Setting market conditions in Slovakia

by DoDo
Mon Jul 21st, 2008 at 08:00:20 AM EST

Discontent with healthcare privatisation was the prime campaign theme of the 2006 elections in Slovakia, and promises to undo it were a main reason for a new bizarre coalition of three populist parties taking government.

After taking office, PM Robert Fico didn't dare to start renationalisation outright, and overall, his government implemented only minor changes to his predecessors' radical neoliberal reforms. However, it seems that with his power now consolidated, Fico felt he has the power to risk some conflict with the private insurers - and conflict there is, one of them brought the government into court, demanding half a billion Euros in damages.


Consolidating power in a "catastrophe coalition"

Back in 2006 (when I wrote my intro on politics in Slovakia: Ahead of the Slovakian Elections...), Smer, the left-populist party around rich entrepreneur turned politician Robert Fico, won the elections with 29.14% of votes, so they had to coalition - and they did so with HZDS, the party of former criminal PM Vladimír Mečiar, and SNS, a far-right party around the Slovakian Le Pen, Ján Slota (Quotes: "The best policy for Gypsies is a long whip in a small yard", "We will sit in our tanks and destroy Budapest"; and see my earlier comment on new revelations on his criminal past). There were only three shared values of the coalition partners: social populism of differing levels, nationalism (also see the story of a politicised miscarriage of justice in On a dark street), and a dislike for criticism in the media (on the last see the diary Slovakia: Lisbon Treaty vote and domestic turmoil and some recent furore over selective paid advertisements).

However, instead of going under in scandals, Fico managed to benefit from them all, and also benefit from the economic boom that started under his predecessors, without implementing drastic changes.

He let the HZDS agriculture minister fall over a corruption scandal, and when Mečiar threatened to leave the coalition, Fico called his bluff and suggested that court cases on crimes during Mečiar's tenure would be rolled out again - HZDS is now eating out of his hand. While upon forming government, the European Socialists suspended Smer for coalitioning with SNS, the party was welcomed back earlier this year (PES can be as hypocritical as the EPP). He could exploit the internal divisions of the right-wing opposition parties, for example breaking their obstruction of the vote on the Lisbon Treaty (see again Slovakia: Lisbon Treaty vote and domestic turmoil).

Meanwhile, with GDP numbers still going strong and the budget under control, Slovakia is to introduce the Euro next year - but to forestall inflation fears, they plan to form a Price Council. The government also made some minor improvements in social benefits, to be boosted in 2009 (family benefits, pensions).

Thus, though analysts wonder, I'm not surprised that in Slovakia Fico remains the most popular politician by far (see July politicians poll by ÚVVM [pdf!]), and that Smer would win eventual new elections all by itself (polling a stratospheric 48.5%, see July party poll by ÚVVM [pdf!]).

So: time to take on the private healthcare insurers!

The healthcare battle

Private insurers exist in Slovakia since 1995, but the original system was a messy mixed one. After the previous government's 2002 "reform", healthcare provision in Slovakia was made not for free, and responsibilities were divided up between two state and the already existing (currently four) private insurers, and the privatisation of hospitals was started.

The Fico government realised early on that renationalisation would cost a lot in compensations, on top of which the more recalcitrant private insurers could sue. So instead, they only eliminated hospital and doctor visit fees, and reduced tax on medications, and stopped the ongoing hospital privatisation.

But, on 25 October 2007, the government majority voted for a major change in law, in effect from the start of this year. Among its elements:

  • Private insurers leaving the Slovakian market have to give up their clients for free (in effect: renationalisation through the back door made cheap);
  • Only 3.5% instead of 4% of income can be booked as operating costs;
  • Paying dividends was forbidden: profit has to be re-invested.

The last point is the real bone of contention. Investment group HICEE, majority owner of the largest and 49% owner of another private insurer, and currently headed by Dutchman Pieter de Kok, sued for €500 million on 17 January. They left six months for an amicable settlement, which was over last Thursday.

But PM Robert Fico reacted with strong words already in January ("gangsterism", "a brazen act of disrespect"), and again in June: "They want to mess with the State? Please, let's go, we are ready!" and "We will never allow the insurers to make profit on money people's compulsory payments into their budgets."

So now HICEE will initiate international arbitration. Meanwhile, the other private insurers started their own legal suits.

Login
. Make a new account
. Reset password

Display:
Meanwhile, a story from Hungary on the same issue.

Despite the recent referendum to abolish fees in heathcare, and an upcoming second referendum to not allow private insurers into healthcare, talk about the latter continues. And a recent incident confirmed my doubts about main opposition party Fidesz's honesty in its social populism.

