Hacker Newsnew | past | comments | ask | show | jobs | submitlogin

This. I moved in a developing nation with a GDP smaller than most US states. I have access to excellent modern healthcare and facilities, get more than 5 minutes in front of my doctor, often 1/2 hour+, and my (nearly 60 years old) health insurance is less than 75 usd a month. Covers 90 percent plus, including mental health, limited dental, and optical. The healthcare sector is private / public hybrid, profitable, and growing. Hands down better in every way than the US state I left.


May I ask which nation?


Dominican Republic. The medical tourism industry here is booming as well. The public sector facilities are not as nice, but you can get free care for the vast majority of basic things that a person needs, without worrying about a bill. Still, people that can usually use private clinics because the experience / comfort/convenience is much better.

What they do subsidize here is education. Anyone with the drive and family support to do so can become a doctor, but you have to do a rotation in the public medical facilities to maintain your licence, and all public hospitals are teaching hospitals, so your case will be observed by 10 to 15 students and a bunch of residents if it’s interesting.

The system seems to work well.

I should also clarify that 75 dollars is about a weeks wages here at minimum wage, so roughly equivalent to $400 in the us economy. That figure tracks for most cost of living expenses here, except luxury items which are typically more expensive here than in the USA.


That’s the description of most European countries.


lol no. Private health insurance in Germany is ~800-1000 for a 60 y.o. – public insurance might be cheaper, but you need to qualify for that when you move here by working as an employee when you're that old. Working permission will require you to work full time. So you'll end up working full time and pay ~600-1200 (based on your salary) in contributions.


I never said public healthcare is free for strangers. It’s rarely the case.

Most of the time if you are not a citizen you need to either work or pay taxes. In fact even if you are a citizen, you may not be covered if you live abroad.

It’s relatively easy to be covered as a stranger : in 99% of situations, if you just set up here seriously and not as a tourist, you’ll be covered. I count a 60yo who never contributed to the system or worked here as a tourist.


You’ve answered to a comment that commented on a 75 USD/month health insurance. This is off by a factor of 5-10x for Europe.


Yeah, I run a coffee /cacao farm that employs a few locals, but obviously I don’t qualify for the government insurance. My insurance is private/ un subsidized.


I think you mean “immigrant” rather than “stranger”




Guidelines | FAQ | Lists | API | Security | Legal | Apply to YC | Contact

Search: