Mat This may be the what has happened to public health in Sweden however I don't thing you can draw the conclusions you do especialy when you look at other countries, England has a cost effective public system as does Australia which has the lowest prescription prices in the developed world because for pharmaceuticals to get on the list of subsidised medicines they are open to competition and reasonableness. In America the mostly private system is the most expensive on earth with the least access.
When a public service institution fails it needs better management, and perhaps some incentives, not the addition of parties who take money out of the system as profit. Private organisations fail as well and they are not immune from inefficentcies even with the profit motive which tends to first reduce overheads then moves onto quality reduction, unless they increase costs to the ill. As costs increase people loose access and the real costs go unmeasured, no wonder private health can look good on the balance sheet as they rent seek from government and externalise costs. Having worked in the public service here I learned the greatest costs in the public service is public demand for accountability and political interference including changing the name and logos each election. What you say maybe true for Sweeden but I do not think it is a rule. Regards Tony -- You received this message because you are subscribed to the Google Groups "TiddlyWiki" group. To unsubscribe from this group and stop receiving emails from it, send an email to tiddlywiki+unsubscr...@googlegroups.com. To view this discussion on the web visit https://groups.google.com/d/msgid/tiddlywiki/4570a94d-1660-4c1e-97e0-f4761a45a775%40googlegroups.com.
