225 out of 190 million well we would have to ger ChC to give a good number on that break down

My mother in law had surgery for cancer last month , she had been on the list for 8 months and had to travel from her home over 5 hours by buss and was postponed 4 times becaus someone more important family was jumpsd on the list .

each time she went she took friends and family members to give blod for her opration it was given but when it came time for her suregy she had none in her reserve . it seams it all went bad or some one lost it .

this is what PBO wants for the US a suck deal if you have no worth you have on medicen

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You have to understand that, in Brazil, the number of people who can't afford/don't have private health insurance is much higher than the number of people who can - actually that happens to be the vast majority. Thus, brazilian health care is always over capacity (because most people depende solely on SUS).
In America the number of people who don't have any health insurance is proportionally very small if compared to Brazil.
You can't simply apply SUS to America and assume it's going to be as bad as in Brazil, and I'm sure that's not what President Obama wants. Also, there is a whole bunch of other factors contributing to the brazilian health care burden, none of which related to the concept of the unified health care system. I actually believe that America has the potential to build the most well succeeded unified system to date. The problem is not with the unified health care concept, it's with the people who bring the concept to reality. That's what determines it's success.

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I actually believe that America has the potential to build the most well succeeded unified system to date.

So does Brasil. Years ago, they created a tax called ICMF (the name changed to CPMF later) with the idea of building a system very similar to the NHS of U.K. Unfortunately the tax revenue was used for every other project except for the Health System. The opposition successfully barred the extension of this tax for another 5 years in 2007, because of the misuse of the funds. There are renewed talks in the government about bringing back this tax starting 2010, but I do not think that it would be for the purpose of the Health System.

Brasil does not lack good professionals in health care area, nor the managerial ability to set up an efficient system. It just lacks the political will. As long as the politicians stand on the platform of "Saude", get elected and do nothing but waste the tax money, we can not set up a good system like NHS. I tend to believe that it is the same case in the U.S also, except that lots of Americans are going overseas for treatments and surgeries. Unfortunately, the ordinary Brasilians can not afford that luxury.

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Brazil has an overworked and underfunded system due to rampant corruption. We all know that "jeitinho" to jump the queue is used by those with a bit more financial resources. In Santa Casa, Rio de Janeiro, I have seen such thing happen.

The U.S. could have a good system but it won't because Congress has been bought by the Insurance companies and Pharmaceutical industry. The only way forward is to encourage competition, and as it is, we don't have a lot of choices. As the President said on his address to Congress, Alabama has one dominant and powerful health insurance company. Hardly a free market ideal.

Competition brings prices down.

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Just so you know, I have at least 3 doctors in my family, they all say that our doctors are very good, but they are, as I mentioned, overworked. Also, public hospitals in the city are bare and lack equipment and first aid.

Public hospitals in smaller cities do provide better care. For example, both my grandma and aunt got treatment in Quissama and the hospital care they received was excellent. Even in a complex system, there are still good hospitals in Brazil.

In certain healthcare areas like mental health, I think we have better treatment in Brazil. Here is all about medication, medication, medication. Therapy is extremely expensive and not always covered by insurance. Once a person is diagnosed with depression, she or he will likely be denied to join other insurances. Same goes for cancer and other diseases.

My son has a congenital problem and if my husband were to loose his job, we would either have to go back to the U.K. or Brazil. He would not be covered-even tough we pay a lot to cover our whole family.

There are pros and cons in every system, but at least in Brazil people still get something. We shouldn't compare Brazil and the US because the latter is supposed to be a First World nation. We should then compare the US with other industrialized nations.

Just check the rate of infant mortality in this country-it is appalling.

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here is my opinion

It is a joke.
225 for a population of 200 millions makes (rounded) 1 per MILLION !


BRAZIL PROBLEM IS....DIFFERENT !

- Overall Brazil has about the same TOTAL TAX TO GDP than developed nations. Thus it is not question of money or lack of money...but what is done with the collected money ! Simple as that !


In my country, health insurance is MANDATORY and not cheap. My monthly bill is US$ 520.- but included with the right for a rpivate room. Otherwise it would be about $ 400 !
Also bear in mind my age (59). Someone younger pay LESS.
And someone who wants to pay the minimum, meaning in a communal (about 6-8 people per room) would pay about
US$ 200-250 per month dependng of his age.

NOW
- someone who cant pay HIS health insurance would still have to pay "something". And the remaining would be state subsidized. The "something" is US$ 90.- per month !
- illegals will get FREE healthcare !
- LEGALS would still get FREE healthcare if theyd dont pay ! Being taken care is QN OBLIGATION OF THE SOCIETY !

Furthermore on our public hospitals - private clinics quality :
THEY ARE ALL EXCELLENT FOR THEIR QUALITY OF MEDICAL-SURGERIES CARE !
The difference is mainly in the "hotel service side" that private clinics are better. NOTHING ELSE !
In fact our public hospitals are where the Professors (the most qualified Docotors & Surgeons) work.
And our hospitals are far far far MORE AND BETTER EQUIPPED THAN.... private clinics !
In reality so much and better equipped than in case of a serious case....patients even paying health insurance premiums entitling them with a private room or semi private (2 per room) are taken care in THE HOSPITALS....not in the private clinics. Because our hospitals also have PRIVATE AND SEMI PRIVATE ROOMS !

Hopefully that gives you an idea !

Going back to Brazil your problem is further demultiplied because your government LOVE to be overcrowded in bureaucracy and unecessary jobs....just to create UNPRODUCTIVE JOBS by the millions if one includes the Central Government, the states governments and the municipals governments !

Just think about 10'000 employees for 81 SENATORS !

A good 8000- 9000 or so could work ELSEWHERE...such as in PUBLIC HOSPITALS !
Sure it would not be the same people EXACTLY...BUT OTHERS ! these 8-9000 are not trained !
Hopefully you understand what I mean !
Brazil dont train enough the NEEDED Doctors, Surgeons, specialized nurses etc etc but way way way too many NON NEEDED
BUREAUCRATS !

Why so in your view ?
Because it costs a fraction of the educations costs...and later a fraction of the montly costs !

Conclusion ?
Better to create millions of NON NEEDED BUREAUCRATS. They are also the ones who will militate for RE-RE-RE-RE electing
the politicians who have provided them a good-secure-well paid- easy job !
Therefore as stated earlier it is not a question of lack of money but a question of what Brazil does with its money !

Last but not least
It also affects your lack of infrastructures...such as paved roads, ports, education system, R&D etc etc etc...OF COURSE !
One can spend only what they earn.and after it depends where and how they spend what they earned !

Enjoy your millions of NON NEEDED bureaucrats ! their costs.,....will ALWAYS suck other budgets where THEY ARE NEEDED !

More simple there is not !

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