The Swedes reintroduce the Profit Incentive into the Health Care Equation to fix their National Health Care

Posted by PITHOCRATES - May 19th, 2013

Week in Review

Obamacare will transform American health care into a more top-down national health care system.  Because the American left always wanted national health care.  For the power over the economy it will give them.  Not so much for the quality of health care.  For the quality of national health care has not been historically as good as the quality of private health care.  But the left doesn’t care.  Because it’s not about the quality of health care.  It’s about having power over one-sixth of the U.S. economy.

But they tell us it’s about providing high-quality health care to everyone.  Not just for the rich people who can afford it.  Which they can do if they take out the profit incentive from the health care equation.  For that’s what is driving up health care costs.  Greedy doctors and hospitals.  Who are profiting on sick people.  Which is just immoral to those on the left.  No.  The only way to fix health care is by removing the profit incentive from the health care equation.  Like they’ve done in Sweden.  The model of socialism the left so wants to see in the United States (see A hospital case posted 5/18/2013 on The Economist).

SAINT GORAN’S hospital is one of the glories of the Swedish welfare state. It is also a laboratory for applying business principles to the public sector. The hospital is run by a private company, Capio, which in turn is run by a consortium of private-equity funds, including Nordic Capital and Apax Partners. The doctors and nurses are Capio employees, answerable to a boss and a board…

Welcome to health care in post-ideological Sweden. From the patient’s point of view, St Goran’s is no different from any other public hospital. Treatment is free, after a nominal charge which is universal in Sweden…

Staff used to waste precious time looking for defibrillator machines and the like. Then someone suggested marking a spot on the floor with yellow tape and insisting that the machines were always kept there…

St Goran’s is the medical equivalent of a budget airline. There are four to six patients to a room. The decor is institutional. Everything is done to “maximise throughput”. The aim is to give taxpayers value for money. Hospitals should not be in the hotel business, the argument goes…

Spreading efficiency will not be easy, however. Europeans instinctively recoil from private companies making money from health care. British placards protest against modest reforms with pictures of fat cats helping the health minister to disembowel a patient labelled “NHS” (National Health Service). Even in Sweden, the mood has grown more hostile since some private-equity companies were embroiled in scandals at nursing homes…

Private health-care companies have several advantages over public organisations. They have more incentive to make services more efficient, since they typically keep some of the savings. They are better at persuading their employees to adopt new ideas. And they are better at spreading new ideas across borders. Europe should be proud of its public-health services. But if it wants them still to be affordable in the future, it should allow more private companies into the mix.

Hmmm.  The model socialism that the left so admires is using the profit incentive to fix their national health care.  Which means it must have been broken.  Just to show the differences in the way bureaucrats and ‘for profit’ people think consider the tape ‘X’ on the floor to mark the spot where a defibrillator should be stored.  The centralized authority couldn’t make that happen.  The top-down bureaucracy couldn’t figure a way to make people spend less time looking for a defibrillator.  Just something else to look forward to as Obamacare begins to reorganize American health care from the top down.

Maximizing throughput?  That’s a business term.  An alien concept to those in government.  And to their friends in labor unions.  Which will descend on the health care system under Obamacare.  Who will represent health care workers.  Not patients.  And their answer to everything will be more people working fewer hours.  Which will increase the cost of health care.  Just as it increased costs in American manufacturing.  Chasing it out of the country.  So there will be no maximizing throughput under a government/union controlled health care system.  Just more of what the Swedes are trying to get away from by reintroducing the profit incentive into the health care equation.

www.PITHOCRATES.com

Share

Tags: , , , , , , , , , , , , , , ,