Private health insurance in Sweden: Fast-track lanes and the alleged attempts to stop them

Lapidus, John

doi:10.1016/j.healthpol.2017.02.004

Cited by 11 publications

(17 citation statements)

References 7 publications

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“…Another limitation of the study is that the diagnosis of RA was retrieved only through the Swedish National Patient Register by screening ICD codes and therefore we may have missed some patients diagnosed with RA. However, it is important to point out that the National Patient Register is a record of all the diagnoses made in public hospitals all over Sweden and private practices are still uncommon in the country [ 37 ]. Moreover, in Sweden, the diagnosis of RA can be only made by a rheumatologist, thus increasing the chances that the record of RA diagnoses that we have is accurate.…”

Section: Discussionmentioning

confidence: 99%

Bariatric surgery and the incidence of rheumatoid arthritis – a Swedish Obese Subjects study

et al. 2019

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Objective The aim of this study was to determine the effect of bariatric surgery on the incidence of RA in participants of the Swedish Obese Subjects (SOS) study. Methods The SOS is a longitudinal study aiming to assess the effect of bariatric surgery on mortality and obesity-related diseases. This report includes 2002 subjects with obesity who underwent bariatric surgery and 2034 matched controls; none of them had RA at baseline. Cases of incident RA were identified through the Swedish National Patient Register by searching for International Classification of Diseases codes. Both intention-to-treat analyses and per-protocol analyses are reported. In the per-protocol analysis, participants from the control group who underwent bariatric surgery later on during follow-up were censored at the time of surgery. Results During follow-up, 92 study participants developed RA. The median follow-up was 21 years (range 0–29). Bariatric surgery was neither associated with the incidence of RA in the intention-to-treat analysis [hazard ratio (HR) 0.92 (95% CI 0.59, 1.46), P = 0.74], nor in the per-protocol analysis [HR 0.86 (95% CI 0.54, 1.38), P = 0.53]. Weight change at the 2 year follow-up, expressed as the change in BMI compared with baseline, did not associate with the development of RA. Higher serum CRP levels and smoking associated with the future development of RA independent of other factors. Conclusions We did not detect any association between bariatric surgery and the incidence of RA in subjects affected by obesity followed up for up to 29 years. ClinicalTrials.gov (http://clinicaltrials.gov): NCT01479452.

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Section: Discussionmentioning

confidence: 99%

Bariatric surgery and the incidence of rheumatoid arthritis – a Swedish Obese Subjects study

et al. 2019

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“…It has become increasingly difficult to access social benefits (Altermark, 2020). Meanwhile, privatised pension systems have resulted in lower pensions (Ebbinghaus, 2015), and the welfare systems have been commercialised (Anttonen & Karsio, 2017) and significantly defunded (Allelin et al, 2018), resulting in increasing inequality (Ambrose, 2016) and the rise of a parallel system based on private insurance for those who can afford it (Lapidus, 2017).…”

Section: Class and The Nordic Countriesmentioning

confidence: 99%

Introduction: Class in/and the media: On the importance of class in media and communication studies

2021

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Social class is one of the most enduring concepts in the social sciences and is associated with many of the key themes and topics across multiple disciplines. Thus, there are many uses to which the concept of social class in media and communication can be put. The ambition of this special issue is to offer a glimpse into the heterogeneity of its uses in the field. While attuned differently in relation to the various approaches and definitions of class, the eight contributions to this special issue collectively focus on the relationship between media and class. One of the ambitions of this special issue is to report on some of the current Nordic scholarship in this growing field of research and to highlight the particularities of the relationship between class, inequality and media in this region. While the special issue also includes contributions from other regions, the main focus is on social class in the Nordic countries.This introductory article begins with a discussion on the concept of social class and its analytical relevance in the contemporary social landscape. We detail the relationship between media and class as manifested in a growing body of research, followed by a brief presentation of the individual contributions to this special issue. Finally, we identify the road ahead and potential research areas for scholars of media and communication concerned about class and social inequality in the twenty-first century. Class: A key concept in an increasingly unequal worldDespite its long history of playing a key role in the social sciences, the concept of social class is a contested term. First, because of the definitional uncertainty that stems from a range of academic traditions applying the concept in different ways to different objects of study. Second, due to changes in the sphere of production, social structure, and in the lifeworlds of citizens in many parts of the world, which has made it more difficult to ascertain the empirical reality of social class.

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“…The main attempt to keep public and private separate was the so-called Stop Law, instituted by a Social Democratic government in 2006 and unraveled one year later by a center right-wing government (Lapidus 2017). According to the Stop Law, private care providers were forced to choose one side: either they had an agreement with the county council and were not allowed to receive insurance customers, or they had agreements with the insurance companies and could not conclude an agreement with the county council.…”

Section: Regulating Against Private Health Insurancementioning

confidence: 99%

“…Second, some hospitals were also excluded, while others quickly redefined themselves into community care units so not to be targeted by the law. Third, there were no possibilities of sanctions against the county councils that violated the law and signed agreements with providers that welcomed insurance customers (Lapidus 2017).…”

Section: Regulating Against Private Health Insurancementioning

confidence: 99%

Indirect and Invisible Regulations Set in Stone: A Driving Force behind the Rise of Private Health Insurance in Sweden

Lapidus¹

2020

The ANNALS of the American Academy of Political and Social Scie

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The Swedish welfare model is gradually losing its former characteristics. Notable is the extensive privatization of provision and the emerging privatization of funding, primarily through new and half-private services in health care, education, and elderly care. The clearest example of this trend is the rise of private health insurance, which is now signed by every tenth person of working age. This article points out different types of regulations that have provoked the rise of private health insurance, and discusses types of regulations that could potentially slow privatization. Further, this article analyzes three official welfare investigation reports. These reports avoid the decisive regulations they are supposed to discuss, and sometimes go against directives to do so. I argue that regulations for private health insurance have occurred without much debate, while every potential regulation against private health insurance is very much disputed by industry interests and many of the political parties.

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Private health insurance in Sweden: Fast-track lanes and the alleged attempts to stop them

Cited by 11 publications

References 7 publications

Bariatric surgery and the incidence of rheumatoid arthritis – a Swedish Obese Subjects study

Bariatric surgery and the incidence of rheumatoid arthritis – a Swedish Obese Subjects study

Introduction: Class in/and the media: On the importance of class in media and communication studies

Indirect and Invisible Regulations Set in Stone: A Driving Force behind the Rise of Private Health Insurance in Sweden

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