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Mental Health in Denmark
Every year on March 20, the United Nations Sustainable Solutions Network publishes the World Happiness Report. The report assesses the state of happiness in 156 countries, acquiring data through quantitative surveys and research. The report considers GDP per capita, life expectancy, social support, trust and corruption, perceived freedom to make life decisions and generosity. Based on these metrics, Denmark has consistently ranked in the top 10 happiest countries in the world for the last nine years. Naturally, this has prompted the world to take a closer look at what contributes to such positive mental health in Denmark.

Robust Social Security and Social Welfare

It is no secret that the Danish income tax rate is one of the highest in the world. The income tax rate for the average Dane earning $43,000 is 45% and increases to 52% for those earning $67,000 or more. However, a Gallup survey conducted in 2014 found that almost 90% of Danes are happy to pay their taxes. This is because the high tax rate translates into improved societal welfare. For instance, Denmark provides free healthcare to all and education is also free, even at the tertiary level.

The Importance of a Work-life Balance

The Danes recognize that time affluence is a vital prerequisite for happiness. As such, Danes generally only work an average of 37 hours spread across five days. This arrangement provides them with ample leisure time to pursue hobbies or spend time with friends and family. Moreover, many treat mental health in Denmark with the same seriousness as physiological health in the workplace. Employees take “stress leave” to avoid burnout and people impacted by job losses receive generous unemployment benefits from the government.

The Philosophy of Hygge

The most common translation of hygge (pronounced hoo-ga) is a sense of coziness or comfort. It is the ethos of the Danish lifestyle and emphasizes taking pleasure in simple things. During the bleak winters, the Danes take up hygge practices such as playing a board game with friends or reading a book with a cup of hot chocolate. According to A.K. Pradeep, author of “The Buying Brain,” hygge encourages activities that minimize stress and create comfort to boost serotonin production. Consequently, the incorporation of hygge into everyday life reduces stress levels and helps with depression. This greatly improves the quality of mental health in Denmark.

Tackling Mental Health Issues in Denmark

By no means should one construe these aspects of life in Denmark as an absence of mental health issues. In fact, estimates suggest that 38% of Danish women and 32% of Danish men will receive professional help for mental health issues at some moment in their lifetime. While the causes for suicide and mental health illnesses in Denmark are nuanced, with regard to the mental health of young people, the high demands and pressures of today’s world contribute to anxiety and depression.

Furthermore, the suicide rate in Denmark has now plateaued at 11.4 per 100,000 since 2007. This translates to an average of 600 suicides per year, with experts in suicidal behavior acknowledging the government’s ability to do more to address the issue.

However, Denmark is not the only Nordic country celebrated for the happiness of its citizens yet struggling to make further inroads into suicide prevention. For example, in Finland, an estimated 750 Finns commit suicide every year. This is despite extensive national suicide strategies that have managed to bring down the suicide rate by more than 50% in the last 30 years.

Creating Change

Fortunately, organizations have met these staggering statistics with a determination to improve the mental health situation in Denmark. One such organization is ONE OF US. Founded in 2011, ONE OF US aims to eliminate the stigma surrounding mental health in Denmark, addressing social exclusion and encouraging individuals to seek treatment. The organization accomplishes this through its nationwide campaigns.

These efforts consist of activities and workshops to educate the public on mental health issues. Workshops also aim to teach individuals how to support people struggling with mental illness. For instance, with the youth as one of its focus areas, the organization makes presentations at educational institutions with a youth ambassador. The ambassador shares his/her experience with mental health issues and gives guidance on how to overcome these hurdles.

Although happiness is a factor that fluctuates, Denmark does its best to prioritize the integral aspects that contribute to overall happiness. The happiness rate in Denmark is a significant source of pride for former Danish Prime Minister Anders Fogh Rasmussen who believes in a model of “governance for happiness,” especially during trying times. Mental health in Denmark plays an important role in overall happiness and the country aims to continue prioritizing it.

Vyas Nageswaran
Photo: Flickr

Health Care in SwedenSweden has the highest income tax rate in the world. More than 57% is annually deducted from people’s incomes. However, Sweden placed seventh out of 156 countries in the World Happiness Report 2019, and its healthcare system is one of the best in the world.

