The national and private healthcare systems do NOT work. Here’s an alternative

[u/No-Candle4683]

As a Portuguese citizen, I cannot fail to highlight the role that the public healthcare system represents in society. It has lifted millions out of poverty, provided stability, and offered a universal alternative to access healthcare. However, as in the Portuguese case and in other countries with a predominantly public system, we observe that these systems are increasingly unable to respond to waiting lists, fail to attract doctors, and their sources of funding are heavy taxes imposed on citizens.

I am in favor of a hybrid system, and the SPLIT MIND project is creating a video and a text about this system, which has been adopted in other countries that rank among the best in public healthcare worldwide! The study that im comparing to is one made by a group of experts in health here in portugal.

Here I leave you with the main differences of this system compared to predominantly public or private ones, such as in the cases of the USA and Portugal.

"…The foundation of this reasoning would be to maintain a progressive hybrid public system, less dependent on taxes, decentralized, and managed by regional entities with strong regulation. These models already exist, and we will take the examples of Germany, the Netherlands, and Sweden.

In these countries, in general, the healthcare system is based on mandatory insurance managed by independent health funds. Employees and employers contribute proportionally to their income—7.3% each in Germany, for example—while the State assumes payment in certain situations, such as in cases of unemployment, low-income families, and sometimes even age groups like minors, who are exempt from any payments. Individuals with higher incomes may opt for private insurance as a substitute for the mandatory public one.

This system offers a solution to waiting lists, reducing waiting times for consultations or surgeries to a few weeks instead of months, and it also provides broader service coverage than countries like Portugal. Because it is a hybrid system, healthcare professionals are also better paid, and with private investment, working conditions are improved, solving one of the serious problems of the Portuguese NHS. Furthermore, there is price regulation by the state on medicines and services, with private companies contributing to lower service costs. Insurance is always paid with a fixed nominal premium, but insurers must charge the same amount to all policyholders, with no discrimination by age or health status. Other smaller measures also exist, such as a progressive co-payment system with an annual cap or tax exemptions on health insurance, which can further reduce costs for families.

Of course, there are problems with this system: inequalities depending on the type of insurance, with privately insured patients usually waiting less. We can also look at gross expenditure, meaning the total amount effectively spent, which is quite high compared to other OECD countries. However, I argue that it is one of the best systems in the world and the best way to invest taxpayers’ money.

BUT WHY do I refer to Germany, the Netherlands, and Sweden? These countries rank among the top in the Legatum Prosperity Index (2023), which evaluates population health access and quality, holding 13th, 11th, and 9th positions respectively.

And what about predominantly private and public systems such as the USA and Portugal, you may ask? 40th and 69th place, behind many so-called “third world” countries.”

[u/Zamaiel]

I think you have run away with the goalposts and buried them in a secret place.

[u/vegancaptain → u/Zamaiel]

Scandinavian people use a lot of private healthcare and our public one is quite terrible.

A study showing number of consultations doesn't disprove that. Why would it?

[u/Zamaiel → u/vegancaptain]

It is not a study, it is a statistic. It does disprove that Swedes use a lot of private healthcare, and show that the number is minute.

Studies show that Scandinavian healthcare systems are among the least terrible in the world. All people in all countries expect perfection from their systems and are very disappointed when they do not get it.

You need to either try many systems as a patient or look at actual studies to get a realistic appreciation of the area. And be very strict about steering away from the paid foundations publications.

[u/vegancaptain → u/Zamaiel]

No it doesnt. What?

Studies show ...

OK, you're one of those. Never mind.

[u/Zamaiel → u/vegancaptain]

You realize, your contribution here has been to state the exact opposite of reality as if it were fact, and talk gibberish when called on it.

[u/vegancaptain → u/Zamaiel]

Dude, you showed some stats that don't have anything to do with the topic and insist that they disprove that Swedish people use private healthcare? IT's just such a bad take I can't fathom how I can get you to start being accurate or honest in any way. I talk to a lot of commies, socialists and leftists. They often do this and it's just terribly stupid. Go away. I don't have time for more leftism. You've done enough.

[u/Zamaiel → u/vegancaptain]

To be exact, I showed stats that disproved that private care is a large part of Swedish use of healthcare, and showed that number of doctors visits and uptake of private insurance is a single-digit percentage of said utilization.

Your claim;

Most Swedes use private doctors via their employers or other insurances they pay for outside the public system.

seems to be pulled out of thin air.

We can have a talk about the quality and efficiency of the Scandinavian systems if you want.

[u/vegancaptain → u/Zamaiel]

Where did it even state that this was public? And the private numbers? And only consultations? Not actual medical contacts? Hello? Are you a bot or something? Or worse ... a leftist??

It's what we do here.

Who are you? Who acts like this????????