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How do wealthy and upper-middle class expats in the Philippines manage (and pay) for their healthcare, given the idiosyncrasies of the Philippine hospital & medical system? Is there American-style insurance available, or is everything out of pocket?
To fit into either category you would need to be living on something other than a tourist visa, and as such be eligible for PhilHealth. There are health insurance polices available, but they are mostly to cover specific things like hospitalization or specific illnesses. I carry two 1 for hospitalization and 1 that covers malaria and dengue treatment. There are some policies that are specific to travellers and expats that can be searched for online, but I didn’t find them worth getting in my case.Getting a private practice doctor is pretty cheap on a cash basis. When I first moved here this time it was out in a provincial city. It cost me $10.00 for my initial session and $2 per prescription I wanted. I had 5 scripts, but have since given them all up as my blood pressure, cholesterol, and depression are much better. After that for 15 months I would just show up pay the office girl, she was his niece, and in an hour would have my prescriptions for ₱50 each or about a dollar. I finally quit that after losing nearly 100 pounds, getting lots of exercise, and eating well.Now in Davao City I can go to the doctor for $5.00 and scripts costs me a dollar. I did this just last week when I got an eye infection that was going around. I have that hospitalization policy which costs me ₱1000 or about $20 per year for ₱500,000 coverage in a public or ₱300,000 in a private hospital. I do have access to public funded healthcare back in the states as part of a injury settlement while working for the state. I keep enough cash on hand to get me back to Los Angeles so I can make use of it if necessary. This is the way a lot of older Americans who live here on tourist visas do things.I hope within the next few years to have my permanent residency here so I can access PhilHealth, but a decided lack of cash on hand to put on deposit for a year kept me from doing so when I moved here this time.
What's with the ample amount of anti-Americanism on Quora?
I’ll respond as an American who has lived in three other countries since 2011 - none of them (yet) on the POTUS’s “shithole countries” list… but what are considered third-world or developing countries nevertheless: Mexico, Indonesia, and the Philippines. Somewhere along my travels I lost my American Exceptionalism badge. I’ll share a few ideas why I think there’s so much anti-Americanism (among many) not just on Quora, but literally everywhere.Health CareThough I’m pretty healthy, occasionally I have to seek some health care. When I do I get a few things you don’t:An appointment either same or next day - even with a specialistCompassionate care.A price so reasonable for doctors and prescriptions that my total payment is probably less than your co-pay.In 2018 I had two arterial stents installed in one of the top 10 hospitals in the world (Bumrungrad Medical Center in Bangkok). I underwent a whole day of diagnostic testing, and spent three nights in the equivalent of a five-star hotel room with kitchen, bar eating area and panoramic view of the Bangkok skyline. Total cost: $13,000. Ten years earlier I had had one stent installed in Duke University Hospital, and spent two nights in a semi-private room. Total cost: $50,000. Bumrungrad had a package deal, so I had a good idea of cost before I even flew there. Duke (like most other USA hospitals) wouldn’t even estimate the cost ahead of time.The health care system in the USA is owned by Big Pharma and Big Health and the politicians in their pockets, who blow the “socialized medicine” dog whistle whenever someone suggests a dialog about national health care. Unlike every other first world country, and many developing countries as well - who have health care for everyone. Do citizens in those countries pay higher taxes? Of course! But a helluva lot less than Americans pay for health insurance. And, in most cases, with qualitatively and quantitatively better healthcare outcomes. No one in those countries files bankruptcy or has to sell their home to pay medical bills; or choose between buying their basic needs or necessary medications.Even on a tourist visa in the Philippines, I participate in PhilHealth - their universal health care system. Cost: About $200/year. I used it only once. They paid 50% of a $600 bill for a minor eye surgery. (More than my annual premium).The rest of the world plainly sees that the world’s wealthiest country doesn’t GAF for the welfare of its citizens when