In 1995, Sweden joined the European Union and its population recently reached over 10 million people. Healthcare is financed through taxes and most health fees are very low. Sweden operates on the principle that those who need medical care most urgently are treated first. Higher education is also free, not only to Swedes, but also to those who reside in the rest of the European Union, the European Economic Area, and Switzerland. Like healthcare, it is largely financed by tax revenue. Here are 10 facts about healthcare in Sweden.

 10 Facts About Healthcare in Sweden

  1. Sweden has a decentralized universal healthcare system for everyone. The Ministry of Health and Social Affairs dictates health policy and budgets, but the 21 regional councils finance health expenditures through tax funding; an additional 290 municipalities take care of individuals who are disabled or elderly. To service 10.23 million people, Sweden has 70 regionally-owned public hospitals, seven university hospitals, and six private hospitals.

  2. Most medical fees are capped and have a high-cost ceiling. According to the Swedish law, hospitalization fees are not allowed to surpass 100 kr (Swedish Krona), which is equivalent to $10.88, a day and, in most regions, the charge for ambulance or helicopter service is capped at 1,100 kr ($120). Prescription drugs have a fee cap and patients never pay more than 2,350 kr ($255) in a one-year period. In the course of one year, the maximum out-of-pocket cost is 1,150 kr ($125) for all medical consultations. If the person exceeds the cap, all other consultations will be free. Additionally, medical services are free for all people under the age of 18.

  3. The cost for medical consultations not only has a price cap, but is generally low. The average cost of a primary care visit is 150 kr-300 kr ($16-$33) and the cost of a specialist consultation, including mental health services, ranges from 200 kr-400 kr ($22-$42). The cost of hospitalization, including pharmaceuticals, does not exceed 100 kr ($11) per day and people under the age of 20 are exempt from all co-payments. Healthcare services, such as immunizations, cancer screenings, and maternity care, are also free and have no co-payments.

  4. All dental care for people under the age of 23 is free. When a person turns 23, they no longer qualify for free dental health care in Sweden and must pay out of pocket. However, the government pays them annual subsidies, or an allowance, of 600 kr ($65) to pay for dental expenses. In Sweden, the cost of a tooth extraction is 950 kr ($103) and the cleaning and root filling for a single root canal costs 3,150 kr ($342). If dental care costs total anywhere between 3,000 kr-15,000 kr ($326-$1,632), the patient is reimbursed 50% of the cost. If it exceeds 15,000 kr, 85% of the cost is reimbursed.

  5. To battle its large medical waiting lists, Sweden has implemented a 0-30-90-90 rule. The wait-time guarantee, or the 0-30-90-90 rule, ensures that there will be zero delays, meaning patients will receive immediate access to health care advice and a seven-day waiting period to see a general practitioner. The rule also guarantees that a patient will not wait more than 90 days to see a specialist and will receive surgical treatment, like cataract removal or hip-replacement surgery, a maximum of 90 days after diagnosis. Sweden’s government also committed 500 kr million ($55 million) to significantly decrease wait time for all cancer treatments. In 2016, Sweden developed a plan to further improve its health services by 2025 through the adoption of e-health.

  6. In 2010, Sweden made private healthcare insurance available. The use of private health insurance has been increasing due to the low number of hospitals, long waiting times to receive healthcare, and Sweden’s priority treatment of emergency cases first. In Sweden, one in 10 people do not rely on Sweden’s universal healthcare but instead purchase private health insurance. While the costs for private plans vary, one can expect to pay 4,000 kr ($435) annually for one person, on average.

  7. Sweden’s life expectancy is 82.40 years old. This surpasses the life expectancies in Germany, the UK, and the United States. Maternal healthcare in Sweden is particularly strong because both parents are entitled to a 480-day leave at 80% salary and their job is guaranteed when they come back. Sweden also has one of the lowest maternal and child mortality rates in the world. Four in 100,000 women die during childbirth and there are 2.6 deaths per 1,000 live births. There are 5.4 physicians per 1,000 people, which is twice as great as in the U.S and the U.K, and 100% of births are assisted by medical personnel.

  8. The leading causes of death are Ischemic heart disease, Alzheimer’s disease, stroke, lung cancer, chronic obstructive pulmonary disease and colorectal cancer. While the biggest risk factors that drive most deaths are tobacco, dietary risks, high blood pressure and high body-mass index, only 20.6% of the Swedish population is obese and 85% of Swedes do not smoke. The Healthcare Access and Quality Index (HAQ Index) also estimates that, in 2016, the rate of amenable mortality, or people with potentially preventable diseases, were saved at a rate of 95.5% in Sweden. The HAQ Index estimates how well healthcare in Sweden functions; the index shows that it is one of the best in the world.

