So as you may or may not know England has one of the best health

你可能知道也可能不知道，英國有著全世界

care systems in the world and it's something that we get asked a lot about

最好的健保體制，我們也經常被問到英國的健保

because it's quite interesting it's not the same as it is in other countries and

因為他跟其他國家不太一樣，所以讓人好奇想知道

just in case any of you don't know NHS stands for national health service so if

如果待會對話中有提到 NHS 的話

we're saying NHS it just means our healthcare system in the UK in England

它是代表英國的國家健保局

in England they do have similar health services in Wales Scotland and Ireland I

在威爾斯、蘇格蘭以及愛爾蘭都有相似的健保服務項目

think they do differ slightly so we're just gonna say this is what happens in England

我認為還是有些許不同，我們要來說說這是發生在英國的事情

because we know that this does happen in England yes

因為我們知道這在英國真的有發生

the only one amazing thing that did happen to me in Scotland was that I had

在蘇格蘭就有很一件棒的事發生在我身上

tonsillitis so I went to the NHS obviously I was seen very - I think

我得了扁桃體炎，去了 NHS，馬上就見到醫生，非常的快，

within an hour I was seen and I was given a prescription and I was given

大概一個小時，醫生就幫我看完診，開完處方簽，開了藥給我

antibiotics containing penicillin which usually would cost around seven eight pounds...

藥裡的抗生素含有的青黴素，這一般通常要花 7 或 8 英鎊

for free so Scotland had free prescriptions yeah so that's

蘇格然則是不用花錢，

just one little tip fact yeah. -Well that's the first main thing about the

這就是 NHS 這裡首要的功能

NHS here is that any prescription one prescription will cost you seven pound

任何的處方籤，一次都會跟你收 7.85 英鎊

eighty-five I think it is so no matter how much that medicine costs that

所以我認為藥品多貴都沒關係

medicine will cost probably hundreds of pounds but it's subsidised by the

即使是要花費上百英鎊，NHS 都會幫我們部分負擔

NHS so we just pay seven pound eighty-five per prescription exactly and

我們只需要支付一次 7.85 英鎊的處方籤

it does not cost at all to go and see a doctor

另外醫生看診則是不額外收費

it's completely free I say free we all pay our tax here and part of our taxes

是完全不收費的，因為我們在這都有繳稅，部分的稅金

go towards funding the NHS and still it is a system that hasn't got enough

會運用到 NHS 這裡，但畢竟事個健保體制，資金還是不夠

funding behind it although we've only had positive experiences with the NHS

儘管如此，目前我們對 NHS 只有好的體驗

there are some people in the UK in England that have not had so many

在英國的英格蘭，有些人就沒有沒有這麼多好的體驗

positive experiences and you'll still find people out there that are slating

當有小孩要出生的時候

the NHS when the people inside the people that are working so hard the

你會發現到有些人叱責 NHS 不夠好

doctors and nurses do an incredible job they are the unsung heroes definitely

醫生與護士都做到仁至義盡，他們是無名英雄，肯定是的

there's not enough people working for the NHS so I know that there are

因為 NHS 的人手不足，我知道些課程是有補助的

things like courses that are subsidised and so for example university will cost

像是一年的大學要花費你 9000 英鎊

£9000 a year but if you want to train to

但如果你想要培訓成為

become a nurse there's no cost at all because they want to encourage people to

一位護士的話就不用花半毛，因為他們鼓勵人們

come and study and work for the NHS but yeah even using hospitals is free so if

來讀書然後幫 NHS 工作，甚至是讓你免費就醫

you have a last minute emergency and you need to call the emergency services and

如果你掛急診時，你需要打給急診服務中心

you need a big treatment going to the NHS for that is completely free. I think

如果需要去 NHS 做大手術的話，可以免費

my brother when he got seriously ill he went to intensive care for like three

當我哥哥生重病時，去了加護病房 3 個月

months and then was in rehab for like three months that ultimately would have

然後又在勒戒中心 3 個月，如果是在美國的話

cost our my family millions if we're in the U.S. like my parents would have had

那算一算會花掉我家人上百萬，我的家人可能因此把房子賣掉

to sell the house because it would cost something

因為它真的貴到讓人傾家蕩產，

ridiculous like a hundred thousand pounds per week or something to keep my

一週十幾萬好讓我哥哥可以繼續活著...沒門！

brother... no way! On all the machines, to pay for all of the fees and all the medication so it's just so

