why have you chosen to go private?
, Jun 19 2008 01:09 PM
72 replies to this topic
Posted 13 August 2008 - 04:18 PM
No hospital has a budget for painkillers!!!!!!
Public hospitals have a budget this includes painkillers. Knowing someone that works in a public hospital that is also associated with budgets. I am not going to go on.
If you choose to live in an area where "scum" also live, then obviously you are going to run into them at the local hospital (and shops and doctors etc). If you choose a better class of area to live in the first place you could avoid the "scum" altogether.
I can't choose where the scum have their babies but I can choose where I live (in a lovely suburb) and also the gorgeous hospital I have my baby so I don't have to associate with them.
Hey my choice of why I wanted to go Private just as the OP asked. You have your choice too.
Posted 13 August 2008 - 06:47 PM
Mrs G -
So in your opioion if a public hospital blows its budget on painkillers, then its patients will just have to sit there in pain and not recieve any analgesia. This is not what happens.
The budget is generalised there are not specifics such as this $$$ amount for painkillers.
If the department blows its budget then there will be scrimping in other areas that will not directly affect patient care.
Just for your information..... I work in a public hospital and my patients are NEVER denied pain relief...regardless of budget issues.
Personally I would never refer to another human being as SCUM. People of low income families do not have the opportunites that we may have to private health insurance, however that does not make them Scum.
Edited by indianas-mum, 13 August 2008 - 06:50 PM.
Posted 13 August 2008 - 07:03 PM
Oh my Lord, I am laughing my ass off now...budgets on painkillers and *shock horror* lower socio economic groups utilising public maternity services that they are most probably zoned for.
FYI, private hospitals cut costs more frequently than public hospitals, especially in staffing costs. The private hospy that I work for is all about saving money where they can, and they would never, ever scrimp on pain relief for patients. They do however expect patients to pay for their discharge medications. Analgesia would never, ever be withheld for financial reasons. The person you are talking to has it totally wrong. If I withheld medication to satisfy a budget, I would be NOT be fulfilling my duty of care, plain and simple.
As for not wanting to share your hospital with the "scum" of society, I think I would prefer to share a room with someone from a more simple lifestyle than some pampered, precious princess.
Posted 13 August 2008 - 07:05 PM
I have been trying to get that point across and felt like no-one else agreed.
Posted 13 August 2008 - 10:33 PM
We have private health insurance for IVF so may aswell use it for private hospital and care. There's a great hospital about 5 mins drive away, much closer than the public hospital.
My OB was great, he lived closed to hospital so popped in to see me whilst in labour, went home for dinner and waited for the call to come back and help me deliver. He was with me till about 1am and he was the first face I saw that entered our room at 7am. Most doctors would have told me to go for c-section already giving my circumstances to the last minute and even when I asked for a c-section, he said 5 more mins and Ds was born.
We got a double bed, tv, dvd, ensuite etc Dh stayed with me the whole time, Ds roomed with us and the nurses were right outside 24/7. We had a lil fridge and the nurses made up the bottles so that all we had to do was heta it up. It was just brilliant. It was better than a hotel and I didn't want to go home. It was way beyond what I expected.
With Ds, I was on singles cover so roughly $1200 a year and def got my moneys worth.
Posted 14 August 2008 - 12:58 AM
I have experienced both major public & private maternity hospitals in Melb and the level of care, privacy and conditions in private were better than those in the public system. Yes, we all know you will pay for it, but its like anything, you get what you pay for. However, if u don't mind or can put up with sharing a room, be woken by other babies/visitors in the room, sharing a bathroom, most likely having a shorter hospital stay etc...then you would be saving yourself a lot of money...which you could perhaps put towards a family getaway, or post pregnancy massages etc...
My last bub was born in private, emergency c/s at 34 weeks, it cost us an absolute fortune throughout the whole pregnancy, the birth, the follow up appointments etc... but was glad i had a private OB that saw her patients every 4 weeks/till 28 weeks, then every 2 weeks/till 36 weeks......i wonder if i didn't see my OB this often my condition may have not been picked up for a while and toxemia would of set in. So I am glad that I had a private OB & the level of care in the private hosp was outstanding for me and my premmie in special care nursery.
