Doctors - The Monopolists

The Austrians are proud of their health care system and their doctors' knowledge and skills (even though they have to wait 4 hours on average in case of emergency). I think I'm an especially unlucky patient because I'm yet to meet a good, caring doctor, and one who doesn't let me wait at least one hour even though I pay €150 out of my own packet.

In Vienna, doctor offices are always overcrowded with patients who have appointments for the same time slot. It is a known and well accepted procedure: when you make an appointment for a doctor visit, you know you will surely meet other patients with exactly the same appointment time.

One reason why doctors don't care about patient waiting time is that they have a virtual monopoly over the health care. You don't have any free market choice when you must visit a doctor. Their profession is well-protected from intruders (or bad guys). These unwelcome intruders are newly graduated doctors and immigrant doctors. New doctors find it very difficult to start working in Vienna because of doctor quotas. And immigrant doctors have more additional obstacles to overcome, which take years enough that they start working in other businesses. That is how the Austrians create a virtual shortage of doctors that drive up prices and waiting times.

Also, the doctors (general practitioners or specialists) have the unlucky habit to work only 10-30 hours a week. I'm yet to see a general practitioner who works over 30 hours a week. That's because they can squeeze enough patients into their short working hours and still manage to be the best earners in this country.

I find it very strange that the waiting times don't change if your visit is paid by the universal health insurance or you pay it out of your own packet.

How does Austria compare to my home country? Well, my home country is classified as a developing country. So the comparison may not be fair. However, I should say that if you have a private health insurance or pay your expenses yourself, you get better care. In my home country the quality of care is dependent on your income. If you earn enough, you get health care of good quality. In Austria, you get average quality health care independent of what you earn.