Netherlands “Universal” Health care insurance scheme has gone from a two-tier health system to a three tier health system | Dominic Haugh
Netherlands “Universal” Health care insurance scheme has gone from a two-tier health system to a three tier health system | Dominic Haugh
Dominic Haugh has a very good analysis of Fine Gael/Labour’s FairCare “Universal” Health Insurance scheme which they’re proposing will transform Ireland’s two-tier apartheid health system into a single tier equitable one. It’s nonsense of course, as everyone knows that introducing an additional ‘cheaper’ insurer into a market with three existing private insurers will not lead to a more equitable system. It will lead to a further expansion of the privatization of health care, worsening outcomes for patient care and pointlessly increased costs and lower access as world-wide studies have repeatedly shown. Here’s Labour Party member Dr. Gerry Burke on FG’s plan in 2009. And its being discussed on Cedar Lounge where I filched Dominic’s report from.
Dominic’s analysis of the Dutch System that is the model for the Fine Gael plan was carried out for Conor Mac Liam, who was a Socialist Party/United Left Alliance candidate in Carlow/Kilkenny in the last General Election.
“Fine Gael claim that the introduction of Universal Health Insurance will eliminate the two tier public / private health system we currently have. However, in contrast to the above claim, the reality is that the Netherlands has gone from a two-tier health system to a three tier health system. All citizens are obliged to take out mandatory Universal Health
Insurance, but Voluntary Supplementary Health Insurance is also available at extra costs.
When the Universal Health Insurance was introduced in 2006 almost 92% of adults paid for Voluntary Supplementary Health Insurance.
As premiums have risen, the numbers purchasing Voluntary Supplementary Health Insurance have declined. Furthermore by the end of 2007, approximately 231,000 people were uninsured and a further 240,000 people were enrolled with insurance companies but were in default on their payments and upwards of six months in arrears.
So the effect of the introduction of Universal Health Insurance has not eliminated the two-tier system, but has actually created a third tier, those who are uninsured or are defaulting on their premiums. The Dutch Government has taken steps to deduct mandatory premium payments (and significant fines) directly from the wages and welfare payments of uninsured and defaulting people.”

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