Healthcare or Sick Care?

Helena argues really well for more European healthcare co-operation! Some people think the EU should stay away from healthcare issues but like Helena, I think we can only benefit from more co-ordination and more patient influence.

Helena has a personal story to tell - you can read it here. In brief, she has moved back and forth between Stockholm, London and Brussels over the last five years, which has caused some difficulties for the Swedish health service, mainly as a result of the procedures in place for GP appointments, referrals for tests, waiting times, IT systems and ultimately, her living abroad. Even though she had a letter from her doctor in London stating that she needed to have a certain test taken, the Swedish health service could not set up an appointment unless she went through the normal routes within the Swedish healthcare system (details on her blog).

Her point with the post is to:

ask the question how the Swedish health service manages increased internationalisation? If they could not manage my needs, despite me being registered in Sweden, because I had taken a test in another country, how would they then meet the needs of persons who live in Sweden temporarily, persons who have just moved to Sweden, or person who do not speak Swedish?

The need of the patient must always be more important than the system. If something does not fit into the system there must exist a culture within the health service that encourages flexibility and initiative. But all too often governance through quantitative evaluation and budget goals makes it more profitable for divisions and units to stand on the side of the system when it collides with the needs of the patient.

Thus I cringe when I hear Swedish politicians saying that EU initiatives in the healthcare sector threatens the Swedish healthcare system. Defence of systems and models is seldom a very good political starting-point.

What I would add is that - which probably Helena would agree with as well - is not that we want the EU to start deciding the financing or the content of the healthcare provision, but to facilitate for patients in an increasingly global world.