Posts tagged w/ healthcare

Adventures in Healthcare, part 1

Posted by Anna Ikeda

A few years ago my friend discovered a black spot on her skin. She went to the clinic (vårdcentralen) and showed it to the doctor there. The doctor told her to wait and see if it would disappear on its own. A couple of weeks later, the spot was still there and she asked me to go to the clinic with her and yell at the doc a little. I went and I yelled. My friend got a referral (en remiss) to a specialist at the hospital (sjukhuset). The hospital sent her a letter saying that the earliest available appointment they had was about 8 months away.

We returned to vårdcentralen to yell at the doc some more. Finally, she said, “a new private dermatology practice just opened, why don’t you go there?” I wanted to know why she didn’t tell us that a few weeks ago during the first visit. “You didn’t ask,” she answered.
To make a long story short – my friend went to the private clinic, had a biopsy, turned out the spot was malignant, was admitted to the hospital and had it removed. She’s been cancer free ever since. I shudder at the thought of what might have happened if she had waited the initial 8 months for her appointment at the hospital skin clinic.

So, when last week I noticed something weird on my skin, I didn’t even bother with vårdcentralen, I called straight to the private practice and got my appointment immediately.

Wow! How the place has grown since the last time I was there. Now they’re giving the public hospital some serious competition.
Apart from a dermatologist (en dermatolog, hudläkare), they also have a regular surgeon (en allmänkirurg), an orthopedist (en ortoped), plastic/cosmetic surgeons (plastikkirurger), their own anesthesiologists (narkosläkare) and a whole slew of nurses (sköterskor). It’s a tiny private hospital they’ve got over there.

Now, in addition to a strictly private practice (like cosmetic surgery), they also accept regular and private insurance and referrals from doctors at vårdcentraler. This is what I call progress!

To provide a point of reference, my dearly beloved also had to see a doctor today. He got a referral for gastroscopy (gastroskopi), the poor thing… And the wait time at the hospital? 6 weeks… Let’s hope it’s nothing serious and he can survive. Technically, we have a 30 day guarantee to see a specialist, but in reality (and depending on what king of doctor you need), it may not happen.

The long waiting times to see specialist doctors are a very common problem in Sweden. In bigger cities, where there are more private clinics, the patients at least have options. In smaller towns, it may mean the difference between life and death. You think I’m exaggerating? Not so. Even the government decided it was time to finally do something about it. Here is what The Local wrote about it (in English) back in September, and here is a more recent article (in Swedish) from a local newspaper in Östersund.

And as for me, I’ll have my results next week. Let’s hope it’s nothing serious.

image: Landstinget i Östergötland

 

Illegal Immigrants in Sweden?

Posted by Anna Ikeda

I’ve been reading the news like I always do and because this is Sweden, the news are not all that interesting. An elderly man died after swallowing his dentures. A hurricane warning issued for Norrland for this weekend. Yes, it’s blowing like crazy, branches are falling off of trees and stuff. For real. Three charged in a human trafficking case. Wait a sec! For real? I had to look up the story for you in English, and here it is.

Now, excuse me for a moment, while I’m scratching my head in disbelief. 49 people PAID money to be smuggled to Sweden. At least that’s what the story says, the actual number might be higher. Haven’t they done their homework before deciding on Sweden? Wasn’t the unusually low smuggling fee (10000 SEK) a tip-off that Sweden might not be the hottest destination for illegal immigrants?

Please don’t get me wrong, Sweden is a great country, but really, if you’re going to be smuggled somewhere and live as an illegal immigrant, do yourself a favor and conduct some basic research before making your decision. And besides, Sweden has some of the laxest laws regarding refugees and asylum seekers in all of Europe, and to pay someone to smuggle you here is simply dumb.

And once you’re smuggled here, how do you propose to go on living? What will you say when at every step you are asked for your personnummer (social security number)? Personnummer in Sweden are created using your birthday followed by four seemingly random digits. But they’re not really random at all, one of them identifies your gender (guys get an odd number, ladies – even) and up until recently, those numbers could also show where you were born or if you were an immigrant.

Those ten digits define your life in Sweden. Without them, it’s impossible to do anything, including using a public restroom. You will need your personnummer when seeing a doctor, or a dentist (even a private one!), when opening a bank account, when trying to get a loyalty supermarket card, when applying for an ID card, when getting your mobile phone registered, when signing a contract with an internet provider, in some shops you will be asked for your personnummer when returning high-price merchandise. And that doesn’t even include the intended use of personnummer, which is as a taxpayer’s ID number. Your personnummer will be the first bit of info required by your prospective employer and without that your chances of getting a job will be slim to none.
True, there’s always the black market, but you’d be surprised than even many people in that grey area of economy will ask you for your personnummer to make sure you are in the country legally. To “work black” in Sweden means working without paying your taxes, not necessarily that the worker is an illegal immigrant. In fact, most people working “black” in Sweden are Swedish citizens or legal residents.

See what I mean? I have no idea how illegal immigrants can even survive in Sweden. Their numbers are estimated at between 60 000 to 100 000 and their lives are truly miserable. Because Sweden places more restrictions on healthcare provision for illegal immigrants than almost any other country in the European Union, according to Médecins Sans Frontières, getting medical attention if you’re here illegally might be almost impossible. And though Immigration minister Tobias Billström hinted that he was open to offering subsidized public healthcare to people without proper ID papers, this measure was rejected by Sweden’s parliament last May. This month the province of Skåne took things into their own hands and is planning to offer emergency dental care for illegal immigrants, but how well that will go over, nobody really knows yet.

But, back to our quest for personnummer. Where do you get it? As an immigrant to Sweden, legal of course, you get it at the Tax Office (Skatteverket).

Once you have the number, you will find yourself in a slew of government computers. You will magically appear in the population register and find yourself assigned to a local health clinic. Unlike in the US for example, here all those government systems are interlinked and they talk to each other. And it all starts at Skatteverket. From that time on, there’s really no need to remember your name, all you need is the number. But without the number you are stuck.

Ok, so we’ve established that being an illegal immigrant in Sweden is a bad idea. A really bad idea.

And speaking of, there is even a movie on the subject. Förortsungar (English title “Kidz in da Hood”) tackles the issue in a light-hearted musical way, but nevertheless, it can give you an idea of the kind of hardships that illegal immigrants have to deal with in Sweden.