My experience is first-hand with both alternatives, and they were at the time as different as night and day. While talking heads in the media cried out that private insurance created a “fast track” for “the rich,” the net effect for the already overwhelmed public health care system was relief through decreased demand. As we should expect from any shift toward market, everybody was ultimately better off thanks to this (limited) marketization of Swedish health care (perhaps excepting bureaucrats who previously enjoyed the power to directly control health care).
Liberals [socialistas americanos] tend to point to Sweden as a good example of how well an extensive welfare state functions. They are not completely wrong, since Sweden is a rather well-functioning country. But this is despite the welfare state; these live in the past, and assert that Sweden today is one part in the 1970s and two parts their own imagination. The fact is that the Swedish welfare state imploded in the early 1990s; it was crushed under its own weight after more than two decades of rapid decline.
The reason Sweden is doing so well at present is partly an illusion and partly a market story. It is an illusion since what other countries we have to compare with are also welfare states (or, as in the case of the United States, a warfare-welfare state); being best of the worst does not mean one is actually good. It is a market story since Sweden has for more than two decades consistently rolled back the welfare state, introduced market prices and private ownership, “experimented” with market-like incentives for public providers, and cut taxes