it comes to health care. And why should it? American’s don’t demand it of their politicians. Which amounts to *stupid* in the eyes of those billions of people who take health care as a given.Gun Violence and IncarcerationI read the news headlines online, never on TV. Rarely does a week go by where I didn’t read of at least one mass murder; more often several.America is a gun culture gone wild; and the dead body counts reflect it. America's gun culture vs. the world in 5 charts323 mass shootings in 2018 (average 6+ per week); 382 dead, 1258 injured. List of mass shootings in the United States in 2018 - Wikipedia31% of the world’s mass murders occur in the USA, which represents about 4% of the world’s population.Nearly half the world’s civilian-owned guns are in the hands of Americans.No other country even comes close to the 1.2 guns per capita in the USA. Estimated number of civilian guns per capita by country - WikipediaThere is a lot of gang violence in Mexico - but if you’re not associated with a gang, you’re far less likely to become a victim of random gun violence than in the USA.Incarceration in the USA is off the hook - while it has only 4% of the world’s population, it holds 22% of the world’s prison population. Perhaps partly because prison management is becoming increasingly privatized for profit? United States incarceration rate - WikipediaWealth inequalityIf you’re in the 1% your income and wealth are skyrocketing. If you’re in the dwindling middle class, you may not be for much longer. The wealthy are sucking all the oxygen out of the economy. Trump’s tax cuts for him and his wealthy buddies simply exacerbated the problem.The 1% own 40% of the nation’s assets. The bottom 80% own 7%.The average employee needs to work over one month to earn what a CEO earns in an hour.95% of economic gains since the 2009 recovery went to the top 1%.Eight rich people, six of them Americans, own as much combined wealth as half the human race.Wealth inequality in the United States - WikipediaImmigration“Build that wall”! And if people don’t see the sense in pissing away 5 billion for 215 miles of wall instead of using that 5 billion for 21st century methods of immigration control, screw 800,000 federal workers while ruining the economy if you can’t! (Forget the fact that the border is 2,000 miles. $5 billion is just a down payment). Here’s what $5 billion in border wall funding would buy(By the way - wasn’t Mexico supposed to pay for it?)A far cry from the Statue of Liberty’s promise: "Give me your tired, your poor, Your huddled masses yearning to breathe free, The wretched refuse of your teeming shore, Send these, the homeless, tempest-tost to me, I lift my lamp beside the golden door!"Immigration is what made the USA great in the first place. It became the cultural melting pot of the world - which led to a strong work ethic, world-class opportunities and innovation.The rise in white supremacism in the USA, and the tacit wink wink, nod nod of the president (“But you also had people that were very fine people, on both sides.” in response to the violence in Charlotte) is abhorrent.World DiplomacyHistoric allies of the USA no longer feel they can depend on the USA, should war present in Europe. This president’s statements about NATO, and his negative statements about the leaders of Germany, France, Canada and other allies has led to insecurities on the part of allies that were never there before.Meanwhile, he cozies up to America’s greatest threat - Putin/Russia, and other autocratic governments such as in Saudi Arabia, Turkey and North Korea.There is no US ambassador to our 3rd largest trading partner - Mexico; nor a number of politically sensitive countries like Saudi Arabia, Turkey and Libya.He starts a trade war with China - which will overtake the USA as the world’s largest economy by 2029. Here’s How Fast China’s Economy Is Catching Up to the U.S. As well as Mexico and Canada; and he threatens others.How do you think the world should react to the apparent diplomatic ignorance (“you’re not important enough to warrant an ambassador”); aggression on trade, threatened abandonment of allies, and warm relations with dictators?-ismsRacism, sexism, nationalism, misogyny - all on the rise, with the president setting the tone on all of them.Need I go on?(I’m just getting started, but I’m tired of writing).Back to your question: What's with the ample amount of anti-Americanism on Quora?I guess the bottom line of all this is that if you’re still polishing your American Exceptionalism badge you aren’t paying attention.Thanks for your question. It sounds like you got lots of responses, I hope it’s enlightening for you.
What do Indonesians like about the Philippines?
