In the Swedish system, all doctors are working for the county councils. There are no doctors who are totally private. There is thus a whole system that links one to another when it comes to choice and access.
I would say that in the few situations we experience in which we haven't been able to reach reimbursement status for new important pharmaceuticals, it has been possible for the Swedish system to handle the situation. So far it has also been possible for the political system to stand up for doing so. This also means that these are exceptions from the usual situation, such that it's possible for us to anchor our decisions with the prescribers and with the rest of the county councils and the health care system.