Friday, February 02, 2007

Accident & Emergency

What's the difference between private and public healthcare? As I understood it up to today, with private healthcare you're paying for a more timely and better presented service. Some private hospitals even offer an emergency walk-in-off-the-street service, which must surely be better than braving the conditions in Portuguese public hospitals.

That's what I thought until I took my wife to CUF Infante Santo this afternoon, in a state where her dizzy spells had reached the point where she could no longer stand, barely sit. I got her a wheelchair, checked her in and sat with her for an hour and a half in the waiting room without being seen. Everyone who was there when we arrived had been seen and had left. There were the queue jumpers, the "emergency consultations by appointment" slipped in front of us, and the usual State excuse: "One of the doctors didn't come in, so we only have one"! So what the hell was I paying for? We would have been better off at our local health centre!

The staff were shocked when we gave up and left. After all that time the dizziness had worn off. They even came after us into the car park: "The doctor will see you now". I don't suppose the 90€ emergency fee that they lost made any difference to them. After all, we were the strange ones, running away like that. I suppose I should have complained earlier, but it shouldn't be necessary.

It looks like José de Mello Saúde needs some competition, and then some doctors who take some pride in customer service, to set them apart from the public hospitals. You certainly won't find me setting foot there again.

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