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PEI sounds like a nice place and it seems that you like it apart from the medical set up. Can you not, along with similar minded neighbours, make some sort of petition to the authorities regarding health care facilities. Maybe they can do more with same funds by altering the mix?

I think that when health is funded from general taxes it usually ends up being underfunded. In the German and Swiss systems we have compulsory health insurance. The premiums are deducted from salary as is PAYE income tax. You have a choice as to which insurance fund you belong but costs are fairly equal. I think that on an average salary one would pay about 400 to 500 euro per month. The insurance covers your children up to 23 years old if they are in college or 18 if they leave after school to work. Employers usually pay a part of the basic insurance. Non working wives are also covered. You can add degrees of extra insurance on top of the basic and the extra can be set against tax.

I think that health costs are about 12% of salary on average.

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“The City” by C. P. Cavafy

You said: “I’ll go to another country, go to another shore,

find another city better than this one.

Whatever I try to do is fated to turn out wrong

and my heart lies buried as though it were something dead.

How long can I let my mind moulder in this place?

Wherever I turn, wherever I happen to look,

I see the black ruins of my life, here,

where I’ve spent so many years, wasted them, destroyed them totally.”

You won’t find a new country, won’t find another shore.

This city will always pursue you. You will walk

the same streets, grow old in the same neighborhoods,

will turn gray in these same houses.

You will always end up in this city. Don’t hope for things elsewhere:

there is no ship for you, there is no road.

As you’ve wasted your life here, in this small corner,

you’ve destroyed it everywhere else in the world.

Translated by Edmund Keeley and Philip Sherrard.

From C. P. Cavafy’s “Collected Poems” (Princeton University, 1992).

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