However, after reading some of the stories from midwife-mums....the option of a private OB in a good public mat hospital sounds good too.
Edited by loulou1976, 14 August 2008 - 01:18 AM.
Posted 15 August 2008 - 11:49 AM
I'd also like to vouch for the continuity of care in the public system as well. I see the same midwife each appointment and have also met her 2 back up midwives incase she is not available - and over a lovely morning tea no less.
With my last bub I saw the same midwife for most of my visits and had met the delivering midwife before as well, and that wasn't as part of a group program, that was just the standard midwife care.
I'd do some research into whats available in your area. Some of the public hospitals are getting really innovative with care. Also, if things like a private room and the food are important to you then thats going to affect your decision. I shared a room with one other woman and while it was a bit annoying it did provide some entertainment behind the curtain as she was a bit wacko! And as for food, DP brought me in lovely breakfast every morning - bacon and egg sandwiches -yummo!
Just make sure you keep yourself informed and speak up for yourself no matter which you choose. If you go public an aren't happy with the care - say so and do something about it (swap to shared care, or the midwife program or whatever suits)
Posted 18 August 2008 - 09:44 AM
As we all know it is a very personal decision to make.
For me, I am in a rural area and work at the public, so for my own privacy etc I would rather not deliver there. There are other reasons too, but more subjective to do with individual staff. I can go private in my town too, but I have been seeing the only private Ob, and simply couldn't bear to see him any longer, as he is an absolute prat.
For me I have chosen a private that has an excellent reputation with their midwives. As much as I want to pick an OB I have faith in, the midwife is the one to get you right through your labour. If I had access locally to a midwife model of care and birthing centre, I would be doing that, but not an option. For me shared care privately is the best option.
Also after difficulty TTC I have already been private, as I do not want to go through the hosp where I work as one of my staff is likely to see my results etc.
As for pain killer budgets! I am a manager and yes each ward has a pharmacy budget, but it is one of the few budgets we do not get any control over. A bit like allied health, as we cannot control the patients that are on the ward and what services they will need. For pharmacy, we cannot control what the doctors order, so the pharmacy budget cannot be set. As Indianas Mum and BrisVegasMama have mentioned, it would be against the code of conduct. I didn't want to get into it, but would like to reassure women who are trying to decide, that either option is safe, and you will recieve the care, pain relief and attention you require wherever you go! Enough said.
Posted 18 August 2008 - 10:43 AM
For us it was simple, my pregnancy has been plagued with problems from the start this time, including emergency surgery last week to save my baby girl, I have a private Obstetrician which worked out well as he performed my amnio at 15 weeks and my surgery last week but in a Public Hospital as they have the best facilities available for my situation. Everyones situations are different and usually there are care choices to suit everyones needs.
Posted 18 August 2008 - 08:03 PM
Sarachris - don't you still have to birth at Dubbo Base and then they'll move you to the private. I didn't think Dubbo Private had delivery suites?
To the original poster,
I have done both. Twice in Private, my 2nd child was public as I couldn't get into Private b/c we had moved towns. I was lucky enough to get my own room in the Public Hospital (John Hunter) which was great as it's 4 to a room normally which I would have HATED. I love my own room.
The delivery suites were average, no baths, very sterile (if that makes sense), almost cold looking. Fast labour so really it didn't worry me that much.
The Private suites had the lot for delivery, rooms were warm, lights could be dimmed, fold out beds for DH and all that.
I loved my OB, I didn't have to wait an eternity for my visits etc. Public was a bit of a cattle class.
DH could stay every night if he wanted too.
We were not rushed out after day 3, there was plenty of time to rest and leave day 4 or 5.
We chose to go private as we are in a fund and of course we would like to use it when we can.
I guess it depends where you are located. There's some public hospitals out there now that are fantastic and well equipped. There is not always a guarantee you will end up in the private hospital anyhow even if that's what you choose. Private wont take you if you have a baby earlier than 34 weeks i think it is; and as others have said, if there is a complication you may end up in the public hospital anyhow with better NICU facilities etc.
