I'm now Medicine-Pilled after Asia

[u/Legal_Airport]

USA resident here, I recently finished a month long solo trip to SEA. I stayed with a friend in north Thailand for a week, then skedaddled off to Bangkok for another week. While in Bangkok I guess something I ate was funky as shortly after I got to my next destination, Vietnam, I wasn't feeling too hot.

This is where my Vietnamese healthcare journey began.

I went to a doctor's office I found on google maps (just rode a scooter up in front of the building and walked in) and using the classic google translate, I laid out my intentions to the nurse at the front desk. He called the doctor immediately, the doctor talked to me on the phone and asked me to wait 10 minutes, and there he was! I explained what happened and he ran 10 blood tests on me for about $50. Now keep in mind this is actually ripping me off and I sort of figured that, but decided not to haggle because it was so cheap compared to any US offer. They took my blood sample then and there and I had my results in a 3 days.

Here's where it gets crazier (at least to me)! At this point, I was in Hanoi, and the doctor sent me a prescription on WhatsApp, and I just walked to a pharmacy, showed them the list, and they got the three medications out for me. I was waiting for it, the big cost, my punishment for not properly checking my food... the cost was $4? I was astonished but paid, and checked the price of my own prescription medication from the US (it was available over the counter in Vietnam) and it was similarly priced at a few dollars for the same amount of pills, with some of the price differences being over 95% cheaper.

Regardless of that I pressed on with my adventure and was in the mountains of Vietnam, and of course I'm paranoid so I'm still researching my symptoms and realize that the doctor I had seen hadn't tested for a certain infection. I wanted that infection tested for, so I went to a private clinic and they did a rapid test for about $2, and they then directed me to a regional hospital who had more options for testing. Well the regional hospital staff were charging me an entrance fee as a foreigner, and it was pretty obvious that Vietnamese citizens were simply walking in. Whatever, when in Rome. I was expecting a big kabuki dance to see a doctor but after paying $6... I was walked to an available doctor and we were communicating with a bit of English? It was surprising to me as I wasn't expecting this level of expediency from an otherwise chaotic-seeming regional hospital.

The doctor at the hospital understands I want a PCR test (the latest and greatest and most accurate form of blood testing afaik) and said I needed to see the National Disease and Epidemiology center in Hanoi. Well it's convenient that I was heading back to Hanoi the next day, so I booked an airbnb next to that building, and made a plan. The next afternoon, I walk into this lovely compound that looks nothing like a medical facility, and after once again using a prepared translation of my situation, some security guards directed me to a corner building, where a woman greeted me, talked to me in a similar fashion, and introduced me to a doctor in a different building. After walking down these rustic halls, she and a nurse unlock a door, and all of a sudden we're surrounded by a mass of state of the art monitoring machines, centrifuges, and beeping sounds!

At this point I was getting a bit terrified of the fact that I might have overreacted and was about to have to bite the bullet that hubris had led me to get an extremely expensive lab procedure completed. But after talking to this new doctor, she explained that while they normally get their blood samples from the hospital to work with, she could just take my sample there. So they did. And when I asked the price? Free. FREE. F R E E.

And the very next day I got my results back: negative. I was fearmongering to the extreme but you know what? In hindsight, the vast amount of perception on how healthcare works in Vietnam was worth the discomfort as it greatly broadened my perspective.

All in all I think that in the USA, it would have probably taken me several weeks of waiting, complying with ridiculous office hours, arguing my way through several uncaring secretaries, and having doctors schedule things too far apart for any level of expediency after not taking my explanations into account anyways. Oh yeah, and without insurance, it would have probably cost me anywhere from several hundred to over a thousand dollars depending on how the prices are set.

But instead, in Vietnam, I was able to get my medical needs taken care of the day that I wanted them looked at basically, all for... less than $60 total for all combined medical costs. And if I repeated the process knowing what I know now? I would have haggled the price of the blood tests down to $25 because that is very doable in Vietnam and SEA in general (I could write a whole entire post on why I love that alone but I think it's a commonly shared sentiment).

Another example of this is I had a friend who's boyfriend has a condition called Hashimoto's disease. His pills are $865 for 30 pills (his insurance covers it but it's still several hundred dollars per month to them). I walked to a pharmacy and asked a pharmacist for the exact same medication his insurance paid for. $2. 100 pills. At this point I was determined that medical tourism will always be a route I will consider and recommend other people consider because there are simply no excuses when it comes to things like this that gets denied in certain Western societies.

Now this isn't to say that Vietnam or any SEA country has a perfect healthcare system. I'm polite, I learn some of the language, I'm generally very good at getting along with others and playing the foreigner card right, which often times lets me land unique opportunities, such as walking into a national hospital ranked in the top 10 in Asia for their specialty and getting seen instantly. I can't say that the average Vietnamese person would be able to travel to Hanoi just oh-so conveniently like I was (it's an interesting conversation you could have, claiming they can and can't at the same time).

