What Kind of Healthcare System Will My Children Have?

Some of the initiatives in the healthcare sector in Sweden are making me a bit worried. The new Op-Ed Dagens Arena - independent, radical and progressive - has written on the topic.

The centre-right Alliance majority in Stockholm County Council has decided to go through with major privatisation in the Stockholm region. One of the places where they are starting is my hometown (where I grew up) Södertälje. According to the proposal on the table all healthare in Södertälje should be privatised, including the emergency hospital. In addition the responsibility for financing and commissioning of the care will be transferred to a private company.

I do not have a problem with private providers of care. What I do not like is when we start financing care through private insurances or handing over responsibility that should remain in public hands. What happens with the democratic governance of the health service and the principles about equality in care ?

The emergency hospital is put in the hands of private profit interests linked to the insurance companies and a monopoly is created consisting of a private company that develops healthcare fully on its own conditions. Simply a private county council in the county council.

As mentioned above, I do not mind diversity of providers in the care sector (or education for that matter), in fact I think it can be a good thing in many ways. But when the majority of these providers are being bought up by big companies or international venture capitalist my alarm bells are ringing.

The centre-right talk about diversity within healthcare, social care services and schools and that different ideas, providers and methods are needed. But sometimes, or really, they seem to be pretty keen on privatisation for the sake of privatisation. Why are private monopolies better than government ones?

As pointed out in Dagens Arena, Fredrik Reinfeldt said in the election campaign last year: "We don't want to sell emergency hospitals. We are not proposing that and I'm happy that you gave me the opportunity to announce that decision tonight." (10 Sep 2007)

But what is this proposal if not selling out the health service in Södertälje? And that is just the start.