title: Private health insurance in Sweden: Fast-track lanes and the alleged attempts to stop them.
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.
authors.affiliation: Unit for Economic History, Department of Economy and Society, School of Business, Economics and Law, University of Gothenburg, Box 625, SE-40530 Göteborg, Sweden. Electronic address: john.lapidus@econhist.gu.se.
authors.forename: John
authors.initials: J
authors.lastname: Lapidus
mesh_terms: D003695:Delivery of Health Care / Q000379:methods*; D018166:Health Care Reform; D006801:Humans; D007348:Insurance, Health / Q000191:economics*; D011057:Politics; D011331:Private Practice; D013548:Sweden; D014850:Waiting Lists
keywords: Healthcare reform; Private health insurance; Privatisation