One of those most challenging aspects of living in the Netherlands as an American expat is getting accustomed to the Dutch healthcare system. Specifically, adjusting to the Dutch huisarts – general practitioner – infamous among expat circles and fodder for complaints. “Why go to the Dutch huisarts when chances are they will just prescribe you paracetamol?” is the common complaint among many foreigners about the realities of life in the Low Countries.
Paracetamol is another name for the active ingredient acetaminophen, also known as Tylenol back home in the United States. I’ve popped so much paracetamol since moving here nearly ten years ago that I should have bought stocks in the company. But here’s something worth considering: According to the Euro Health Consumer Index 2015 (CHCI), the most recent report available, the Netherlands ranks as the best country in Europe in terms of health care.
The Netherlands is “the only country which has consistently been among the top three in the total ranking of any European Index the Health Consumer Powerhouse (HCP) has published since 2005”. Apparently, not only are the happiest kids in the world found in the Netherlands, but also the best healthcare system in Europe. This speaks volumes since we all know how serious European governments are about caring for their sick.
Being an American married to a Dutch guy and having young children adds another dimension to tensions in regards to health and healthcare. The moment one of my sons has a fever of over 39 C (102.2 F), I’m ready to rush straight to the doctor’s office. It’s what most American doctors would recommend, especially for babies. My Dutch husband, on the other hand, would prefer to wait a week or two before even calling the doctor. Yet once I acknowledged some key truths, I came to appreciate the Dutch healthcare system, especially my huisarts. Here are some useful survival “tips” for better understanding the Dutch healthcare system:
1 Understand the Dutch (medical) culture and view towards sickness
“Americans go to the doctor to prevent themselves from getting sick, while the Dutch go to the doctor when they are actually really sick,” observed journalist Margriet Oostveen during a recent coffee date. Oostveen lived in Washington D.C. for six years. We were chatting about the differences between the two cultures, and she agreed that one of the major differences is their view on health. Americans try to avoid getting sick at all costs, seeing sickness as a form of weakness and are much more into prevention. The Dutch, on the other hand, see sickness as simply an inconvenient part of life. They just get on with it really, and wait till they are absolutely sick in bed before they manage to drag themselves to the general practitioner.
2 Date before making a commitment
Or in other words, “try before you buy”. In the Netherlands, the general practitioner will basically be the physician that you have the most contact with. Unlike the US system, specialists such as pediatricians and gynecologists are only seen based on the referral of a general practitioner and usually if there is a serious medical condition. Chances are there will be several practices available near where you live. The website www.kiesuwhuisarts.nl provides information on all the available options. It is possible to change doctors but best to have a trial appointment with them first before actually signing up. Don’t be shy and date around for the “right match”.
There’s nothing wrong with finding a general practitioner who is culturally sensitive. I totally adore my current huisarts who I affectionately refer to as -“Dr. Google” (We actually have Googled together at his clinic to confer on a diagnosis). I am, and will probably always be, more the neurotic American with a soft spot for medicines and medical tests to make sure that I have a clean bill of health. My huisarts understands this and knows when to comfort me and send me away for more paracetamol.
3 Communicate in a clear, direct pragmatic manner
Dutch general practitioners and specialists, like most humans, are not mind readers. In a perfect world, they would have impeccable bedside manners, give you their undivided attention, and understand what you really mean. Dutch doctors, however, are only human. A simple approach when visiting the general practitioner would be to give them a detailed history and to be as direct as possible. If you’re really sure that you may need further treatment, do not hesitate in asking for a second opinion from one of their colleagues.( Hence, it’s crucial to take my second tip of carefully selecting your general practitioner seriously.)
4 Dutch doctors take the threat of antibiotic resistance seriously
Antibiotic resistance is one of the biggest threats to our modern day life. We have to remind ourselves of a simple truth: Antibiotics are medicines used to prevent and treat bacterial infections. The flu, which can leave many people sick for weeks on end, is a virus. Antibiotics cannot kill viruses. Dutch doctors recognize this threat and are aware of it, and thus only prescribe antibiotics if they can diagnose a person with a bacterial infection and not a viral infection.
5 Wait two weeks with any minor ailments before going to your GP
Dutch doctors are very pragmatic and not keen to waste time and resources, so the chances are if you have a minor ailment like a cough or stomach ache, they’ll tell you to simply wait two weeks and come back only if it doesn’t go away on its own.
P.S. We wrote a book called “The Happiest Kids in the World; Bringing up Children the Dutch way.”
P.P.S. If you happen to have already read the book, please share your thoughts! Sharing (your thoughts) is caring!