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New government plan for "services pledge"

Big changes could be on the way for how and what public services people have access to and what will be paid out of pocket.

Nukkepariskunta istuu puiston penkillä.
Image: Henrietta Hassinen / Yle

The new government programme contains a target to create a "services pledge" - in other words a decision on what services people can expect to be provided by the public sector and what will be paid out of pocket.

Minister of Family Affairs and Social Services Juha Rehula says the role of local governments and the future responsibilities of the public sector will have to be re-evaluated.

Cleaning services for the elderly are an example of something rarely available anymore. However, no actual policy decision was ever made to curtail these services.

So far, more questions than answers

The government's service pledge is intended to specify, for example, what and how the elderly will get from the public sector in future.

Again, for example: Will wealth affect care payments? Will medications used at home, or outings for the elderly be public services - or for pay only?

The decisions are likely not to be easy.

Limits in public health care have been under re-examination for the past year.

But, that's nothing new. As long ago as 2004, it was decided for example, that surgery for varicose veins would be paid for out of public funds only if they were a serious health risk.

In an interview with Yle last week, Rehula vowed to clarify later this year how services could be set up.