Showing posts with label medical care. Show all posts
Showing posts with label medical care. Show all posts

Tuesday, April 10, 2007

6 months later - An R2I look back

We recently completed 6 months of stay in Bangalore. Overall, I don't think there were any major surprises. But for a person planning on an R2I, I think what would be of more interest are the things that we missed the most on returning. I expected to miss and do miss all of the following:
  1. Roads and regulated traffic - The city traffic situation and the road conditions are so bad that going out is not in the least bit pleasant, unlike in the US. No amount of writing about it will paint a picture of how the traffic situation actually is. Whenever I have to step out, I try to almost always do it in the non-peak hours. Luckily, I have the freedom. Unfortunately, my husband who works outside of home has no choice but to navigate the traffic at peak hours. He is actually a very good driver and almost always has driven in India whenever we came here for our vacations. However, these days he is considering getting a driver to help him out. Lets see. Here's a pic from Wikipedia of a city road in SF bay area.
  2. I terribly miss the sidewalks and the lovely walks I enjoyed when we were there. The pic on the right shows a typical sidewalk in the SF bay area. Here, unless you live in a huge community that offers some kind of walking/jogging track, it really is no fun! Sidewalks are non-existent or illegally used leaving the pedestrians to use the roads for walking. The traffic situation is so bad that you have to think twice before stepping on the roads. Add 2 little kids to the equation! Gosh! I am glad we will be moving into a community that promises some of these facilities, because the city doesn't offer the pedestrian any infrastructure. You are really on your own out there in the cramped, jostling city jungle.
  3. Pictures of beautiful parks in Cali is all I have left here. There are some parks in a few neighborhoods here. However, after having enjoyed the lush manicured lawns, the ponds and the ducks, the children's play area, picnic tables, rest-rooms of the parks in the US, it is difficult not to miss 'em. The park you see in the pic below, well we lived right opposite to it.
  4. The entire family misses the public libraries that you find in the US and in almost every city in the SF bay area. I often find myself salivating at the thought of those libraries. The innumerable number of books on every subject, DVDs, CDs, videos, children's books, children's learning material, the quiet, the rest-rooms, the views from the reading areas. Sigh! I would take the kids every week, and we would pick loads of age-appropriate books for both the kids. The kids enjoyed picking them out themselves. The easy use of the online library sites that helped us put things on hold, search the library catalog, etc. And to think that the whole thing was for free! How can anybody not miss it? (I do not have a pic of the Santa Clara city library. If you have one, and if you don't mind me using it for this post, please send it to me.)
  5. Lastly, I definitely miss the doctors back in the US. Yes, I did write here about how cheap the medical care facility was, which I still think is the case. For regular everyday issues, it is still alright to go to the neighborhood doc and quickly get a prescription for our illness. However, the experience of a visit to the doc's office in the US is not available here. We had an exceptional pediatrician when we were there. He was good at his job and was wonderful with the kids. We were so pumped with general knowledge of how a child must be doing at every well-baby check! It was almost a disaster here, when we went for our second kid's 2 year well baby check, because of how little the doctor spoke to us about how our child was doing overall, and if he was meeting all the 2 year milestones.

  6. Adding a few more points from my comments, about the docs there: (Apr 18th 5:15pm) Docs there are easily accessible over the phone whenever you have a question. During both my pregnancies, I was able to talk to my Ob/Gyn whenever I wanted. With both our kids, the pediatrician was so good about returning my calls whenever I called in with a question, that I always felt comfortable about their reliable service. There really is no such procedure in place here for our calls etc. Nurses there are available 24/7 via phones. And when you have 2 young children, you almost always have a question to run by them! All our docs talked to us and acknowledged that we were educated adults who could understand what they were talking about. Their bedside manners is commendable. And my childbirths, well I cannot thank the hospital and the nursing staff enough for my wonderful experiences both the times. The nurses are so dedicated, and the hospitals so clean.

    Also, the use of computers in all doctors' offices. Your 'case' is always stored away and nothing will ever be forgotten, either with your prescriptions or your diagnosis. Especially helpful when it comes to the kids, since their growth charts and general progress are all so well maintained. It is the insurance procedures that are a pain, but the docs themselves are wonderful. We have had to go to a few specialists, and we have had good experiences there too.


