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  1. #76
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    koman's Avatar
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    Quote Originally Posted by Thetyim View Post
    Quote Originally Posted by koman
    I believe the "gold card" was for access to the Thaksin 30 baht medical care deal for Thai nationals I've also been told that this program has been pretty much gutted under the present government.
    Abhisit removed the 30 baht fee and made it free
    I don't know if that is correct about the 30 baht, but even if its true, it does not mean the program itself has not been compromised. I am being assured by a couple of Thai's who work in the system that it has. Anyhow you did not provide any information about when you accessed this free health care and what was involved...that's the issue...not the 30 baht.

    There are totally conflicting stories about this situation on several forums and nobody seems to be able to authenticate any of it. If this is supposed to be an information exchange, one liners won't really accomplish much I'm afraid.

    Again, if its all free and wonderful, why are the Thai's who can afford it climbing over each other to buy medical insurance??

  2. #77
    Have you got any cheese Thetyim's Avatar
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    Quote Originally Posted by koman
    Anyhow you did not provide any information about when you accessed this free health care and what was involved.
    Last month.
    I showed the card, I got free treatment (examination & drugs)

  3. #78
    Thailand Expat superman's Avatar
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    Quote Originally Posted by koman
    Again, if its all free and wonderful, why are the Thai's who can afford it climbing over each other to buy medical insurance??
    May be it's because having insurance gets you fast tracked. Under the government system if they feel there's no hope for you they send you home to die. Why waste money trying to keep someone alive when it's futile. Whereas having insurance gets you the better system.
    Death is natures way of telling you to slow down.

  4. #79
    Days Work Done! Norton's Avatar
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    Quote Originally Posted by superman
    Under the government system if they feel there's no hope for you they send you home to die. Why waste money trying to keep someone alive when it's futile. Whereas having insurance gets you the better system.
    If there is indeed no hope, perhaps the government system is the most humane for the patient and their families.

  5. #80
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    So if your married to a thai you would need no insurance other than free BULLSHIT. As a retired person living in LOS I pay at a higher rate to start with and the hospital's here have tried in no way to accept out of country insurance plan's I went as far as getting all the information and forms for BGH to fill out and return which would only mean a phone call from the hospital to the insurance provider and was told it was too expensive to call on each farang to get approval. Once again Bullshit take your proposed plan and your visa and put it where the sun does not shine. Now that the rant in over ; enough is enough and beware if at first the retired then what or who is next.

  6. #81
    Thailand Expat superman's Avatar
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    Quote Originally Posted by Norton
    If there is indeed no hope, perhaps the government system is the most humane for the patient and their families.
    I beg to differ on that.

  7. #82
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    i'm always surprised at how cheap farangs are with their own kind until I realized how kee-neo they are with thais

    farang kee-nok

  8. #83
    Thailand Expat superman's Avatar
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    Quote Originally Posted by pascharay
    farang kee-nok
    These days I have to admit I am. Due to raising 3 kids and thinking of their education, choice isn't necessary an option.

  9. #84
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    Quote Originally Posted by The Master Cool
    Why would any country want foreign retirees (not paying tax on earnings) to reside in their country?
    They spend money which originates outside Thailand, net effect is the same as exporting manufactured goods.

  10. #85
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    Quote Originally Posted by navynine View Post
    So if your married to a thai you would need no insurance other than free BULLSHIT. As a retired person living in LOS I pay at a higher rate to start with and the hospital's here have tried in no way to accept out of country insurance plan's I went as far as getting all the information and forms for BGH to fill out and return which would only mean a phone call from the hospital to the insurance provider and was told it was too expensive to call on each farang to get approval. Once again Bullshit take your proposed plan and your visa and put it where the sun does not shine. Now that the rant in over ; enough is enough and beware if at first the retired then what or who is next.
    I had a different experience with BNH in Bangkok which is owned by BGH. I went in for a minor op with an overnight stay - cost B70,000. I gave the hospital a claim form from AXA PPP in the UK and BNH billed them direct. The billing must have gone smoothly as I never heard anything more about it.

