Commentary

Page: The price of “free” healthcare

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A critical look at Nordic social systems’ failures

By Timothy Page

The Nordic healthcare model, frequently praised by “progressives”, presents serious systemic problems that highlight the dangers of government-controlled medicine. A detailed examination reveals concerning evidence about wait times, quality issues, and hidden costs that should give pause to advocates of similar systems in other nations, not to mention our own State.

Dangerous Wait Times Cost Lives

Sweden’s own government data paints a troubling picture. According to the Swedish National Board of Health and Welfare (Socialstyrelsen, 2023), only 54% of patients requiring specialist consultation were seen within the promised 90-day window. For cancer patients, these delays can be fatal. The Swedish Cancer Society (Cancerfonden, 2023) documented that cancer survival rates lag behind those in countries with more market-oriented systems, particularly for prostate and breast cancer patients.

In his comprehensive analysis “The Nordic Gender Equality Paradox” (Sanandaji, 2016), Dr. Nima Sanandaji found that private healthcare services in Sweden grew by 75% between 2005 and 2015, demonstrating citizens’ lack of faith in the public system.

Hidden Costs Burden Taxpayers

While proponents tout “free” healthcare, the reality is far different. The Swedish Tax Agency (Skatteverket, 2023) reports that the average worker faces a marginal tax rate of over 55%, with much of this funding going to healthcare. The Danish Ministry of Taxation (Skatteministeriet, 2022) similarly shows total tax revenue consuming 46.5% of GDP, significantly higher than countries with market-based healthcare systems.

Quality Suffers Under Government Control

Norway’s Center for Health Administration (Helsedirektoratet, 2022) reported that 35% of rural communities lack consistent access to specialist care. Meanwhile, a study by the Copenhagen Institute for Futures Studies (CIFS, 2021) found that Danish hospitals consistently operate at 95-100% capacity, leading to rushed care and medical errors.

Private Insurance: The People’s Verdict

Perhaps most telling is the explosive growth in private health insurance across Nordic countries. The Swedish Insurance Federation (Svensk Försäkring, 2022) documents that private health insurance policies increased from 382,000 in 2000 to over 1.2 million by 2022. Citizens are literally voting with their wallets against the public system.

The Nordic Experience: A Warning

These documented failures of Nordic healthcare systems serve as a stark warning about government-controlled medicine. The evidence from multiple government agencies and independent research institutions shows that when bureaucrats rather than markets control healthcare, patients face longer waits, higher taxes, and compromised care quality. The growing shift toward private insurance demonstrates that even Nordic citizens themselves are losing faith in their much-praised system.

Instead of blindly praising Nordic healthcare, policymakers should consider market-based reforms that preserve patient choice and medical innovation while controlling costs through competition rather than rationing. The data clearly shows that government control of healthcare leads to decreased quality and access, regardless of how much taxpayer money is spent.

References:

Cancerfonden. (2023). Annual Report on Cancer Care in Sweden 2023.

CIFS. (2021). Danish Healthcare System Analysis 2021.

Helsedirektoratet. (2022). Rural Healthcare Access Report.

Sanandaji, N. (2016). The Nordic Gender Equality Paradox.

Skatteministeriet. (2022). Danish Tax Statistics 2022.

Skatteverket. (2023). Tax Rates and Revenue Report.

Socialstyrelsen. (2023). Healthcare Wait Times Analysis.

Svensk Försäkring. (2022). Private Insurance Market Report.


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Categories: Commentary, Health Care

3 replies »

  1. Thank you Tim for this article. This is exactly what I have been saying for a long time now, esp. decreased quality of care and wait times. Why do you think so many folks come down from Canada for HC. Just drive around the parking garage at UVMMC and count the number of Canadian lic. plates. That is exactly what OneCare was about.

  2. Imagine if all the healthcare workers were employees of the government. The Post Office often comes to mind. I shudder at the thought….