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Ondernemer Loek Winter is goed wijs

"Mensen die tegen marktwerking in de zorg zijn, zijn niet goed wijs.” Ondernemer Loek Winter windt er geen doekjes. Ziekenhuizen werken volgens hem slecht omdat ze een planeconomie vormen: “Hoe specialisten en verplegers ook presteren, ze krijgen hun geld toch wel. Een planeconomie prikkelt niet om je best te doen.”

Marktwerking en geld verdienen

Grappig is dat juist weekblad Elsevier ondernemer Winter het vuur na aan de schenen legt over marktwerking en geld verdienen aan zorg. “Geld is niet mijn drijfveer”, kaatst Winter terug. Als radioloog verdiende hij veel meer.  Hij wil laten zien dat ziekenhuizen beter kunnen worden gerund. “ Ik steek mijn nek uit voor een ziek bedrijf.  De 5 miljoen euro die ik investeer, moet ik privé lenen omdat ik ze anders niet van de bank krijg. Als de ziekenhuizen failliet gaan, heb ik wat uit te leggen.”

Planeconomische reflex

Ziekenhuizen die niet failliet gaan hebben ook wat uit te leggen. Waarom ze bijvoorbeeld bijna failliet gaan vanwege uit de hand gelopen bouwkosten. Waarom ze een vestiging willen sluiten na een fusie.
Met het ultramoderne maar dure Maasziekenhuis in Sittard lijkt het na een geslaagde verhuisoperatie overigens goed te komen. In Zeeland daarentegen volop rumoer. Al zou je de demonstratie van duizenden Zeeuwen tegen de dreigende sluiting van het ziekenhuis in Vlissingen kunnen afdoen als een planeconomische reflex. Horen we daar de woordvoerder van de Socialistische Partij fulmineren? Zijn de toegankelijkheid en de kwaliteit van de zorg werkelijk in het geding?

Overheid bestrijdt uitwassen marktwerking

Planeconomie of niet: de ziekenhuiszorg kan op tal van onderdelen efficiënter, goedkoper, veiliger en kwalitatief beter worden uitgevoerd. Daarvan  getuigen bijna-faillissementen, inspectierapporten, conflicten tussen medici en bestuurders en regelrechte schandalen.
De overheid hoeft niet meer te doen dan uitwassen van de markt tegen te gaan door eisen te stellen aan de toegankelijkheid en de kwaliteit van de zorg. Winter drukt het zo uit: “Acute zorg, traumatologie en oncologie moeten voor iedereen op 20 minuten reistijd aanwezig zijn. Alle andere zorg mag best 45 minuten reizen zijn.”

Disfunctionerende specialisten

Ik wil het experiment in de Flevopolder wel eens meemaken. Loek Winter met zijn MC Groep garandeert de kwaliteit en toegankelijkheid van de zorg. Hij zet disfunctionerende specialisten over de dijk. Hij maakt de zieke organisatie gezond. En dan kijken we heel planeconomisch over een jaartje of vijf wie er wel en niet goed wijs is. NZa, laat Winter even zijn gang gaan. Niet te lang wachten, want de verliezen lopen met de dag op.

Ruud Koolen

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