Good luck deciding....
Posted 19 August 2008 - 04:50 PM
I guess it depends where you are located. There's some public hospitals out there now that are fantastic and well equipped.
Thisi s a fair point. So much depends on the actual hospital, not whether it is publicor private. Unfortunately not all public hospitals are the same in terms of the level of care.
I had my DD at a major Sydney public hospital (as a Private patient with my own OB,best of both worlds as a a PP said) in an area most consider to be very upmarket and wealthy.
I could have written sashel's post word for word.
had an awful public experience with my 1st, ending up in emergency c-section and then having midwives too busy to help and me basically unable to look after my DS for the first night and no-one there to help. You can't even lean over to pick the baby up from their bassinette to start with .....
I am actually quite upset to read that as I thought it was only me, a one off time of understaffing, but it seems like it has happened before and will again
I couldn't believe how bad the care was. I was physically unable to pick up my baby and they were acting like I was an annoyance because they had to come in and hand her to me! So rude! They would not let my DH stay even though i had a private room. My family and DH were disgusted.
I was very hesitant to go to a public hospital the second time but we don't have full private hosp.coverage and would have been very much out of pocket. I decided to go as a private patient in another public hospital and this time the care was amazing. There were plenty of understanding staff, who were polite and willing to help. DH was allowed to stay, but i told him not to as i felt like i was coping and that he was more of a help at home looking after DD. This was at a hospital in Western Sydney.
I guess what I am saying is that care varies so greatly, it is really hard to know. In regards to the "scum" comment, apoearances are deceiving. I guess she wouldn't go to Westmead on that basis, yet the care I got there and the new maternity ward was far superior to the hosp. where i had DD. I certainly didn't see any "scum" as she so charmingly put it
Posted 03 September 2008 - 03:53 PM
With DD (born in 2004), I had a shared care arrangement with my GP and a small team of midwives at a major Sydney teaching hospital. I had no obstetric care at all, just a 5 minute visit from a registrar who commented that everything seemed to be OK.
I had dreams of a relaxed and calm birth in the birthing centre with midwives, but after 18 hours of labour and failing to dilate, I was sent to the labour ward. After another 5 hrs of labour it was decided that an emergency c-section was necessary. The registrar Obie was called and my daughter was born with an APGAR of 9 just 20 minutes later.
The maternity ward afterwards was full to capacity and I shared a room with another mum who'd had a c-section. I have a few gripes about a couple of things (such as the fact that they didn't tell me that after the second day they no longer did room service food and I had to make my way to the common room to get sambos for lunch - I missed out on lunch for two days LOL). The poor midwives were run off their feet; I had a difficult feeder to refused to latch on so had added complications along side a difficult birth. Despite that, the care was 1st rate and apart of from little sleep (due to sharing with another mum/baby (which were roomed in), my experience was a positive one.
So even though my public hospital experience was a good one, I decided to consult an Obstetrician with my next pregnancy. This time I will be electing to have a c-section and I won't be attempting a VBAC in accordance with advice from my specialist. As it has taken 3 years and 5 miscarriages to reach this far, and I decided that I would locate the best care I could afford. Plus we've been paying top PHI rates for years and wanted to take advantage of that.
If I wasn't an older mum, didn't have such a hard time keeping a viable pregnancy and hadn't had a c-section with my DD, I would have been more than happy to go public again.
Posted 25 September 2008 - 02:50 PM
I will put my hand up for the public system. I have had two deliveries - one at RHW and one at RNSH in Sydney - and have no complaints about either. Perhaps RNSH had the edge. I certainly remember that the midwives were lovely and a fantastic support, they had great facilities, the meal arrangements were good, only two to a room, if that. Everything was great.
I am now 6 weeks pregnant and have just booked in to RNSH again. Like the OP I have faced the same question on pregnancies 2 and 3 of whether I should go private?