I’m Indonesian and happily married to a beautiful Filipina. I finished my college in Manila and therefore know very well about the country and its people. When I was a Freshman, my peers thought I was snob because I always answer their questions in English (not in Tagalog) and my teachers thought I was a loner since I didn’t mingle with the others after class. But they were all very kind and helpful to me, even before they find out that I was a foreigner. And that was when I realized how much they value others and how open and compassionate they are. And that was also the era when everything was so cheap for us due to very favorable Rupiah-Dollar-Peso rate. I studied in the top 3 university there and which was also considered the most expensive (along with Ateneo de Manila), but my complete expenses including annual tuition + living allowance + return tickets were much cheaper compared to those of my Indonesian friend who studied in the top 3 university in Jakarta, living with his parents and chauffeur-driven to and from the school. He couldn’t believe it himself.Edit: One more thing about my peers. Although I studied in one of the most expensive universities in Manila and most of the students belong to the rich and famous families, I hardly noticed it, they are all so good-natured and not snob at all. Since I wasn’t used to famous Filipino family names, I only know that my seatmate was YYYYY Cojuangco, and the one to my left side was R….l Santiago, and somebody else came from the ‘Sy’ family, to name a few. If it was in Indonesia, I would most probably stayed away from them, not because I don’t like to have good connections, but it would be a waste of my time, not to mention my patience in dealing with snob people. I didn’t even know that one is the son of a prominent movie director, and that he himself would become a famous star and subsequently a successful movie director, he’s just so friendly. And so many years later when I was in Manila with my wife, we saw him in a restaurant, and nonchalantly he approached and greeted us. I was actually hesitant to make the first move because I wasn’t sure whether he would still be the same humble person after all the public attention he’s getting, but I was wrong! That’s how it is with Filipinos.And another good example of Filipino hospitality/generosity: My late father had several important friends in the Philippines due to his active contributions to sports, namely Softball/Baseball and Golf, and he always lead the Indonesian teams in international sports-meetings like SEA Games. One of them is the late Gov. Rodriguez of Rizal province, who was the Father of Softball in the Philippines. When I was arranging for my wedding in Manila, my Dad told me to invite the Governor, which I did very reluctantly, with visions of being politely rejected. Afterall, who am I? But lo and behold, when I visited his residence with my fiancee (who incidentally hailed from Rizal), he welcomed us warmly, and he mentioned how he remembered fondly my father, and so on. And he did attend our wedding with his wife, which made for a very happy re-union with my father. I can only imagine what would happen if I invited an Indonesian governor, who hasn’t met with my father for a long time, to our special day. For sure I wouldn’t even be allowed to enter his residence, much less a “Who are you?” question.And with the prevalence of universities there, from the cheapest to the most expensive, most of the population is very highly educated. I had a friend living in the house of an Indonesian diplomat, and his English was not that good. In his freshman year, the housemaid would help him with his homework. How so? Because the maid had already finished college, that’s why, and with no better job available to her, she became a maid just to help support her family while trying to get a better one. Such is the condition of Filipino overseas workers abroad. They are 99.9% likely to have good college degrees but were forced to look for greener pastures in other countries. So they will grab whatever job/jobs they can get, all the while looking for white collar jobs in offices. Sadly to say for Indonesian overseas workers, most of them have yet to finish grade school, and probably do not posses the necessary skill even to work as house helpers.Others have mentioned about less cigarette smoke in the country, which is true nowadays (and a heavenly perk for living there) due to more successful government restrictions, but during my college days it was as bad as in Indonesia now. And I like driving in Manila, even during rush hours, because of less motorcycles (and therefore less pesky riders) on the road. Filipinos really value their families, hence they would rather use very old cars than risking their loved ones being cramped into a motorcycle, which is very common here in Indonesia, and which is very dangerous. And then not even providing helmets for those riding with them. And somehow, the streets in the Philippines are bigger, since they are used to big American cars.And another perk of the streets there involves 2 particular Toyota models (Innova and Avanza), or rather, lack of. Unlike Jakarta, there are only a limited number of the above mentioned cars, and a lot of other choices of cars, which is refreshing.Filipinos don’t really care whether the cars came from (or designed in) Japan or not and embrace cars from other countries, as long as they are good and backed by solid after-sales services. So not only Toyota, Honda, Mazda and Nissan thrive, but so do Chrysler, Kia/Hyundai, Chevrolet, Ford, Alfa Romeo, Fiat, and even Chinese brands like BAIC, BYD, Chery, FAW, FOTON, Geely, among others. And car prices are also lower in the Philippines. While the mentality of Indonesians are (sadly), aside from Japanese cars, other car brands are difficult to maintain, expensive parts, bla-bla-bla, even without trying or knowing those