Archive for the ‘Information’ Category

More Medical Experiences

Sunday, September 6th, 2009

We had our first experience of Greek hospitals a few weeks ago. In fact in one day Ken visited the dentist, doctor then hospital!

The local hospital in Kalamata is much smaller than we were used to in the UK. Our visit was because Ken woke up one morning with and found the white of one eye was suddenly half red – it looked more serious than a single burst blood vessel so we wanted to get it checked out. Our local doctor was unable to do this, lacking the specialist equipment needed to make a thorough examination of the eye, so suggested we go on up to the hospital.

Accident and emergency always conjures up the image of a waiting area crowded with all manner of challenges, and a wait of many hours. So before setting off on the 40 minute drive to the hospital we fortified ourselves with toast and coffee, then packed refreshments and reading material and off we went. The first pleasant surprise was a car park with ample free spaces – and no charges.

For a hospital in a tourist area we were a little surprised to find there was no signage other than Greek, and our first mistake was to follow the sign for the emergency department, which turned out to be for motorists and took us on a walk halfway round the outside of the building. Once inside we asked for directions, which were given mostly in Greek as few of the administrative staff spoke English.

We quickly got lost, and our second set of directions sent us to the second floor, where we found ourselves in the ophthalmology department. But unfortunately the doctor wasn’t there, so we were redirected down to a clinic on the ground floor. This turned out to be just inside the entrance nearest the car park, so we’d managed to walk right through the building. We were directed to some chairs, and settled down to wait.

After a little while we decided to check we were in the right place, and that we didn’t need to check in anywhere. It was a good job we did – the eye clinic was just closing and the doctor was about to leave. We almost ended up waiting for the wrong type of doctor. But the clinic’s closing didn’t mean we were too late. We were directed back up to the second floor, where the same doctor appeared a few minutes later.

After a wait of maybe 10 minutes more Ken was seen, his eyes examined and the ‘all clear’ given. The whole visit was over more quickly than we had anticipated, and with much less fuss than we would have experienced in the UK. There was no form filling. In fact, all Ken was asked for was his name and age (medical records are not really kept by doctors here in Greece). And he didn’t need to produce his IKA book to prove his entitlement to treatment.

As a child I spent many hours in hospital eye departments, both as an outpatient and an inpatient. In the last few years I also visited hospital a few times, including an operation as a day patient. No-one likes the idea of visiting a hospital, but our experience so far suggests that a Greek experience would be no worse than – and perhaps better than – a UK one.

But we have no more plans to put this to the test!

Eyes seem to receive good care in the Greek medical system

Eyes seem to receive good care in the Greek medical system

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The Swings and Roundabouts of Greek Bureaucracy

Sunday, May 31st, 2009
Greek bureaucracy is much like swings and roundabouts

Greek bureaucracy is much like swings and roundabouts

Sometimes it seems like Greek systems are designed so they could never be understood by someone who isn’t Greek.

For me this creates a dilemma. I like to be able to sort things for myself: to understand how to do things then get them done without having to rely on someone else to do it for me. I’m not a control freak (although I do have my moments) but I know I’m an intelligent human being who is perfectly capable of dealing with things, and of understanding them. But here we are in Greece  where it’s not always that easy.

Take taxes.

We know we have to make a tax declaration even though we don’t don’t expect to pay any tax yet. We first spoke to a local accountant last spring and explained our situation, conscious of a potential deadline. ‘Come back in January’ he said, which we did, to be told ‘Come back in March’ which left us wondering why we’d been told January. ‘Come back in May’ was the next offering.

Lulled into a feeling that we were going to be sent away on every visit, and knowing we have little, if any tax liability at this stage, we didn’t rush back at the beginning of May but sauntered in mid-month. This time we were told the deadline was the end of May, a fact we would have liked to know earlier, but clearly weren’t to be worried with. It also appeared that we should be sponsored by a Greek person, and that having non-resident status could be better for our tax situation. An interesting point, since we needed a tax number and residence permit to buy a car and to buy land. No-one asked us for a Greek sponsor when we applied for the tax number. And all we had to do to get residence permits was go to the police station and ask…

We were also told that we need to supply information regarding our rental arrangement, depending on how we want to deal with it – we do have a choice, it seems. We can declare that we are renting, in which case we need to show monies paid each month and our landlord’s tax details. Or we can choose not declare, in which case we still need to provide our landlord’s tax number, but in this instance to indicate whose ‘guest’ we are. Seems the tax authorities are happy to accept that people accommodate others for months, even years, without taking any payment for it (and even when they’re not family).