  9. Sweden’s health expenditure represents a little over 11% of its GDP, most of which is funded by municipal and regional taxes. Additionally, in Sweden, all higher education is free, including medical schools. There are no tuition fees and a physician can expect to have an average monthly salary of 77,900 kr ($8,500).

  10. In Sweden, 1 in 5 people is 65 or older, but the birth rate and population size are still growing. Because Sweden has one of the best social welfare and healthcare systems in the world, people live longer and therefore 20% of the population does not generate income or pay taxes from their salary. This dynamic stagnates social welfare benefits and slows down the economy. Increasing immigration and a rise in births are the two solutions to ensure that the younger generations will receive the same benefits. Swedish-born women have an average of 1.7 children and foreign-born women have an average of 2.1 children. In 1990, Sweden broke the 2.1 children fertility rate but quickly dropped below 2.0 in 2010. Since 2010, Sweden has seen an increase of 100,000-150,000 immigrants and has seen 45,000 citizens emigrate.

In 2018, Sweden reached its record highest GDP (PPP) per capita of almost $50,000. Despite having the highest taxes in the world, the living conditions and healthcare in Sweden are some of the best. With time, its population will continue to grow and the healthcare system will continue to advance.

Anna Sharudenko
Photo: Flickr

PA 10 Facts About Living Conditions in Ireland
In the past century, Ireland has transformed from a poor agricultural country into one of the best places to live in Europe. Industrialization and foreign investments have brought wealth to the country, which has been used to improve the lives of Irish citizens. These 10 facts about living conditions in Ireland are not without their pitfalls; however, they demonstrate what is possible when an economic boom is met with social conscientiousness.

10 Facts About Living Conditions in Ireland

  1. In the last five years, the living conditions in Ireland have improved faster than any other country worldwide. Between 2012 and 2017, the country rose 13 places on the U.N.’s Human Development Index and now is number 4 after Norway, Switzerland and Australia. This index ranks countries based on life expectancy, access to education and gross national income per capita.
  2. Ireland had the highest birth rate of the European Union (EU) member states in 2017, with 12.9 births per 1,000 people. The country also has one of the fastest growing populations in the EU, a rarity among developed nations. The population grew from 3.1 million in 1911 to 4.59 million by 2011, a 46 percent increase. However, this is still lower than the 8.4 million people estimated to have lived in Ireland prior to the Great Potato Famine of the 1840s.
  3. From 2001 to 2016, the teenage pregnancy rate fell 64 percent, a decrease of almost 2,000 teenage births. This is likely due to the Relationship and Sexuality Education (RSE) instituted in public schools in the 1990s. The 2016 survey, Growing Up in Ireland, found that 79 percent of sexually active 17 and 18-year-olds always used contraception.
  4. Ireland is closing the gap in gender inequality. In 2015, the country ranked eighth in the European Institute for Gender Equality’s index at 69.5 percent, which evaluated work, money, education, time, health and power. It has been rising steadily since 2005 and is currently ahead of the nearby United Kingdom. For example, in 2018, the Irish gender pay gap was 14 percent, which was ahead of Australia at 15.4 percent, the United States at 18 percent, the United Kingdom at 18.4 percent and Canada at 26 percent.
  5. The healthcare system in Ireland is on par with the European average. Both public and private health services are provided by the Irish Government’s Health Service Executive (HSE). About 72 percent of healthcare costs are covered by the government, and the remaining costs are paid for through voluntary healthcare payments or out of pocket. In 2013, 40 percent of people living in Ireland had a medical card that provides free healthcare, with the remaining amount being a subsided fee based on income level. Private (religious or community-based) healthcare is also available at a fraction of the cost of other developed countries.
  6. The cost of living in Ireland is high. Good and services cost 25 percent more than the EU average, with high price tags on essentials such as rent, transportation and child care. There are fewer government services for things like childcare and housing, so the Irish have to rely on private companies. The lack of competition from the government keeps the prices high.
  7. For a full-time worker, the average income is €45,611 per year, a number that has been steadily increasing since 2015. However, the Irish have less disposable income. The OCED average is $30,563, with Ireland averaging $25,439. High personal taxes and the high cost of living eat into these profits.
  8. The amount of public housing is unable to keep up with the population’s need. Almost one in five Irish families now live in a rented home, which is double what it was 10 years ago. This has caused a shortage of rental properties and a significant increase in the cost of rent. There were 1,709 families who had to utilize emergency accommodation services in October 2018, with 3,725 of them being children. The overwhelming number had lost their homes after rent increases priced them out. Nonprofits such as Focus Ireland work to provide services and temporary housing to those who cannot afford the costs of living.
  9. Life expectancy in Ireland is 83 for women and 80 for men, higher than the international life expectancy of 72. That is an increase from 2011 when life expectancy was 76.8 for men and 81.6 for women. The significant rise in healthcare, income and education has contributed to a longer life. Current concerns for life expectancy are obesity and alcoholism.
  10. Ireland ranks 14 out of 156 countries on the World Happiness Report, trailing behind Finland, Norway, Denmark and other Nordic nations. Meik Wiking, CEO of the Happiness Research Institute, says that the happiest countries “are good at converting wealth into well-being,” a skill the Irish have proven adept at. Ireland also has a strong sense of family and community. At least 96 percent of people surveyed by OECD believed that they had a reliable friend or family member on whom they could lean in times of need.

