Private Clinics Under Fire for Charging 750DKK for Same-Day Appointments

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Steven Højlund

Editor in Chief, Ph.D.
Private Clinics Under Fire for Charging 750DKK for Same-Day Appointments

Politicians in Southern Denmark are raising concerns over a private medical practice that charges 750 kroner for same-day consultations, emphasizing potential inequality in access to healthcare. A thorough investigation is set to determine whether this practice violates existing agreements with public health authorities.

New Controversy Over Private Medical Consultations in Denmark

The company Lægerne Danmark operates clinics in Esbjerg and Copenhagen and has developed a business model where patients can pay 750 kroner to secure a consultation with a general practitioner on the same day. This model is seen as problematic by numerous regional politicians who believe it creates disparities in healthcare access, particularly for those who cannot afford to pay for immediate services.

Annette Blynel, a politician with the Socialist People’s Party and a member of the Regional Council in Southern Denmark, expresses concern about the implications of this practice. “The biggest problem is that not all citizens have the money to pay for this service, and therefore they cannot access the urgent care they need,” Blynel stated.

Claims of No Impact on Public Patients

Despite the criticism, Jakob Fraes Espersen, a co-owner of Lægerne Danmark and a practicing physician in Copenhagen, asserts that this model will not adversely affect patients relying on the public health system. “We do not intend to compromise the care of public patients,” he claims. According to Espersen, the clinics plan to expand their services across Denmark, potentially establishing locations in cities like Aarhus, Odense, Aalborg, Frederiksberg, Randers, Horsens, Kolding, Roskilde, and Vejle.

The current situation has prompted the Collaboration Committee for General Practice in Southern Denmark to initiate an investigation to ascertain whether the payment-for-appointments model adheres to existing healthcare agreements between private practitioners and regional health authorities.

Concerns Over Compliance with Agreements

The investigation particularly scrutinizes the practice of a physician at the clinic in Esbjerg, who reportedly sells consultations between 8 AM and 4 PM—hours during which doctors are contractually obligated to be available to non-paying patients as per their agreement with regional authorities. This raised alarms among local politicians, who are questioning the legality of such blanket service offerings.

Notably, the physician at the center of this controversy has opted not to comment publicly. However, the Practical Physicians’ Organization (PLO) in Southern Denmark maintains that there is no violation of agreements involved. Birgitte Ries Møller, chairperson for PLO, insists that, “Of course, one must adhere to agreements, and that is indeed what the doctor in Esbjerg is doing. There have been no patient complaints, and he has maintained good availability.”

Investigation Welcome by Lægerne Danmark

Lægerne Danmark has welcomed the investigation, emphasizing that their model acts as a supplementary service to the public healthcare system and that all agreements with the regional authorities are being upheld. They believe the presence of a private option does not hinder other patients’ access to essential health services.

As the debate unfolds, it raises broader questions about healthcare equity, especially in a country that prides itself on accessible public healthcare. With more than 6 million residents in Denmark relying on a publicly funded health system, the introduction of paid services could potentially establish a tiered system where only those with financial means gain faster access to care.

Critics argue that establishing a private payment model for healthcare consultations undermines the principle of equal access, which is a cornerstone of the Danish healthcare system. They caution against any developments that could exacerbate inequality, particularly for vulnerable populations.

Proponents of voluntary private services argue that they enhance patient choice and reduce waiting times for those willing to pay, albeit at the risk of creating a divide in healthcare access.

The potential findings of the ongoing investigation will likely have long-lasting implications for Denmark’s healthcare landscape, as the country navigates the balance between maintaining quality public health services while offering private options for immediate care. As this situation develops, it will be essential for stakeholders to consider the implications of privatization on the rights of all citizens to receive timely and equitable healthcare services.

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Steven Højlund
Editor in Chief, Ph.D.

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