Nobody likes to visit the hospital, least of all when you're in a new country and don't know what to expect. But I've been to the outpatient department of Colombo's private Durdans Hospital twice now, and I'm happy to say that it was as good of an experience as one can get given the situation. I'd heard a variety of stories, ranging from good to bad, and was expecting less than I received. Lesson #1: don't believe everything you hear.
Colombo's hospitals reflect the two-tier health care system here, something we're still debating about in Canada. Volunteers are generally encouraged to use the private hospitals.
The first visit was an educational one, learning how the system operates. When you check in and report your problem, you're "registered" in the computer system, given a print-out and asked to pay for the consultation before you see the doctor. Once done, your paperwork is stamped "paid" and you proceed to the doctor's waiting room for a short wait. Nurses in traditional uniforms, caps and white shoes mingle about and eventually one asks you to step inside the doctor's office.
My first visit required tests, so on I went, paid for the tests before having them done, then back to the cashier to show my receipt. And in about five hours, I had the test results in hand. That's quicker service than you usually get in Canada.
My consultation cost Rs. 100 and my tests were about Rs. 250 (the rate card I have lists normal maternity deliveries at Rs. 2250 and air-conditioned rooms with toilets, hot water, tv and telephone at Rs. 3000, which I assume is per day).
I liked the doctor I saw on my second visit better than the first, but they were both professional. I appreciated the second doctor's sense of humour and we chatted about his sister who lives in Brampton, a place I lived for many years. Even half-way across the world, it's still a small one.
I can't report on a public hospital experience, but the private visits have certainly made me reflect on the Canadian debate over a two-tier system. While I've appreciated the access to a private hospital, it's a different context here. Perhaps a majority of the population can't afford the private system; on some level it points to the potential problems Canadians have discussed. I'm even more of a believer than before in improving Canada's one-tier health care system, so everyone - rich, poor and in-between - can access the same quality care they deserve, and pay for already. Easier said than done, but worth trying for.