  11. #86
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    Quote Originally Posted by Lorenzo View Post
    Quote Originally Posted by The Master Cool
    Why would any country want foreign retirees (not paying tax on earnings) to reside in their country?
    They spend money which originates outside Thailand, net effect is the same as exporting manufactured goods.
    Correct. The income from retirees' expenditures should go into the tourism account which is exports of services. Unlike manufactures which usually have a significant imported input component that offsets the export income, tourism dollars don't have this, TAT's overseas staff and advertising aside. However, there is a cost in terms of the domestic infrastructure consumed by retirees and tourists, e.g. their wear on roads, use of airports, immigration officers, police, prisons & etc. This is not normally a huge cost relative to the income but foreign retirees getting into the news by refusing to pay bills at government hospitals creates an emotional cost out of proportion to the size of the unpaid bills.

    Now that the foreign retiree population has grown quite large with minimal regulation, it is inevitable that the government will step in sooner or later to regulate it more closely and medical insurance is probably a no brainer on that front. A time when tourism has recovered nicely, like now, could be a good time to start. Any type of clamp down on foreigners is usually a good vote getter at election time. Doing something about farangs is a good way to distract attention from the fact that the government has no coherent policy to handle the 2 million Burmese, Khmers and Laotians they are now dependent on for sweated labour without human rights.

  12. #87
    Have you got any cheese Thetyim's Avatar
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    Quote Originally Posted by Krumble
    e.g. their wear on roads, use of airports, immigration officers,
    We pay annual car registration tax
    We pay airport taxes
    We pay for extensions of stay

  13. #88
    Have you got any cheese Thetyim's Avatar
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    Quote Originally Posted by Krumble
    The income from retirees' expenditures should go into the tourism account
    Should being the correct word but I have yet to see any evidence that it is.

  14. #89
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    Quote Originally Posted by Thetyim View Post
    Quote Originally Posted by Krumble
    e.g. their wear on roads, use of airports, immigration officers,
    We pay annual car registration tax
    We pay airport taxes
    We pay for extensions of stay
    The individual examples don't need to be taken too seriously. I am just trying to make the point that there is some sort of cost involved that is hard to quantify and isn't generally that high. A lot, if not all, of this is also offset by VAT payments which even on expenditures of say B30,000 a month is higher than the average Thai citizen. However, it is easy to focus attention on one item that occurs infrequently, i.e. unpaid medical bills or foreign criminals requiring incarceration, and make out that the overall cost is much higher than it really is.

    Quote Originally Posted by Thetyim View Post
    Quote Originally Posted by Krumble
    The income from retirees' expenditures should go into the tourism account
    Should being the correct word but I have yet to see any evidence that it is.
    The Bank of Thailand can get an accurate handle on this by assuming all retail forex transactions into baht are due to tourism. It is impossible to separate out the retirees' expenditures from general tourists but, since the number of retirement visa extensions should be known, it is possible to estimate this. A similar estimate can be made for those on marriage extensions. Even though it is possible for them to work legally, most are probably retired, since most people on work permits get non-imm B visas that are generally easier.

    I have no idea how many retirement and marriage extensions there are but I guess their contribution to tourism revenues is reasonably significant. Whether those in authority appreciate this and will continue to appreciate it or not is hard to say but allowing foreign retirees to stay indefinitely on temporary visas is not something that happens in more developed countries. Most only allow long term settlement with significant barriers to entry or tourist visas for up to 6 months a year. Inevitably Thailand will go that route too but it might take another generation.
    Last edited by Krumble; 23-12-2010 at 05:18 PM.

  15. #90

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    Quote Originally Posted by Krumble
    or foreign criminals requiring incarceration
    To keep 1 Thai criminal in jail in the UK probably costs the same as keeping 100 farang criminals in jail in Thailand.

  16. #91
    Thailand Expat superman's Avatar
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    Anyone wishing to do time in the BKK Hilton should know their rights. There aren't any. Sorry to go off topic
    STEVE'S LIFE IN BANGKWANG PRISON THAILAN - A Bravenet.com Hosted Site

  17. #92
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    After reading about farangs getting gold cards here I contacted my district office to see if I was eligible for one. They asked for my ID number from my tabien baan and after looking it up in the computer told me that a gold card had been issued automatically in my name when the scheme first started under Thaksin and sent to my house. I remember receiving a notification about the gold card at the time, which I thought had been sent to me by mistake, as I thought it was only for Thai nationals, but I didn't receive the card. So my next question was, "Can I have a replacement card issued?", to which the answer was "no" as gold cards can no longer be issued to foreigners, following a recent change in the rules. However, the officer told me that my coverage was still good without the actual card. I can get free treatment at a government hospital if I take along my tabien baan and other ID documents. They will verify my membership in the computer.

