Abstract

Criticism of the welfare state is mostly economic and administrative, relating to the resultant national debt and state bureaucracy. Budget cuts and privatization may help but not eliminate the difficulty. Yet, the primary concern of the welfare system is neither economic nor administrative; so, the force of this criticism is limited. To restrict the discussion to the defunct free-markets and centralized economies is to distort and to obstruct clear thinking on national priorities. Criticism of any welfare system should not aim at the revival of these extremist solutions, but raise cost-effectiveness. All this holds for the medical sector in particular.