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瑞典的私人医疗保险:快速通道以及所谓的阻止这些通道的企图。

Private health insurance in Sweden: Fast-track lanes and the alleged attempts to stop them.

作者信息

Lapidus John

机构信息

Unit for Economic History, Department of Economy and Society, School of Business, Economics and Law, University of Gothenburg, Box 625, SE-40530 Göteborg, Sweden.

出版信息

Health Policy. 2017 Apr;121(4):442-449. doi: 10.1016/j.healthpol.2017.02.004. Epub 2017 Feb 20.

Abstract

According to the Health and Medical Services Act (1982:763), those who have the greatest need for healthcare shall be given priority. This is being challenged by the rapid emergence of private health insurance which increases the share of private funding and creates fast-track lanes where some people get faster access to healthcare than others. The Stop Law, implemented by a Social Democratic government in 2006, was generally regarded as a way to put an end to the fast-track lanes in Swedish healthcare. Based on a thorough examination of the law and its legislative history - official reports, propositions, comments on official reports - this article argues that the Stop Law was so full of exceptions and loopholes that it did not threaten the existence of fast-track lanes. The same goes for a similar Social Democratic proposal from 2016, which is also examined in the article. Further, the article analyses centre-right wing positions on fast-track lanes in Swedish healthcare. In summary, it is argued that politicians of all stripes have allowed the development to proceed in spite of unanimous support for the idea that Swedish healthcare shall be provided to all on equal terms.

摘要

根据《健康与医疗服务法》(1982年第763号),医疗需求最大的人群应享有优先权。这一原则正受到私人医疗保险迅速兴起的挑战,私人医疗保险增加了私人资金的份额,并创造了快速通道,使得一些人比其他人能更快获得医疗服务。社会民主党政府在2006年实施的《停止法》,通常被视为一种消除瑞典医疗保健中快速通道的方式。通过对该法律及其立法历史——官方报告、提案、对官方报告的评论——进行全面审查,本文认为《停止法》充满了例外和漏洞,并未对快速通道的存在构成威胁。本文还研究了2016年社会民主党提出的一项类似提案,情况也是如此。此外,本文分析了瑞典医疗保健中快速通道问题上中右翼的立场。总之,尽管各方一致支持瑞典医疗保健应平等提供给所有人的理念,但各党派政治家都任由这种情况发展下去。

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