The next step was to discuss this with our landlord. We didn’t mind either way, but there could be a tax liability for her if we declare the rental, so we felt it should be her choice. Her reaction wasn’t the one we expected. Yes, she was happy to give us her tax number but she was more concerned that we were going to someone else to submit our taxes in the first place. ‘Give me your papers’, she said, and I’ll put them through my accountant.

‘But if you do it all for us we won’t understand the process’, I said, ‘and what happens if you’re not around in the future?’ To her credit she fully understands this viewpoint, even though it’s not the one taken by every foreign resident, many of whom are happy to hand everything over and not think about it. She’s agreed to explain the paperwork to us, and said that once we are settled in our own home we can – of course – do this ourselves, although she would still be happy to provide this service, as she does for other people.

Then there’s bank accounts:

When we first arrived we opened an account with one of the local banks, managing to get money transferred and a cash card issued without any help. The latter involved persuading the cashier to get our card sent to the bank for collection since we didn’t have our own individual postbox. But as interest rates in the UK headed towards zero and the exchange rate also headed resolutely in a downwards direction, we decided it was time to minimise our future losses and get our remaining funds over to Greece.

The question to our landlady was simple (so we thought): can you please help us to look at Greek banking websites and work out which is the best option for our savings. The involvement we were seeking was clearly defined: help us understand the system so we can make a decision and act.

The solution was different. Once again we found ourselves caught up, being helped beyond what we had asked for. This time our landlady spoke with a friend of hers who worked in a local bank, and also mentioned our request to her father (in passing we assume though you can never be sure) who told her of offers in other banks. The upshot was that a few days later we found ourselves being introduced to our landlady’s friend and being offered a savings rate that was very competitive.

And even though we were happy to accept the first rate offered she kept nudging it up a little higher until we knew we had an excellent rate. Something we wouldn’t have achieved without our landlady’s help. We would never have known that it is possible to negotiate an individual savings rate, different from the standard advertised one. And even if we did know, we wouldn’t have been able to achieve it without a Greek go-between.

Okay, the final decision to deposit the money was ours, but who’s going to get up and walk away from the best interest rate on offer?

So it really is a swings and roundabouts situation. To find your way around the intricacies and quirks of Greek officialdom is challenging for a non-Greek (and many Greeks as well I’d guess). Going it alone is possible, but sometimes being willing to give up some of that control gets you the better result.

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Health Matters

Wednesday, March 25th, 2009

I don’t know how many books and articles I’ve read that told me not to trust health care systems in foreign countries. I was promised old fashioned, out of date facilities, and low standards of care. The writers told me that I would be extremely foolish if I didn’t buy private health insurance, and hinted that I would live to regret it, often illustrating this with gory tales of injured or sick travellers.

This view is hopelessly out of date, especially when you contrast it with the dire state of the overburdened NHS.

What they also fail to tell you is that for many people in or approaching retirement, the cost of private health cover overseas is significant even when there is no history of illness. In fact it’s out of reach for many people especially in these days of poor exchange rates. None of the people we’ve met have private health cover; and several have used the public health system and speak glowingly about it.

Pension age people and their dependents moving to Greece can access the local equivalent of the NHS – the IKA system. When we first arrived a friend told us his experience of registering for IKA: find a local office, take several photographs and expect to spend hours trying to complete Greek paperwork with no translations. Not something to look forward to.

We actually found the system a whole lot easier than expected, partly because the UK authorities had been efficient in sending us the all the paperwork we needed, already completed with our NHS details.

Armed with photographs we went to the local IKA office, where the staff were helpful and understood English. Our paperwork  was European-wide so there were no problems about its being accepted. We were asked to leave the forms and our photographs and call back before the office closed.

An hour later we were the proud possessors of IKA books, our passport to all manner of services. These have to be revalidated annually in January or February, and are used to record all medicines issued. Our books are quite thin, but we’ve seen people in pharmacies with books the thickness of a hefty novel, the chemist tearing out slip after slip and delivering an increasing pile of medicines in return.

So far I’ve only visited the doctor once. I was disappointed to find he didn’t even want to see my precious IKA book.

Our passport to healthcare

Our passport to healthcare

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