cars. Sometimes I feel so confined and bored when driving in Jakarta streets due to so many ‘generic cars’everywhere you look, and the preference of Indonesians to choose black as the color of their cars. I ordered an Uber in Manila (sadly long gone) and the app informed me that the car was B.Y.D. Uh oh, Chinese car, I said to myself. But was pleasantly surprised when the car arrived, it was very nice, looks like the 2nd generation of Toyota Altis and felt solid and quiet, with a luxurious interior (leather, wood panel, automatic trans) complete with a sunroof.Just try that in Indonesia and I can tell you that 99% of the time you’d get that plain Jane ‘generic car’ I was talking about, Toyota Avanza, with mediocre ride, uncomfortable seats, noisy, and uncomfortable gearing of the manual transmission.A long time ago, when I first came there as a child, Makati (the financial center of Manila), looked like any big city in the US, with wide streets and wide sidewalks, lots of open space, and generally very clean and good cityscaping. Today, the description is still valid, except that there are a bit less open space and a lot more tall buildings.And then there is another very nice and modern city-within-a-city in Manila called Bonifacio Global City (BGC).This is truly the "In" place in Manila and located less than 10 minutes from Makati.Speaking of transportation, Filipinos are much more mobile than Indonesians. You see a lot of public transportation around big cities almost always full of people, from the colorful Jeepneys (traditional minibus)to big buses to LRT (Light Rail Transport) and MRT (which, incidentally, would only be enjoyed by Indonesians from 2019, or 34 years after the first LRT system started operating in Manila). That is very good for the economy. The only thing lacking there is taxis. Filipinos in Indonesia love riding taxis here because the cabs are mostly clean and reliable. Taxis in the Philippines are not as many as before, and those in operation are, sadly, not properly maintained. That’s why Filipinos now prefer online taxis like Uber.Regarding health care and medicines, Indonesia is sorely left behind. Starting from PhilHealth (Philippine Health Insurance Corporation) which is much better all around than Indonesian BPJS, to the many and affordable hospitals around, to cheap medicines (not necessarily generic as in Indonesia), and more than enough good doctors than the country can absorb. Although my wife had stopped working after we got married, up to now she is still being supported by PhilHealth. And despite so many people needing medical assistance, the services in hospitals are so admirably fast and to the point (unlike here wherein doctors sometimes fail to inform patients of dangerous side effects of medicines and are generally annoyed when people keep asking questions about their illness). Edit: And thanks to an inexplicable reason, drugstores in Indonesia are fond of pasting their own store labels directly covering the text containing dosage/contraindication on medicine bottles/tubes, thereby you can read only the dosage from the doctor, me and my wife make sure that we check the dosage/contraindications first on MIMS Online or app.One time my wife had to be confined in NKTI (National Kidney & Transplant Institution) in Manila and after I paid the bill (finished in less than 20 minutes by the way) then proceeded to leave, they called us again for a slight miscalculation on a medicine. Expecting to wait for sometime because of so many people in line, the revised bill came out in just 5 minutes. Impressive! Try that with any of the big hospitals here in Indonesia. To think that NKTI is a government hospital. And contrary to what Indonesians might believe, the best place to go when you have kidney problems is the NKTI in Manila, and not some big hospitals in China.Even when it comes to everyday things like going to mini-markets, the service is almost instantaneous, just like in big supermarkets. That’s why I was so surprised when local mini-market chain Alfamart opened it’s outlets in Manila, because the Alfa I know have verrrry slow services, and certainly out of tune with 7-Eleven chains in the Philippines. Well, maybe they adjusted to the local culture and if so, good luck to them. We were just terribly sad when Indonesian 7-Eleven chains closed shop, because my children will miss so many of their menu, especially the heavenly Slurpee.I was raised in a good family with very close extended families, but that was nothing compared to my wife’s family. They are all very gentle, very hospitable (as any Filipino), and ready to help anybody in need, and not to mention, very humble and friendly. I don’t have to mention about religion and religious tolerance because it is a fact of life. There are churches everywhere, so if you are a Christian, you should be ashamed if you don’t attend mass or even visit any church when you’re there. And religious intolerance? What intolerance? Moslems in the Philippines are very lucky, even though they are the minority.Sadly to say as a Catholic in Indonesia, I see a lot of religious intolerances and persecutions in my own country, so spending Christmas in the Philippines is like a fresh breath of mountain air. My children love spending Christmas vacations with their relatives there. Everywhere you go, Christmas is truly in the air and people flock to the shopping areas with gusto. And they do buy things, lots of them, not just windowshopping like most Indonesians do, even during the days leading to Idul Fitri or the equivalent of Christmas for Moslems.Edit: And I should add here regarding shopping in Manila. Aside from big names in apparels and cosmetics, which are similar in both countries (with similar prices, except for goods coming from the US), I can find a lot more small things in Manila than in Jakarta like gadgets, outdoors equipment, sporting goods, electronics, etc. Just a