care in the United States is provided by many separate legal entities.
Health care facilities are largely owned and operated by the private
sector. Health insurance is primarily provided by the private sector,
with the exception of programs such as Medicare, Medicaid, TRICARE, the
Children's Health Insurance Program and the Veterans Health
At least 15.3% of the population is completely
uninsured, and a substantial additional portion of the population (35%)
is "underinsured", or not able to cover the costs of their medical
needs. More money per person is spent on health care in the United
States than in any other nation in the world, and a greater percentage
of total income in the nation is spent on health care in the U.S. than
in any United Nations member state except for East Timor. Despite the
fact that not all citizens are covered, the United States has the third
highest public healthcare expenditure per capita.
General Health Protection:
Health - A (H1N1) Swine Influenza
cases of A (H1N1) - The World Health Organisation (WHO) have confirmed
the swine influenza has moved into the post-pandemic period. This does
not mean the H1N1 viruses has gone away, but expect it to take on the
behaviour of a seasonal influenza virus and will continue to circulate
for some years to come. You should monitor local media reports for any
developments and advice. You can also check for updates through the
‘Centers for Disease Control and Prevention.
Health - Mosquito Protection
being a general nuisance, mosquitoes can transmit diseases. There are
occasional outbreaks of mosquito-born diseases in the United States,
including West Nile, Eastern Equine Encephalitis (EEE) and Dengue. You
should take all precautions against mosquito bites whenever possible and
seek medical attention immediately if feeling unwell.
To protect against insect bites, follow the following prevention:
- Dusk and Dawn - avoid being outdoors when mosquitoes are most active, during the dusk and dawn hours.
- Dress - wear clothing that covers skin.
- DEET - use mosquito repellents including DEET on skin and clothing.
- Drainage - Empty all areas of standing water, a breeding ground for mosquitoes.
the 2008 Report on the Global AIDS Epidemic the UNAIDS/WHO Working
Group estimated that around 1,100,000 adults aged 15 or over in the USA
were living with HIV; the prevalence rate was estimated at around 0.6%
of the adult population. This compares to the prevalence rate in adults
in the UK of around 0.2%. You should exercise normal precautions to
avoid exposure to HIV/AIDS.
You should seek medical advice before
travelling to the USA and ensure that all appropriate vaccinations are
up-to-date. For further information on vaccination requirements, health
outbreaks and general disease protection and prevention.
Travellers to New York should be aware of the risk of rabies from racoons in Central Park and Morningside Park.
treatment can be very expensive; there are no special arrangements for
British visitors. The British Embassy and Consulates-General cannot
assist you with medical expenses. You should ensure that you have
comprehensive medical insurance, which includes hospital treatment and
medical evacuation to the UK.
To reach a
doctor in an emergency, call the emergency medical and ambulance service
at number 100 or 112. Telephone 100 or 112 may be used for all
emergencies. Ambulance services are provided at any time of the day or
night and will transport the patient to the nearest hospital. An
attendant accompanies the ambulance; depending on the case, a member of
the family and/or doctor may accompany the patient as well. You may also
call the "Doctor on Duty" ("Dokter van wacht" - "Médecin de Garde"),
indicated in your local newspaper, or the closest clinic or hospital.
doctors are listed alphabetically in the telephone directory under the
heading "Dokters in de Geneeskunde" - "Docteurs en Médecine", we have
listed some English speaking doctors, according to their specialty. A number of clinics and hospitals are also listed.
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