There are certain things that, no matter how long I've lived in another country, I never seem to understand quite as well as my country of origin. Examples: taxes, retirement savings, and health care systems. I didn't understand how much I didn't know about the health care system in South Africa until having a baby. The pregnancy and delivery lessons are for a different day. For now, the check ups.
I've taken the baby 5 different places now for her vaccines, and have now settled on Genesis, the clinic where she was born. Reviews:
- Meldene Medicross. It was advertised online as a public clinic, but in fact, you do need to pay, and was actually the most expensive of the places visited. The nurses are nice, but people weren't terribly clued up - I called to ask if I needed an appointment for vaccinations and was told no; when I showed up with the baby, I was told yes, though accommodated anyway. Otherwise, the place seems fine.
- Parkhurst public clinic. The wait was just over 2 hours, not bad, and there is a separate 'well baby' area. The downside was there was almost no communication about the baby's general health - more of an assembly line setup. For shots, it would have been fine. However, I was told that since I didn't live in the area, I couldn't come back, and had to start the baby's file at the clinic closest to where I live. If i lived the area, I'd probably go back.
- Bez Valley public clinic. I went twice, once at 11 in the morning, once at 7, and both times was turned away and told to come the next day (after nearly a 2 hour wait) because the crowd was so big. Others in the queue told me that this is a new state of affairs, but this is decidedly the most over-crowded place I went to. May be that I tried to go once on a week with a public holiday? Avoid at all costs.
- Yeoville public clinic. The lines are long, but they move fast if you arrive early. The wait was under 2 hours. The downsides are that the baby must wait with all the sick people, staff are far from friendly, and the xenophobia makes me irritable. On one hand, a good way of connecting to the 'hood. But with a 2 month old baby, just not quite what I was looking for.
- Genesis. The private clinic where she was born. A woman comes Thursdays and Fridays to give vaccines; you text her in advance, and she gives you a time slot. She's incredibly knowledgable, and visits for vaccinations have basically made a visit to the pediatrician unnecessary, because she's so thorough. It's not cheap, but it's also not much more than health insurance rates.
Conclusion: Private care, in this case, doesn't cost much more than public (if you have insurance). If you don't, the Yeoville clinic was probably the best of all visited so far, but coughing up the extra for Genesis is worthwhile. I see all my principles slipping away with the arrival of the baby....