Hospinvest is a company which runs (but doesn't own) some hospitals. Just now Hospinvest is embroiled in a conflict in the city of Eger, Hospinvest wants to save money on labour by forcing hospital employees to contract via an outsourced employing firm. The employees are up in arms, 900 of the 1300 total refuse to sign the new employment contracts. There were both Socialist-led and Fidesz-led regional authorities among those enabling this form of creeping semi-privatisation, but after the Eger situation made waves, Fidesz fired two local leaders allowing privates into healthcare.

However, enter Fidesz's healthcare expert, István Mikola, a former Christian Democrat madman (see his 2006 rhetorical escapades in Campaign Watch Hungary: A Salvo In The Foot). He seems not unfriendly to private healthcare companies. Especially to one in particular.
Earlier this month, when Mikola visited a hospital run by Hospinvest in the company of the (Socialist) healthcare minister(!), he declared he doesn't think the firm is a "profit-oriented money-pump", and professed lack of knowledge of the situation in Eger. Mikola also said he thinks privates do have a place in healthcare - even if under proper constraints.

There was reportedly much outrage within the party for this breach of Fidesz's communication line. But, not only wasn't he fired, but party leader (and former and prospective future PM) Viktor Orbán stood by his side, essentially reinforcing Mikola's position as the new party line, except putting the rhetorical emphasis on constraints:

Index.hu - Nem nyúlt Mikolához Orbán, inkább levelet írt EgerbeIndex.hu - Orbán didn't touch Mikola, he wrote a letter to Eger instead
"A magántőkének csak szakmai alapon, szigorú korlátok mellett, a közösségi tulajdon többségben maradása esetén van helye az egészségügyben""Private capital has a place in healthcare only on a professional basis, with strict constraints, and with the retainment of the majority of public ownership"

This is general enough to mean different things to different audiences. Orbán also had a word of symphaty for the employees fighting Hospinvest in Eger, but the way I read this, the door was just opened for similar firms.

*Traitor*, n.
A benighted individual who perceives an illusory distinction between serving his nation and abetting the criminals who govern it.

by DoDo on Mon Jul 21st, 2008 at 08:01:23 AM EST
social populism of differing levels, nationalism (...), and a dislike for criticism in the media

Sounds like Slovarkozy.

When locusts move on, they leave nothing behind

by afew (afew(a in a circle)eurotrib_dot_com) on Mon Jul 21st, 2008 at 08:20:53 AM EST
That's more apt than you think.

The latest scandal concerned the finance minister, who holidayed on, you guessed it, the yacht of a rich entrepreneur - which is bad enough, but he probably gave him insider info about central bank plans. The minister offered his resignation. He was publicly scolded, but kept by Fico.

*Traitor*, n.
A benighted individual who perceives an illusory distinction between serving his nation and abetting the criminals who govern it.

by DoDo on Mon Jul 21st, 2008 at 12:13:06 PM EST
[ Parent ]
Meanwhile...

In recent campaign speeches, both Ján Slota and Robert Fico warned of the expected return of Viktor Orbán into power, whom the former deemed a (ah the irony) chauvinist and extreme nationalist, the latter used less strong words. But as former foreign minister of Slovakia, Eduard Kukan said, Fico's nationalism is on the same level as Orbán's and his coalition partners' is beyond.

Meanwhile...

Hungarian neo-nazis made two spectacular forays across the Danube and the border. Three weeks ago, police busted a meeting on the floodplains near Komárno (Hungarian: Révkomárom, German: Komorn). Last week, after a neo-nazi meeting on private property in Esztergom (the mayor claimed: "we have no legal means to bust them"), a dozen of them in full regalia walked across the bridge to Štúrovo (Hungarian: Párkány), sang about Trianon (the palace in Paris where the post-WWI border-changing peace agrement was signed) and showed Nazi salutes. Seven were arrested and stand on trial.

Meanwhile...

JOBBIK, the dwarf far-right youth party infamous for founding the paramilitary Hungarian Guard, requested a meeting with the Czech colleagues, the National Party - in an undisclosed restaurant in Slovakian capital Bratislava. They allegedly met on Saturday. (I wonder if they spoke about the Beneš decrees...)

*Traitor*, n.
A benighted individual who perceives an illusory distinction between serving his nation and abetting the criminals who govern it.

by DoDo on Mon Jul 21st, 2008 at 08:33:35 AM EST


Display:
Go to: [ European Tribune Homepage : Top of page : Top of comments ]