For my first pregnancy there was a stuff up with my PHI so I had no choice other than to go public. I got excellent care throughout my pregnancy.
For my second pregnancy I considered private because I could, but it was such a hassle. The ob I was referred to couldn't see me until 22 weeks! I think I tried two other obs who were recommended, but their books were closed to new patients.
Speaking to the PHI fund, I also realised that PHI was only going to cover the hospital admission (not sure if this is generally the case) and as I had no issue with the facilities at the public hospital, I couldn't see the point. I wasn't planning on staying long anyway.
In contrast I rang RNSH and was booked in, no problems. And there never were any problems, from start to finish. And I had the peace of mind of delivering at a highly resourced public hospital.
I dare say we could be judged as being able to afford private care, but as I have been a SAHM for nearly five years now (position made redundant while on maternity leave) the funds are a bit tighter than they once were.
If I felt by going private it meant I would receive a higher level of medical care then sure, I would spend it on that over almost anything else. But I am not convinced that it makes so much difference.
If it's mainly about the room after delivery, food, etc, I am more than happy with what the public system provides in my area.
Edited by londoncalling, 25 September 2008 - 02:51 PM.
Posted 25 September 2008 - 03:23 PM
I chose private, my local public hospital has a great new obstetric (Hornsby) problem is as everyone has their own room in the new building its too popular. They try and kick you out after 2 days (and I know a number of people that have had this and a friend is a midwife and agrees). Now personally I think 2 days is way too soon, and as I had so much trouble breastfeeding after DS1 I wanted to stay in this time. The SAN (private) was very good, never a problem to come and help me latch on, even if I needed it 3 times a feed, the lactation consultant came as often as I needed it. The childhood nurse was happy for me to go and talk to her as often as I needed in hospital re introducting DD to DS. Basically almost everyone had a lot of time, even if sometimes they were rushed. Personally I have trouble sleeping in hospital, in a shared ward I would have had none at all.
Posted 26 September 2008 - 10:03 AM
I had both my DD's in the Public System, and was going that way with this baby, until I reached about 16 weeks and started having concerns about giving birth (DD2 was an emergency C/S), and it wasnt the fact I ended up with a C/S it was the whole Labour and she was 4 weeks early, and I was so stressed about it DH said to me we have the insurance use it. So I did
I am seeing my local GP & a Specialist (Who makes you feel like you are his only paitent) and I believe he is worth every cent.
We as a couple dont have alot of money to throw around, but for my own peace of mind, it is the right decision for me. Also the fact DH can stay as long as he wants is reasuring.
Posted 26 September 2008 - 03:42 PM
Dunno if anyone has mentioned this already but...... The food is great at the private hospital !!! None of this pig slops they serve at public hospitals.
And I love having my own room.
I have PHI so may as well use it.
Posted 26 September 2008 - 04:26 PM
I chose to go Private as it is less than 5 minutes away and had heard glowing reports. The local public was undergoing renovations at the time I was pregnant with #1 and the thought of a shared room, with fewer rooms due to the work plus builders etc etc was not even worth considering. I loved the private room, the attentiveness of the staff, not to mention the lactation consultant and new baby and breast feeding classes!!
When I fell with #2 we were not as 'weathly' and seriously considered going public as the local public was now shiny and new.... but having had such a great experience and being so happy with my OB and quality of care I just had to go private again.
With #3 we didn't even baulk and booked straight into the private hospital. Had a big bleed at 13 weeks and spoke with my OB within 2 minutes of my 'discovery' at 6.30am and arrived at emergency 5 minutes later with them expecting me. Sadly being a private emergency, and since my naughty baby was happy as a clam (I had a 'separation of the membranes')..... I had to pay the fee of $300 ish dollars to be told to go home and stay on bed rest for a week.... was well worth the money though.