都是花在設備上、支付所有的費用、醫療費用

foreign to us to think of a healthcare system where you would have to pay for

一個要付錢的健保體制對們來說是件很奇怪的事情

it like you you've said I think about in American films and things you see

就像你說的，在美國電影裡你可以看到

families that can't afford to pay the bills for health care but that's just

家人承擔不起的醫療費的情節

not a thing in the UK so it just seems really really odd that that's a thing to

但它不會發生在英國，所以它真的是個奇怪的現象

us obviously it's not odd but it's just not something we can relate to and

對我們來說是沒有這樣的問題，也不是我們可以想像到的

similarly I think another thing that seems odd to me like when I'm watching

類似地，當我在看美國電影時，也有另一個

an American film is the idea of say for instance we're in a scene and I'm like

滿奇怪的點是它的想法，例如我們來演一段，然後我會說

you lost your job you're fired with that you lose your health care in

你失去工作就等同你失去健保

America there's no health care, yeah because losing their job they lose their healthcare benefits but in in the UK in England specifically

在美國沒有健保這回事，是的，因為失去工作，他們也失去健保的福利

you can't just fire someone remove all of their health care privileges you have

在英國英格蘭開除員工，你沒辦法連同它的健保的福利一起移除

to like give someone a reason give them a certain amount of time, like a notice period

得要給他原因以及期限，像是期限通知

and like I just think that that makes us probably different as people because

我覺得健保這事讓我們感到是不同世界的人

like we're not so much on edge yeah maybe we're more on edge, maybe that's a

因為我們沒有在那種困境的邊緣過，或許我們更邊緣

big statement like you know just the idea of like absolutely nothing is

或許那只是個說詞，就像是你知道的沒有什麼是永遠肯定的

certain ever you could go into work today and you could lose your job and

像是你今天去上班，馬上就被開除

you could not have a job tomorrow I think that's the scary thing cuz

明天還沒有工作，我認為這是個令人害怕的事情，

my parents have a house in Florida in the US and there's been talk of being

因位我父母在美國弗羅里達州有一間房子，他們常說著

like "oh maybe we'll move here one day" but my parents, the main thing holding

『或許我們有一天可搬到這裡』但我的父母，主要讓他們不敢般的原因是

them back is the fact that if they did move there they wouldn't have any health

如果他們真的搬到這裡，他們就沒有健保了

care they would have to pay for their own health care yeah they wouldn't move

他們得要支付自己的醫療費，他們也不會搬到外面

out there and get a job and health care included in a job because

找一份有健保的工作，

they'd be retired by then, so yeah it's just that's the main thing

因為他們快要退休了，所以這就是主要原因

I think that puts people off moving to not just America but other countries

我認為健保是讓人不想搬家的因素，不單單只是美國而已

that don't have national health care systems is the fact that health care can

其他沒有健保的國家，看病也是貴森森的

cost so much money yeah and we don't realise how lucky we are no I mean I

我們沒有意識到我們很幸運

don't have any idea how much it would have cost ... don't if anyone's been

我是說我完全沒有概念它有這麼貴

following us this long but back when I had my throat surgery

目前為止追蹤我們的觀眾，還記的我的喉嚨的手術

in 2012 I had vocal nodules on both sides of my vocal cords and I was

那是在 2012 年，我的聲帶兩邊長了兩個結

on a wait list for about six months with the NHS so I had my initial appointments

我當時在 NHS 掛號排隊等了 6 個月，所以我看了初診

and I said oh this is the problem they put cameras down my throat they were like

才知道它是個病，他們把微型錄影機深入我的喉嚨，他們才能夠

yeah you've got this problem we can do an operation and fix that you can go

判斷問題，我們可以做個手術解決這問題

private you can be seen immediately if you pay £12,000 pounds something like

你可以選擇私下開刀，如果能夠支付 12,000 英鎊，馬上就可以動刀

that or you can be on our waitlist and we'll get round to you when we can it

或是可以選擇排隊等候動刀

wasn't a tragic problem it was not life-threatening

它並非是個危害到生命的問題

it was just something that was affecting my vocal quality, my ability to sing and

