KNick wrote:Tenshinai wrote:That´s actually not a good thing. The govt here has been doing roughly that for over a decade now, and it´s causing waaay more problems than it solves, and it didn´t solve the problems it was supposed to solve.
It leads to exaggerated compartmentalisation and too much paperwork being thrown around. Sounds like a great idea, but doesn´t work well in practise.
Could you give some specific examples of what you mean? Not questioning the statement, so much as wondering how it goes wrong.
Well, for one thing, the national level taxbased health insurance is actually running at a clear surplus, but because of how that money is allocated(by utilisation or compensation), there´s still a bunch of hospitals, especially in low population areas that are having issues.
So, the money to have full hospital coverage is there, but because it falls under another budget, it´s starting to get real messed up in some places.
The system was implemented as a way to allow private competition on equal conditions in healthcare, but personally, I´d much rather go back to nationalised healthcare, specialists and special clinics etc had no real problems working privately then anyway.
There´s similar stories from other sections as well, where setting up expenditures with directly linked incomes or taxes to pay for it creates untenable or just silly situations.
In some cases, one part of a service is turning a profit, while another part of the same service is running a bad deficit, the surplus then goes back to either local or national level (through one extra layer of bureaucracy, that eats up too much of it), while the part with deficit is forced to enact cutbacks, even when that is a BAD thing to do(and not seldomly causes additional costs to a third part of the same service).
It´s also a way for those in charge to avoid taking responsibility, because hey, they just set the rules, they don´t decide how to run anything...
And those in charge of the daily running, they can show that THEIR part is running just fine and dandy thank you very much. Glossing over that the way they cut costs, is by letting another service take the hit.
An example of that could be how the regional healthcare here has been looking repeatedly at closing a local hospital and move the activity to the already larger hospital down south in the region, because that would save a lot of money for them in one place.
Ignoring, that there will automatically be a lot more traveling to and from the more distant hospital, which in many cases provides compensation for that, but from a different source of money.
And then there´s the fact that it adds a lot of ambulance trips, but since those are also paid from another place, that looks like a big saving until you look at what the total effect is.
The simple truth is that you can´t run a nation like a business company. Because the aims are mutually exclusive, you usually run a business for profit, but for a nation, profit is completely irrelevant as long as you´re not running at a deficit.
Basically, the last 2-3 decades of liberal conservative trend has been a dreadful screwup, where basically the only thing that worked out well, was cheap access to good internet connection, and THAT only came about because Sweden started that development with 3 separate nationwide fiber backbones, all built by different parts of the government because their needs differed.
So the telephone operator built one net with very good coverage, the railroad operator built another and the primary operator of powerlines and power stations built a lesser one, and all three interconnected in lots of locations, perfect setup when it was enforced that those operators had to lease out bandwidth on an equal basis. But all the money spent on that infrastructure was still based on nationwide taxes...
And that´s pretty much the ONLY successful privatisation(and indirectly because of that, compartmentalisation of services) here.
Standard operating procedure for current rightwing govt here seems to be to cut taxes, which requires cutbacks in services, up until the point where those are made worse enough that they´re not worth the taxes paid, and then they can proclaim how taxbased services are automatically bad and privatise.
