you will be rationed..The following excerpt is from a WSJ editorial written
by a Swedish native.



What Sweden Can Teach Us About ObamaCareUniversal public health care means
the average Swede with 'high risk' prostate cancer waits 220 days for
treatment.

By

Per Bylund

April 17, 2014 6:57 p.m. ET

President Obama has declared the Affordable Care
Act<http://online.wsj.com/public/page/health-law-rollout.html?lc=int_mb_1001>a
success—a reform that is "here to stay." The question remains,
however:
What should we expect to come out of it, and do we want the effects to
stay? If the experiences of Sweden and other countries with universal
health care are any indication, patients will soon start to see very long
wait times and difficulty getting access to care.

Sweden is praised as a rare example of a socialist country that works. A
closer look at its health-care system tells a different story.

The overall quality of medical services delivered by Sweden's universal
public health care consistently ranks among the world's very best. That
quality can be achieved by regulating treatments to follow specific
diagnoses as well as by standardizing procedures. If
ObamaCare<http://online.wsj.com/public/page/health-law-rollout.html?lc=int_mb_1001>regulations
do this, the quality of American health care may not go down
either.

Sweden's problem is access to care. According to the Euro Health Consumer
Index 2013, Swedish patients suffer from inordinately long wait times to
get an appointment with a doctor, specialist treatment or even emergency
care. Wait times are Europe's longest, and Swedes dependent on the
public-health system have to wait months or even years for certain
procedures, or are denied treatment.

For example, Sweden's National Board of Health and Welfare reports that as
of 2013, the average wait time (from referral to start of treatment) for
"intermediary and high risk" prostate cancer is 220 days. In the case of
lung cancer, the wait between an appointment with a specialist and a
treatment decision is 37 days.

This waiting is what economists call rationing—the delay or even failure to
provide care due to government budgetary decisions. So the number of people
seeking care far outweighs the capabilities of providers, translating into
insurance in name but not in practice. This is likely to be a result of
ObamaCare<http://online.wsj.com/public/page/health-law-rollout.html?lc=int_mb_1001>as
well.

Rationing is an obvious effect of economic planning in place of free-market
competition. Free markets allow companies and entrepreneurs to respond to
demand by offering people what they want and need at a better price.
Effective and affordable health care comes from decentralized innovation
and risk-taking as well as freedom in pricing and product development.
The Affordable
Care 
Act<http://online.wsj.com/public/page/health-law-rollout.html?lc=int_mb_1001>does
the opposite by centralizing health care, minimizing or prohibiting
differentiation in pricing and offerings, and mandating consumers to
purchase insurance. It effectively overrides the market and the signals it
sends about supply and demand.

Stories of people in Sweden suffering stroke, heart failure and other
serious medical conditions who were denied or unable to receive urgent care
are frequently reported in Swedish media. Recent examples include a
one-month-old infant with cerebral hemorrhage for whom no ambulance was
made available, and an 80-year-old woman with suspected stroke who had to
wait four hours for an ambulance.

Other stories include people waiting many hours before a nurse or anyone
talked to them after they arrived in emergency rooms and then suffering for
long periods of time before receiving needed care. A 42-year-old woman in
Karlstad seeking care for meningitis died in the ER after a three-hour
wait. A woman with colon cancer spent 12 years contesting a money-saving
decision to deny an abdominal scan that would have found the cancer
earlier. The denial-of-care decision was not made by an insurance company,
but by the government health-care system and its policies.

This is why Swedes over the past two decades have been rushing to purchase
medical coverage through private insurance, which guarantees and delivers
timely and qualitative care. Insurance Sweden, the country's national
insurance company trade organization, reports that in 2013 12% of working
adults had private insurance even though they are already "guaranteed"
public health care. The number of private policyholders has increased by
67% over the last five years, despite the fact that an average Swedish
family already pays nearly $20,000 annually in taxes toward health care and
elderly care, including what Americans call Medicare.


-- 
Robert  H. Berrie DDS MscD


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