    I guess that they noticed that a large number of foreigners have been getting on tabien baans since the 2008 Civil Registration Act made it compulsory for district offices to register all foreigners living in their district on any type of visa except tourist or transit visas. Hence the rule change. As far as I know foreigners who got into the scheme before the rules changed are currently allowed to stay in it indefinitely. Thanks to the posters here for pointing out my entitlement.

  18. #93
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    Not sure if it has already been highlighted but adequate full health insurance for someone in their late 50s or early 60s residing in Thailand would be provided by the major players in the UK at an annual premium of between £3 - 5,000.

    Given this quite challenging indemnity it would occur to most folk that to wing it might be the best financial solution.

    Now, accident insurance is another matter and should be compulsory.

  19. #94
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    Hospitals count cost of foreigners' bills
    20/01/2011

    Elderly patients often can't pay for treatment

    PHUKET : State hospitals in the southern province are shouldering a heavy burden for treating elderly foreigners who cannot afford to pay their medical bills.

    Many retired foreigners who came to Thailand with the hope of settling down here are now struggling after spending their pensions wastefully and marrying Thai women, some of whom left them after their money ran out.

    Lots of foreigners have fallen ill and been admitted to local hospitals. Their relatives back home refuse to pay for their treatment on being contacted by the embassy, Vachira Phuket Hospital's public relations centre said.

    The embassies regard the matter as personal. They will provide help to their nationals only in cases of emergency or disaster.

    "So we've treated these patients based on professional ethics until the last moments of their lives. Funeral rites and merit-making ceremonies are held for them," a source at the centre said.

    The state-run Vachira Phuket Hospital admitted a record 377 foreign patients, mostly Britons, in the 12 months to Sept 30, 2010.

    There were also cases of foreigners who died outside of hospital but were brought in for autopsies. They died of causes ranging from road accidents to drowning and suicide.

    The hospital last year spent 1.3 million baht treating 17 penniless foreigners. It was the third consecutive year that the hospital had logged unpaid bills.

    The hospital bore costs of more than 1.2 million baht in 2009 for 22 foreign patients, a 50% rise from the 800,000 baht in costs to treat 17 patients in 2008, the centre said.

    "These patients are mostly European men," the source said. "They didn't take out health insurance. They renew their visas every year and have no savings."

    Some of them produced fake financial statements to have their visas renewed. Each foreign national seeking the renewal of his or her retirement visa must have at least 800,000 baht in their bank account or show they have earnings of at least 65,000 baht a month.

    The source said foreigners' savings often were quickly used up on entertainment and women.

    Some who wanted to build families in Phuket married Thai women who later took off with their money.

    In a lot of cases, the patients require long-term treatment for chronic illnesses such as alcoholism and liver and heart diseases.

    The source said the government should review its policy and focus on quality tourism.

    Stricter screening of visa applications was needed. Foreign residents must be required to have health insurance.

    The government should even set up a fund to help foreign patients with some of their financial costs, the source said.

    bangkokpost.com

  20. #95

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    Quote Originally Posted by Mid
    The source said foreigners' savings often were quickly used up on entertainment and women.
    Bit of a sweeping statement that, I assume they mean Thai women?

  21. #96
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    Quote Originally Posted by Mid View Post
    struggling after spending their pensions wastefully and marrying Thai women, some of whom left them after their money ran out.
    not limited to Phuket I'd imagine.
    we have a friend in Phuket who will fall into this category, has a 4m 'asset' he can't touch as it is all in the name of the local woman he fell for here who has since found another farang to live off; he came to Thailand at a time when his UK pension (his only income) traded at 70+ baht - what is it now, high 40s?
    His family 'back home' have wiped him he has nowhere to go but his self-built prison, at 76 no medical cover.
    What to do?

  22. #97
    Thailand Expat taxexile's Avatar
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    The source said the government should review its policy and focus on quality tourism.

    .... and tourists should focus more on quality women.

  23. #98

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    The Phuket expats club has just submitted their demands to TAT, they want a better class of hookers in Phuket, no more of the Pattaya cast offs should be allowed on Phuket island, sign their petition at Phuketexpats.com/better-class-of-whores-wanted/

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