The recent Kela trial targeting individuals over 65 has highlighted an unusual situation within the Finnish private healthcare market. Reports indicate that several private clinics are keeping a lion's share of the consultation fees associated with this trial. Consequently, opportunities for practicing physicians to take on these consultations are becoming less attractive due to inadequate compensation, leading to limited availability of appointments for patients in this age group.

Self-employed physicians, who rent office spaces and necessary equipment from clinics, are not on the payrolls of these establishments. This business model creates tension as some doctors express dissatisfaction over low remuneration rates, which in turn affects the accessibility of the trial appointments. For instance, one physician noted that the 20-minute consultation slots provided under the trial do not allow sufficient time to address the various health issues faced by older patients, resulting in some doctors opting out of participating in the trial altogether.

Interviews conducted for the report reveal widespread concerns among practicing doctors regarding the implications of these reimbursement policies on patient care and the viability of private practice. The situation raises critical questions about the effectiveness of current healthcare policies and suggests potential adjustments may be necessary to ensure that both physicians and patients receive adequate support as Finland's population ages.