Ireland has made enormous leaps in development in the past century, enabling the country to improve its living conditions exponentially. The world happiness index has shown that people are willing to tolerate a high cost of living when the quality is above and beyond. However, there will have to be solutions developed for those who find the cost of living too far out of reach, or the current problems will only grow worse.

– Jackie Mead

Photo: Upsplash

 

poverty in Ireland
In Ireland, the number of people living in poverty is steadily increasing. Since the beginning of the recession in 2008, the number has risen due to situational factors, such as unemployment and poor health, and exacerbated structural economic inequalities that perpetuate a cycle of poverty in Ireland.

Top 10 Facts about Poverty in Ireland

  • There are 790,000 people living in poverty: According to the Irish National Anti-Poverty Strategy, people living in poverty in Ireland are unable to maintain a standard of living acceptable by Irish society due to their lack of resources.
  • Only 18 percent of adults in poverty hold jobs: Despite working, these people do not earn salaries that allow them to cover basic costs of living for themselves and their families. They are called ‘the working poor’ by Social Justice Ireland.
  • There is a large income gap in Ireland: Social Justice Ireland found that the bottom 10 percent of Irish households only received 3 percent of the country’s total disposable income, while the top 10 percent of households received 24 percent of the income.
  • There are regional differences in poverty: Poverty in the more developed southern and eastern regions of Ireland is 50 percent less per capita than in the rural border, midlands and west regions of the country.
  • Disadvantaged populations are more likely to be in poverty: Sick or disabled people, and children younger than 18, are more likely to be at risk of poverty or in consistent poverty than healthy adults.
  • Single parent households are three times as likely to be in poverty: Compared to two-parent households, families with only a single parent are three times as likely to be in consistent poverty and twice as likely to be at risk of poverty.
  • Rent prices are increasing: Rent prices in Ireland are rising at six times the rate of European rates. When housing prices rise, the prices of other goods rise as well, causing poor families to stretch their resources to cover basic life necessities.
  • Moree than 8,500 people were homeless in Ireland in December 2017: This number includes more than 3,000 children and represents a 17 percent increase in the number of homeless families since December 2016.
  • Despite the poverty, economic growth is occurring: The Irish economy has moved past its recovery phase following the recession and into a time of growth. In 2017, 55,000 jobs were created, and in 2018, 4 percent growth of the economy is projected.
  • Specific policies are necessary to reduce poverty: To combat poverty in Ireland, specific government policies to address the areas of structural inequality are necessary. For example, creating a minimum living wage so all workers can afford a basic standard of life.

Even though there are still many steps needed to overcome poverty in Ireland, the Irish people are highly resilient. The 2017 World Happiness Report found that Ireland is the 15th happiest country in the world. Additionally, the report found only a small loss in happiness among the Irish people since the 2008 recession, and a high number of people reported they have someone to count on — strengths necessary to survive hardship.

– Hayley Herzog

Photo: Flickr