit up, is ask my Dutch friend to call the ambulance – I mean, that’s what you’re supposed to do in that kind of a situation, right? The friend calls and talks to them what seems to be forever just to end the call and tell us that the ambulance is not going to arrive and if we really want to get our friend checked we can take a taxi
erlands.
Another example. Just a week ago, a friend of mine runs into another friend, they both fall pretty bad and end up having severe concussions. We call an ambulance. My friend is conscious, but the girl she ran into is out for a solid minute. We get the response we were expecting – are the girls breathing? Yes? Ok, we are not We’re taught that the emerplanning gency room of the hospital is on coming. I am beyond angry. We get my friend always there for you. inside to see if she’ll get better while the other girl is taken home by her and drive to the hospital ourselves. I am friends. My friend doesn’t get better. Quite surprised by the answer but alright, the fall the opposite – she starts throwing up. And was not too bad, we take the taxi and drive she doesn’t show any signs of stopping. The to the hospital. At the reception desk, the amount of time it takes from the moment only question the receptionist has for us is we realize she might choke on her “what’s her social security number.” vomit to the point an ambulance This is a problem – my friend is an finally arrives? More than 1,5 international, like me. I am losing hours. First, we were told my patience – can’t they see that to come by taxi. We call she’s bleeding from her head? the taxi when my friend Couldn’t we figure this out later suddenly starts foaming at and let her pay and see a doctor the mouth – now an ambunow? After a good quarter of an hour lance has to show up. We hustling with the moody receptionist call the ambulance again. whilst my concussed and bleeding When they finally arrive, friend is trying to figure out the t h e social service number issue, they finally allow her to pay upfront.
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I’m left wondering if this is the norm in the Neth-
Cover Article Illustrations © Lotte Schuengel
doctor yells at my barely conscious friend for mumbling. The buff ambulance guy watches as we can barely hold the girl anymore. When she throws up again, he smiles insolently. They end up leaving us with the girl. In the rain, we push her back to her unit on a table with wheels. Both the ambulance and the campus security people stand and watch. The Dutch mentality Depending on where you come from, this might sound like whining to you. Where do I get the audacity to complain so much? In my country, I cannot imagine a situation where the ambulance would refuse to show up. They might take longer when they know it’s not a life-threatening situation, but they’ll always show up. They’ll also never ask if you have health insurance – immediate medical help is always free. I’ve called the ambulance several times back home in Estonia. We’re taught that if you suspect that something serious might have happened, the emergency room of the hospital is always there for you. It puzzles me that a progressive and rather “socialist” country would have such a cold mentality towards immediate medical help. Does the difference in the mentality and priorities of a nation lie in the historical background? Has going through the communist era made some countries – like Estonia – inherently more focused on solidarity and egalitarianism? It is an interesting idea to play with.
in this edition… • The Usual in Return • A Night at the Rotary • Social Pariah or on Exchange?
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• Bar Brawl – Zwarte Piet
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• Leave School, Go Walk
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• Memes Have Changed My Life
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