So, in all these 6 months, what has been worth coming back to?
  1. Family. It has been wonderful to meet our folks as often as we have. Nothing to beat the closeness, and it is so light on our nerves being physically near and not worrying about their health problems from half a globe away.
  2. Hub and I also think that India offers multiple work/business opportunities to do anything that we may want to. Whether we will make use of the opportunities or not remains to be seen, but at least we are in a happening place. :) And to think that the happening place is in our own country is exciting, to say the least!
  3. All the manual help that we can get very easily here. A maid, or a driver, a cleaner, a painter, a carpenter are all very easy to find and very affordable. Since, you tend to do most of the chores in the US by yourself, sometimes it is so hard to have a life what with the kids needing your attention too amidst it all.
  4. No extra effort to get the kids to talk in their mother tongue. We have neighbors who talk the same mother tongue as us, and then the grand-parents and all the relatives. Helps with their sense of belonging too.
  5. Access to a whole range of alternative medical sciences. There's ayurveda, homeopathy, siddha, unani, and tons more. This works for somebody like me who doesn't believe in popping a pill for most anything. I am glad we have access to so many more treatment options, and not worry about insurance coverage to heal ourselves!
  6. For me personally, the temples! Not all, just those that truly matter to me. In the US, I could not relate to the temples at all, just the knowing that they were fairly new and didn't have a "history". Yes, some of the temples there are about 25+ years old, but really nothing like a thousand year old temple. I can relate better to the 'Gods' in such old temples. Yes, if you believe in God, you also know that God is probably everywhere and without form, but the visit to some of these temples does make a difference in the way I feel. And for not an overtly spiritual person like myself, the 'extras' definitely help. And to think that I do not have to cram up all those visits in a month long visit is wonderful. As an added bonus, the kids love meeting the elephants in these old temples! :)

As a concluion, I think coming back has been good. Though I do miss the things that I have listed, and will most likely continue to miss them, I definitely enjoy the pluses. Also, I think I am happier(?)! There, so that's what it is after 6 months! :) Your comments/reactions please.

Wednesday, December 20, 2006

R2I - Extremely affordable medical care, comparatively

So, I fell ill. Nothing major. Just a temperature, with a very bad throat, and dry cough. I was hoping it would heal on its own, mostly cause I don't typically like to got to the docs, and kind of hope for the body to fight the infection by itself. Anyway, this time around, I had to go to a doc, cause it got really bad. So, I went to this doc that my mom recommended highly. I liked the doc, talking was easy with her, and the diagnosis was quick. As I was leaving, I asked her how much was her fee? I was blown-over when she said "Rs. 30/-" (65 cents)! However, I must agree that her office was pretty basic and had no pleasing interiors, unlike a typical doctor's office in the U.S. The prescribed medicines cost me Rs. 120/- ($2.6!), now this included an antibiotic as well. Overall, it cost me $3.25!

In the US, with the PPO plan we had, I would have to just pay a co-pay of $15 at the doctor's office and about $5-10 as co-pay for the antibiotic. The cough syrup would have probably been covered 100%. Anyway, this is just from my purse. The insurance would have been charged 100s for the whole thing!!! Where is $3.25 and where's 100s of dollars?

We had to take my kids a while ago to a pediatrician. We took them to one of repute. We were pretty happy with his office/setup, his interaction with the kids, the speed of diagnosis etc. Each visit cost us Rs. 150/- ($3.25) and the total cost of medicines for bothe kids about Rs. 200/- ($4.35). Overall costing us a total of $10.85 for both my kids, consultaion and medicines inclusive. In the US, 2 consultations would have a co-pay of $30, and the meds probably fully covered, cause there was no anti-biotic.

And here's the clincher, all of this medical expenditure is covered 100% by my hub's company, where as in the US the co-pay is from our pocket. So, the same exercise cost me $0 here, and would have cost me about $55 there! And this is only for a regular cold+fever. If it was anything more, and required a slight procedure, then what would cost about a couple of thousands of rupees (approximately $50), will cost thousands of dollars in the U.S. And in the PPO insurance plan we had, we would have to pay upto 20% of the total expenditure and other hospital fees. Sometimes it makes you wonder how much fluff encompasses the actual medical cost there.