walk through Greenhills shopping arcade, especially during December-January, is enough to see the difference. Well, you can argue that you can browse and order such things online, but it is always better to see them in front of you and handling it before buying/haggling. And how can you order something if you didn’t even know that it exists? I love the hardware stores in the Philippines. I can literally spend hours just looking around for interesting and useful items in the big stores of True Value in Manila. There used to be True Value stores here in Jakarta but sadly they’re gone, leaving just the boring (local) ACE Hardware chains and a much smaller alternative, Glodok Elektronik. Even SM (Shoe Mart) Hardware stores offer better selections than ACE. The problem with Indonesian hardware (and car accessories) stores is simply lack of choices. You go to one car accessories center and go from shop to shop and finding exactly the same selections of goods, which are mostly made in China and Japan. So generic and boring. While in the Philippines, there are a lot more goods coming from the US and Europe.And as others have said, the beaches in the Philippines are some of the most beautiful in the world, and very affordable too.Indonesians might argue that we also have some of the most beautiful in the world, but sadly and inexplicably, those places are unbearably costly to visit, while a plane ride to Palawan (with some of the best beaches in the Philippines) from Manila only cost $60, the cheapest flight from Jakarta to Raja Ampat islands near the Eastern tip of Indonesia would cost $120. And don’t forget the hospitability of the people, especially those in the tourism business. I even got a very nice surprise from one of their airlines: What is your best or worst experience flying with Cebu Pacific? And the fact that most Filipinos can speak English. I was able to pursue scuba diving cheaply during college and racked up more than a hundred dives, which only cost a fraction of the price if I do it in Indonesia. I was always into skin-diving as a kid, but never imagine myself to go all the way to scuba diving, since the cost was so prohibitive in my own country. As a comparison, I once joined a three days dive cruise with college friends which amazingly cost me only around $70, including all the foods that you can eat, free tank rentals and tank refills. Granted, that was so many years ago, but if I did that in Indonesia at that time, it would cost me at least $200.The food. Ah, the food. When it comes to food, frankly speaking Indonesian foods are tastier. Period. Sorry my Filipino relatives and friends, but those who have tasted Indonesian foods will surely know. Don’t get me wrong. I like sweet Filipino chicken like Aristocrat and steak and cakes and Halo-halo and dried mangoes (which is different and much better than the local version here), but wouldn’t miss them (my youngest daughter will get mad at me because she loves Jollibee). And I’m sure by now many Filipinos have tried the ‘famous’ instant noodle Indomie Mi Goreng (Fried Noodle) from Indonesia. Well, if you tried the ones being sold in somesuper/minimarkets in Manila, you’re still missing the remaining 20% of the original taste. You should try the original instant Mie Goreng being brought into the country as pasalubong, and you won’t go back to the local version. It is that good! I think they reduced the ingredients of the seasoning for local consumption. What a pity. This is actually a clue for Filipinos to ask for simple pasalubong from your Indonesian friend/s who will visit the country, and a much appreciated gift for Indonesians visiting the Philippines. Just bring 10 packs of these and everything will be OK.And speaking of security and contrary to what other people had said, in all the time that I spent in that country, never did I experience any crime or felt threatened in any way. During college, I used to go alone at night riding the LRT almost end-to-end from Pasay to SM City at the other end of the first LRT line at that time, just to catch re-runs of old James Bond movies, and going home past 10pm, without any incident. Actually, I always feel safer there than in my own country.Well, there you have it. Do I recommend Indonesians to go to the Philippines? Highly. Although with some reservations like be prepared to bring your own ‘sambal’ (hot chili sauce) since most restaurants there do not provide such. I myself don’t depend on sambal on my food, unless it is really meant to be eaten with it, but I know a lot of Indonesians who simply can’t live without a lot of hot chili sauce on their plates. And also be prepared to be greeted in Tagalog as most Filipinos like to greet each other in their own language, and like so many have said, Indonesians are pretty indistinguishable from Filipinos. Simply say politely in English that you don’t speak Tagalog and they will understand. It’s also not a bad idea to google for some everyday Tagalog words that you can use in simple conversations in the store, in the airport, in the hotel, restaurants, etc. Even if you only stay for a few days, there is always time to go around Manila and visit historical places like Intramuros (the old city)Fort SantiagoCorregidor island tourand of course, the famous sunset at Manila Bay, where you can choose to eat at numerous restaurants along the bay, after a good stroll.BTW, the best time to visit the Philippines are from December-February where the weather is slightly cooler and typhoon season should have ended. Long time ago during college days, we even enjoyed going to school wearing jackets when the temperature dipped below 30 degrees Celcius during midday and low 20s in the evening in the ‘cool breeze of December’, just like in the song. Enjoy your stay!Edit: Thank you very much for all the comments, upvotes, and shares. Maraming salamat!
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