就只是聲音會受到一點影響，沒這麼好聽而已，

just my ability to talk without feeling exhausted yeah I had sort of like vocal

能夠唱歌、能夠說話感到不會疲倦，

therapy a couple of times after the operation and that was all included for

我手術後做了幾次聲帶復健治療，費用全都包含在內，一毛都不用支付

no money all just money that we as taxpayers all put into this big pot yeah

只需要支付身為納稅人該支付錢

and everybody is looked after. Yeah I think that's what some British people

大家都有被照顧到，我想那就是英國人

resent is having to pay extra taxes for the NHS we don't know we're going to

有點不高興的地方，幫 NHS 支付額外稅金，我們不知道我們要做個調查

research and do a video on UK tax but I do think that we pay slightly more tax

和做一部英國稅金的影片，但我認為我們繳的稅金

than people do in America for example but I would have thought it more than

高過美國一點點，但要自己負擔的時後

pays for itself when you think that we don't have to pay

我會多想一點點，當你認為我們不用負擔任何費用的時候

anything except £7.85 per item that we get from the chemist yes and the way

我們跟藥劑師拿藥、每一項藥品要支付 7.85 英鎊

the prescriptions work is that every time you need to get your prescription

是的，這就是拿藥的規定，

again, so for instance say you're given a prescription of special tablets

例如你每次都需要拿特定的偏頭痛藥

for migraines sometimes I get migraines so I have a prescription from the doctor

我有時候會有這症狀所以醫生有幫我開處方簽

and every time I go to collect 30 migraine tablets I pay £7.85

每次去拿 30 顆偏頭痛的藥，我一次支付 7.85 英鎊

once they run out I get my prescription renewed I go to the chemist

30 顆吃完，我又跟醫生拿新的處方籤，再去藥劑師那裡

and I say here's my prescription I pay £7.85 again yeah and that's it

出示新的處方籤，支付 7.85 英鎊，就是這樣

and that is kind of capped it's been £7.85 for a while I think yeah it's

價格似乎有被固定住，7.85 英鎊已經有好一陣子了

been around the £7 mark yeah exactly but if you are under 16 or if

我認為大概是 7 英鎊左右，但如果你低於 16 歲

you're over 60 then your prescriptions are free I think as well if you are

或是超過 60 歲，你的處方籤就不用錢，我認為如果你正處於

unemployed then they're free and there are certain other things as well yeah if

失業中也是免費可以享有，有些特定的狀況也有

you're in full-time education and you're sort of and 18 as well, there's all sorts of

如果你是全職學生剛好又是 18 歲，

things if you're receiving Jobseeker's Allowance or if you're receiving any

如果你是因為無法自給自足，領著政府補助的就業津貼

benefits from the government because you're not able to support yourself

或是任何其他的津貼

completely on your own then you're also able to get free prescriptions yeah

那你也可以享有免費的處方籤

so there are... well I think the NHS is amazing yeah it's great it's actually the

我覺得 NHS 真的很棒，它其實是英國最大的公司

biggest employer in the UK and it's apparently I think it's the fifth largest in the

我想它應該是全球排行第五大

world which is incredible it's a massive machine and I think it's really great I

規模大到令人難以置信，我真的覺得 NHS 很好

just realise that I take it for granted all the time yeah like right now I need

我之後才意識到一直以來我都是把它當作理所當然，

to get - I do need to go to the doctors for something and all it's just a case

現在我需要去找醫生拿點藥

of me getting on the phone and just making sure I can get an appointment

要確保我可以在電話上預約到看診

I'll probably be seen within a week yeah in London it's harder you know sometimes

我大概一週的時間才能見到醫生，在英國比較辛苦些

you have to wait a bit longer for an appointment but you'll get seen yeah and

有時後預約看病你也得要等，但你一定會看到醫生的

if you really need to be seen immediately you can go to A&E which is

但如果你需要醫生馬上幫你看的話，你可以去 A&E 診

like accident and emergency and you can just sit in line and get seen, or if it's not

