Calls to Abolish Choice System Law Amid Investigation into Remote Doctor Work in Sweden's Healthcare

Two Left Party politicians have advocated for scrapping the mandatory component of Sweden's choice system law (LOV) for healthcare centers, arguing it has led to significant dysfunctions. In a debate article published in Aftonbladet, they cite a recent government investigation led by Clas Olsson revealing worsened cost control, both over- and under-establishment of healthcare services, and exploitation of regional funds by criminal actors. They draw parallels to the problems already recognized in the education sector regarding private schools' free establishment rights and hope the healthcare sector's ‘freedom of choice’ receives similar scrutiny (ID 101057).

Simultaneously, Swedish regional leaders face uncertainty about potential rule violations related to doctors working remotely, as reported by NA. Prompted by these concerns, they have launched an immediate investigation. Regional councilor Behcet Barsom emphasized that certain remote work functions are vital for patient safety when no alternatives exist. This issue was a key topic during the weekly governing parties' meeting, underscoring its significance within healthcare governance (ID 101058).

These developments highlight political and operational challenges within Sweden’s healthcare system, from fundamental legislative frameworks governing patient choice and healthcare provider establishment to current practices around telemedicine and remote work by doctors. The choice system law, intended to foster competition and patient freedom, is under growing criticism for unintended negative consequences such as poor cost governance and criminal exploitation. Meanwhile, the new investigation into remote doctor practices reflects ongoing concerns about adherence to regulations in evolving healthcare delivery models.

This dual focus on legislative reform and operational oversight signals a critical moment for Sweden’s healthcare policy, aiming to ensure both system integrity and patient safety amid changing service modalities.