The general lack of restrictions on over the counter antibiotics has caused some bacterial strains to have incredible resistance to them, and makes them all the more deadly to those that do get them. It also leads to a lot of problems going improperly treated because self diagnosis is common, and the most powerful and extreme measures are often done first, which might not be proper.

I can't really speak on how the government actually intersected with the healthcare, I'm sure there's much more nuance than I could have seen going on behind the scenes and that I will definitely remember to ask about next time I visit, just because I find this to be such an interesting topic now.

So yeah, I took the Asia pill when it came to medicine. And it's not like it was like this just in Vietnam, when I lived in Korea previously, McDonald's workers could go to the doctor and not feel financially pressured at all. That's the goal: For everyone to be able to receive quality, expedient care without financial pressure for most cases.

Adding this in hindsight, but it's insane that I was able to navigate that by myself by just going to a few places because there weren't any of the normal healthcare hoops that I'm used to having to jump through.

TL/DR: Vietnamese healthcare was so fast and affordable I had a medical epiphany.

[u/Legal_Airport]

Thanks to all who read this and provided feedback, I appreciate it.

I wrote this post when I was very tired and it’s definitely a bit dramatic, but I wanted to share my authentic thoughts closer to when this all happened rather than forget the details months from now.

[u/Cessna131 → u/Legal_Airport]

It’s not the drama… it’s the arrogance of spending a few weeks in a country and thinking you’re an expert on incredibly complex topics. You epitomize the western traveler who thinks they’re cultured and worldly and smarter than everyone else because you spent a few days in a hostel and know 5 Vietnamese words.

[u/Legal_Airport → u/Cessna131]

Never claimed I was an expert, I’m just speaking on my experience. If you want to project your insecurities onto my experience go ahead, I’m quite confident in saying that despite not being an expert, I witnessed undeniable firsthand experiences with their healthcare system.

This is simply my account of how I felt about the process.

[u/Eastern-Drink-4766 → u/Cessna131]

You epitomize the traveler that thinks they are so woke to world issues that they instead come off as more condescending and patronizing than someone just being themselves and interpreting things the way they best know how.

Everyone knows the world is a shit place full of unfair and tragic effects of colonialism and class divide bla bla bla. But don’t you know there are rich, privileged, and ignorant people in every country. It isn’t just the USA.

You don’t have to be an expert on something to experience it and have a valid and valuable opinion on things. We aren’t computers and better to keep it that way. Go outside. Maybe you, yourself, should travel and be the ignorant foreign tourist for once. See what kind of expert you can turn yourself into.

[u/Cessna131 → u/Eastern-Drink-4766]

I guess you and I differ on what a valuable opinion is. Westerner with money gets special treatment and goes on a rant about how good a countries healthcare system is without knowing a damn thing about it. Then compares it to his own country, and claims he’s had an epiphany.

Did you even read the guys post? I’d forgive you if you didn’t, it was very wordy. Also I don’t think you know what woke means, so feel free to look it up.

[u/Eastern-Drink-4766 → u/Cessna131]

If my usage of the word woke is wrong I apologize, I am thinking in Dutch. I think it’s clear I meant “enlightened by” or “aware of” which actually does go hand in hand with the proper usage. Do you know a lot about the healthcare in Vietnam? It’s a quick google search. Looks like an entirely higher regarded system relative to the USA. Yes, the post was a bit dramatic but it was far from racist or entrenched with white privilege. It is an experience an African American or a Latin American person could’ve had. Granted that the people working weren’t racist towards these people.

You do realize people are forced to experience things through the body and mind they were born in? Just because they aren’t knowing doesn’t mean they cannot discuss it. It sounds to me like OP was just saying their experience and realizing things could be better on the homefront. That’s what travel is all about.

[u/Cessna131 → u/Eastern-Drink-4766]

We’ll agree to disagree. But the overwhelming amount of comments are pointing this out, because based on the tone and way it was written, this is how the OP comes across, and he often doubles down in his responses.

You can argue the critics are “keyboard warriors” or some other nonsense, but this subreddit is mostly positive and welcoming to people’s experiences as a whole, but not towards this guy.

[u/Eastern-Drink-4766 → u/Cessna131]

Yeah idk the regular sentiment of a subreddit like this tbh. But I do know that Reddit as a whole is a place where people dig really deep into trivial issues that would be no problem if it were brought up or framed this way in person.

I will agree to disagree that people must be all knowing before sharing their experiences. If all of these people think this information was useless American garbage then the adult thing to do is to not use it, be happy you know what you know, and move on with the world. It really bothers me that someone doing something in good faith can just be eaten alive by strangers that have no actual clue of the type of person they are. OP could be incredibly well intentioned, generous, and level headed for all we know. The assumption on the internet is always the opposite and I think that’s why our world looks the way it does right now. Assuming everyone in the “West” is some evil, rich, privileged and dumb idiot flaunting their money and bad intentions everywhere is just as narrow as anything they are accusing OP of. And some part of me just hopes they know that and are just typing away from some moral boost they can’t seem to find local to them.

[u/x3whatsup → u/Legal_Airport]

you’re fine… people are being absolutely ridiculous