You can no longer pretend that we are all equal to health. And no, it's not the medical phrase that "cancer does not choose" or that "cardiology is ruthless." It is something else – that since social inequality is simply a fact, it should besides be systematically managed. besides – and possibly above all – in wellness care.
Time to end the fiction of equality
The public wellness service, with its kilometers of queues and its humiliating e-registration system, present serves more to sustain the illusion of egalitarianism than the real concern of the patient. On the another hand, the private sector – increasingly affluent, but besides increasingly chaotic – is multiplying duplicate facilities and artificially pumping prices, at the same time employing precisely the same doctors who receive at the region infirmary by 4:00 p.m. and from 5:00 p.m. at the "premium" centre with the inscription 21st Century Medicine On the door.
However, the solution is simple, sensible and, most importantly, fair for a wealthy taxpayer: Same equipment, same doctors, same offices, but 2 completely different models of funding.
Two shift hospital.
Until 14:00 or 16:00 – classical parties at NFZ. Public funding, according to statutory limits and without waiting for miracles. In the afternoon – the same staff, the same CT, the same reception, but fees from the patient's pocket. Pure and honest class separation in wellness care.
It's not about taking distant mediocre people's access to treatment. It's just that richer give the right to pay for speed, comfort and quality. And not to force this wealth into separate walls, separate equipment, separate staff. In a word: don't multiply lives beyond the request – especially in the sector that already present balances at the border of staff collapse.
Class 2 — for the mediate class
Modern private wellness care should operate in a two-track system. First – second class: solutions available for most mediate class. Packages, subscriptions, simple visits, basic diagnostics. Better than NFZ, faster than state, but without luxury. No citrus water in the waiting room, no individual medical guardian on the phone.
Secondly – first class. And here you should not be ashamed that we are talking about something truly exclusive. Treatments without waiting. Care made to measure. Doctors available for text. All at a price that makes it inactive a service available only to those who keep the remainder of the strategy with their taxes. Yes. those twelve percent of the society that earns the most and spends the most, has the full right to anticipate treatment worthy of their contribution.
Why is that fair?
No, it's not antisocial. This is economically rational and socially fair. due to the fact that if thanks to specified a model we keep the best doctors in Poland – not in private clinics in Vienna – the full strategy will benefit. And if the mediocre ones have well equipped and little crowded hospitals at their disposal, due to the fact that any patients will vanish from the queues – who actually loses here?
The End of Illusion — The Beginning of Pragmatism
Equality in wellness is simply a beautiful slogan, but only if it does not mean an equation down. We must accept that the wellness strategy is not only a tool of care, but besides a marketplace mechanics in which the consumer pays for quality. And there is nothing incorrect with that – as long as basic wellness care is guaranteed to everyone.
If anyone truly wants a righteous system, then halt defending the illusion of equality and start supporting a model in which those who can, pay more – and get more. Let luxury not be a shameful word. In health, like on a train – First class costs money.