My DD had pneumonia when she was 15 months and after 3 days at the (newly removated) local public hospital I was utterly exhausted from the shared room hustle and bustle. At least they provided a meal tray for the Parent... unlike Westmead were we were transferred when my DS badly broke his arm where they provided neigther him nor myself with any food of any kind
because we 'hadn't appeared on their system yet' despite arriving by ambulance at 8pm and being brought to the ward at 11pm (out again at 1am for his operation and 2.30am they brought in a Mother and 2 week old baby to share our room).... followed by no breakfast ( I ended up stealing some cornflakes and some milk from another patient who didn't want it
) and then at lunch when we hadn't been discharged I was forced to scrabble around for some jam toast!!! At least the Doctor who repaired his arm did a good job as in the end that was all that mattered.... but I won't be hurrying back!!! Strangley they asked if I wanted to be treated as a private patient and gave all my details but we still ended up with a shared room (even though the wards were not full) I had assumed then that were being treated as a public patient..... got the statement some four weeks later outlining the charges that had been billed to my private insurance... now THAT is a scam as we most certainly didn't gain anything that resembled preferential treatment (private room) and didn't get to choose our doctor.
Edited by JoshiesMum, 26 September 2008 - 04:31 PM.
Posted 26 September 2008 - 06:40 PM
I've worked both.
The food and the rooms are much nicer in private hospital but you're much more likely to need them with the very high levels of intervention that happen with obstetric managed birth (don't take my word for it - check the stats).
The public system leaves a fair bit to be desired in some respects but some of the midwifery team programs are great for continuity of care.
Posted 05 October 2008 - 11:19 PM
The food and the rooms are much nicer in private hospital but you're much more likely to need them with the very high levels of intervention that happen with obstetric managed birth (don't take my word for it - check the stats).
I would prefer this high level of intervention in a private hospital with no intervention at all in public.
My sister gave birth (first pregnancy) in August at RWH Brisbane, and due to the lack of care, lack of communication and lack of intervention she almost died. It was the most horrific experience anyone should go through, I won't go into details, but it reinforced 100% for me why I choose to pay for private health insurance and why my children are born in private hospitals.
Posted 06 October 2008 - 05:02 PM
Diane and ross,
While I am sorry for your sister's experience, you can not lump all public, low intervention programs into one basket. I chose a specific midwifery team at a public hospital for their low intervention style and I got through both of my children's births without any problems.
The lack of care your sister experienced probably had more to do with inexperience, bad judgement and low staffing levels. All things which can be experienced at both private and public hospitals. Don't think you are getting more superior care or that staffing levels at private hospitals will be any better than that of a public hospital. Private hospitals will cut costs with staff whenever they can get away with it.
Edited by babyinmybelly, 06 October 2008 - 05:03 PM.
Posted 06 October 2008 - 06:16 PM
As I didn't go into details to what actually happened - please don't assume you know and lump it on "inexperience and low staffing levels" as this was not the case. I never said it was. I said it was lack of care, communication and intervention that almost cost my sister her life.
And yes I can most definitely lump it all on the public system, because this is the system that failed her. She went public, they failed her like they do thousands of birthing women every single year.
In MY PERSONAL OPINION what she experienced and endured would NEVER HAPPEN in a private hospital.
In saying that, I am sure that the private system is not perfect either, but the simple fact is, in private you pay for your Obs and have more of a say in the treatment you receive. This doesn't happen in the public system.
Posted 06 October 2008 - 06:28 PM
Well I can say with absolute certainty as a consumer and employee of maternal and child health services that the public system cannot be lumped into the basket of constantly failing its' consumers and providing substandard care. I can say with certainty that you have no idea what goes on behind the scenes at several private maternity hospitals and I have seen staffing levels reach dangerous lows and inexperienced midwives and student midwives being put into situations that are NOT safe for either patient nor staff.
So, please don't comment on what I don't know because I clearly have a little more insight than you realise and not just from the patient's side. Trust me on that
No need for shouting. I was being polite.
Edited by babyinmybelly, 06 October 2008 - 06:29 PM.
Posted 06 October 2008 - 08:19 PM
I am not going to be drawn into a debate or argument with you, I am better than that.
The OP asked for opinions and asked for it not to turn into a debate, so please respect that.
Edited by dianeandross, 06 October 2008 - 10:27 PM.
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