它是急診室，你坐在等候區，醫生馬上幫你看病

quite an emergency you can go to a walk-in clinic which there may be like

如果不是很緊急，你可以去那種不用預約的小診所

an hour wait or something depending how many people are there but you can just

它可能需要等上 1 小時，依照當時看病的人數

walk up and see a doctor that day yeah even if it's not quite an emergency

不過你當天可以見到醫生，即便不是個緊急需求

another great thing that I will try and link down below if I remember is an

另外個很棒的事，我會將連結放在下面，我沒記錯的話

article from an American that's moved to the UK and I remember he was comparing

是一偏來自一位美國人寫的文章，我記得它是在比較

the health care systems yeah and was saying like the pros and cons of

健保體制，還有說一些倆者間好處與壞處

both of course there are cons to the NHS but overwhelmingly he said he would

當然 NHS 也是有些不好的地方，但他說他還是會

choose a National Health Service over the private healthcare just because of

選擇 NHS 來看病，

the the worry of being able to make those payments and paying for health

因為會擔心所賺來的錢拿去支付這些外面的醫療保險

insurance it's just not worth you know the angst that it causes I can just

會有些不值得，這種擔憂你是知道的，

about afford my phone bill let alone a health care bill and and that's the other

我都快付不出電話帳單更別說是醫療保險費

thing isn't it that people just say your health is the most important thing yeah

還有就是大家不都說你的健康是最重要的

so how could you live with the fear of potentially having

但你要如何過著提心吊膽的日子

like a £30,000 bill or more to keep yourself alive, to keep a family member alive

負擔潛在龐大醫療費，好讓你或家人可以度難關

it's just so stressful yeah and not just that like obviously if you've

壓力太大了，是啊，還不只這樣

got insurance you probably wouldn't have to pay that much but the fact of then

如果你有保險的話，就不用支付那龐大金額，

having to pay insurance every single month just in case something goes wrong

以防意外發生，每月支付的保險費

the insurance companies are making a killing yeah they definitely are that's probably

保險公司也因此賺了不少，是啊 ，他們的確賺得不少

why they're not going to change anything in the U.S. is because these massive companies are making

那也是因為美國目前為都沒有任何的變化，因為這些龍頭公司從中獲利飽滿

so much money from it yeah yeah but it was established in the 40s

NHS 它是在 40 年代成立的

so we've had it all our lives our parents have had it all their lives yeah so um

所以我們終生都有保障，我們的父母也有

yeah it's just something that you don't tend to think about every day yeah like

是啊，我們就不用每天愁著看病花錢這事

right now my dad needs to have keyhole surgery in his knee and there

就像我爸爸需要去做膝蓋的微創手術

are two options he can stay on the wait list that he's on with the NHS and they

他有兩個選擇，他可以在掛號排隊，NHS 會告訴你看診時間

offer you an appointment and if you can't make it then that sucks for you

如果來不及趕到，你得要等到下一位看完醫生

you've got to wait for the next one or you can just pay to be seen privately

或是你可以付錢馬上看

and go and get seen you have the option of both you always have the option and

你永遠都有兩個選項，

the NHS don't have anything against anyone working privately in fact a lot

NHS 並沒有對想要付費任何人有限制

of NHS doctors also work in private clinics

事實上有很多 NHS 的醫生在私人診所上班

just to double up their salary a bit more because they don't get paid a very

只是為了能夠多賺點， 因為他們在 NHS 沒有領多少

good amount from the NHS it's not a great salary so they have to pick

NHS 給的沒有很多，所以他們會私用額外的時間

up these extra shifts privately also that's a nice fact as well that if you

另外如果你在 NHS 工作，也是有打折的優惠

work for the NHS you get discounts across the country loads of restaurants,

在各國家的餐廳，商店，

shops, experiences give NHS employees discounts yeah so lots of my friends

都有給 NHS 員工折扣，我有很多朋友

when we're going out for meals say like oh do you do NHS discount?

我們出去吃飯時他們會問店家說：『你們這 NHS 優惠嗎？』

and some don't but lots of them do yeah and I think it's a nice way to

有些則沒有，但大部份都有，我覺得這是還不錯的方式

reward people who do work for the NHS who don't earn a huge amount of money by

回饋在 NHS 辛勞又賺不多的員工

giving them discounts and just showing your respect to them that do that yeah that's really

給予他們折扣的優惠算是表示對他們的敬重

sweet but I hope that was informative for you guys I'm sure we've missed out

真的很貼心，希望這些資訊內容有是有用的，我確定應該還有些東西漏掉

certain things and if you'd like to see more on that then let us know and

如果你還想看更多這主題的東西，讓我們知道

I'm sure we can do another video on it we just thought it might be helpful for

我們還可以在做另一部影片，我們覺得這部影片對你們會有幫助

you