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The Impacts of the Growth of the Health Insurance Market on the Health Security System in Sweden

  • Journal of the Scandinavian Society of Korea
  • Abbr : JSSK
  • 2022, (30), pp.141-176
  • Publisher : The Scandinavian Society of Korea
  • Research Area : Social Science > Area Studies > North Europe(Scandinavian)
  • Received : October 31, 2022
  • Accepted : December 18, 2022
  • Published : December 31, 2022

Shin Jeongwan 1

1경북대학교

Accredited

ABSTRACT

Sweden is an exemplary country having NHS(National Health Service) type health security system along with UK. NHS is a health security system funded mainly by taxes, providing healthcare services through healthcare institutions managed by government. Since 1990s, however, market principles have been rapidly introduced into the Swedish health security system. Especially, regional governments came to be allowed to purchase healthcare services from private healthcare providers instead of providing services by themselves. The increase of the private providers has caused the growth of the health insurance market. Most of the Swedish private health insurance plans are supplementary insurance plans guaranteeing shorter waiting times for health services. The most highlighted issue concerning the spread of private health insurance has been the lengthening of the waiting times for non-policyholders due to the private healthcare providers’ giving medical treatment to policyholders first. Besides, the issues much debated include the diminishing willingness to paytaxes for maintaining or improving the public healthcare, the adverse distributional effects of subsidizing policyholders and private providers, and the strengthening of the opinion regarding healthcare as a commodity rather than an object of universal rights. Taking account of the power balances among political parties and main actors in civil society, the health insurance market is expected to grow fast. Then the Swedish health security system would evolve toward a two-tier healthcare system, where basic healthcare services are funded by taxes, but the additional services are funded by insurance premiums, and the purchasing power determines much of the consumption of healthcare services.

Citation status

* References for papers published after 2023 are currently being built.