Czechs weigh in on the pros and cons of the public healthcare system

Czech citizens rated their healthcare system with an average grade of 2.77 on a scale of 1 to 5, according to a survey conducted by the University of Economics (VŠE) and the National Association of Patient Organizations (NAPO). The findings highlight dissatisfaction among those with frequent or long-term interactions with the system.

The survey, conducted online in August with over 1,000 respondents, found younger people (ages 18–24) gave healthcare a better rating of 2.3, while older respondents (ages 55–64) were more critical, assigning an average score of 3.07.

Respondents identified extended wait times for specialist appointments and surgeries as the most significant issues. Other concerns included the unavailability of some medicines, high co-payments, and limited access to treatments for rare diseases, often requiring crowdfunding.

Despite these shortcomings, 30 percent praised the expertise of medical staff and technological advancements. Other positives included the accessibility, quality, and generally free nature of care. However, consensus on standout strengths was limited.

Nearly half of respondents reported paying additional fees for care, including charges for medical supplies or registration systems. NAPO Chairman Robert Hejzák raised concerns about the legality of these fees and their potential to undermine equal access to healthcare.

The survey revealed that 31 percent believe healthcare has deteriorated in the past five years, compared to 21 percent who see improvement, despite increased healthcare spending. Additionally, 80 percent of respondents support immediate reforms, with many emphasizing internal efficiency rather than reducing hospital services or surgical capacity.

"Only a very small part of respondents perceive healthcare as improving. This output is alarming if we consider that the total expenditure on healthcare has increased by more than one percent of the gross domestic product," the survey states.

Public sentiment strongly favors rewarding healthy lifestyles financially, with 70 percent in support, and introducing options to choose insurance plans based on premiums and care offerings. The findings suggest healthcare reform could be a critical issue in upcoming elections.