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Denmark expects to increase number of doctors in health system

Coming years will see Denmark significantly increase the number of doctors working in its health service, according to a Danish Health Authority prognosis, but challenges remain in staffing all regions evenly.

Published: 20 June 2022 17:13 CEST

A file photo of a doctor in Denmark

A file photo of a doctor in Denmark. The country expects to significantly increase its medical labour force over the next two decades. Photo: Ida Guldbæk Arentsen/Ritzau Scanpix

A report by the national health authority, released Monday, suggest the country will increase its medical staffing.

The public health service has been reported to be suffering a nursing shortage, while local GP clinics are suffering from a low number of GPs to run the clinics, leaving patients without a permanent family doctor.

READ ALSO: Why many people in Denmark don’t have a regular GP

Increased admissions at university medicine programmes is expected to boost the number of doctors by 60 percent by 2045, according to the Danish Health Authority report.

That corresponds to around 17,305 more doctors than there are working in Denmark today, with the total reaching 45,500 doctors 23 years from now.

A lack of doctors is often cited as a problem in Denmark, particularly in remote rural areas.

An increase in elderly and chronically ill people in the population will also mean additional doctors will be welcomed, Danish Health Authority head of department Steen Dalsgård Jespersen said in a statement.

“It’s good to see that there will be more doctors and specialists in the coming years,” Jespersen said.

“When the number of doctors and specialists increases more than the population, we will become better equipped to take care of the increasing need for health services in the coming years,” he said.

“It’s crucial that a more even distribution of medical labour between the five regions and with the regions takes place,” he said in reference to the lack of medical staff in remote locations.

The prognosis is dependent upon “decisions and priorities in the coming years,” the Danish Health Authority notes in the report.

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'Some towns had zero births': Greenlanders sue Denmark over forced contraception

Henriette Berthelsen was separated from her family at 11 and forced to wear a contraceptive coil, a trauma she buried until she and 142 other Greenlandic women sued the Danish state.

“I’ve suppressed so much,” Berthelsen said. “I had an IUD (intrauterine device) fitted nine times since the age of 13, according to my medical records,” the psychologist and activist explained with poise and dignity.

“Luckily — if one can say luckily — they fell out,” she said, her voice cracking, at her home in a Copenhagen suburb. “I remember being in so much pain.”

Now 66, Berthelsen is one of the 143 Greenland Inuits who have sued the Danish state for violating their rights during its forced contraception campaign from the 1960s to 1980.

Some 4,500 fertile women were forced to undergo the procedure, often without their or their family’s consent.

Denmark carried out the campaign to limit the birth rate in the Arctic territory, which had not been its colony since 1953 but was still under its control.

Berthelsen’s parents never consented to her coils.

At the recommendation of the state, she was sent to Denmark for a year as a young girl to learn Danish and then to a Danish boarding school in Nuuk, Greenland’s capital, far from her hometown of Qeqertarsuatsiaat in southwestern Greenland.

One day, “there was a sign that said that all the girls from the boarding school had to go to the infirmary”, she said.

The IUDs kept falling out, she recalled, holding a photograph of herself from the time — a young girl with long dark plaits.

‘Never contradict a Dane’

For a long time she didn’t tell anyone about her ordeal, remembering what her mother had taught her: ‘Never contradict a Dane’.

For many of her classmates, the experience had a devastating impact.

“In my class there were several girls who were never able to have children,” she said.

Berthelsen herself went on to have two kids.

She is now campaigning to get the Danish state to pay for therapy for the victims living in Denmark.

Greenland already pays such benefits to those living in the territory.

Ebbe Volquardsen, a lecturer at the University of Nuuk, said the women were seeking justice now because the time was ripe.

“It simply takes time for marginalised groups, including Greenlanders within the Danish realm, to develop an awareness of systemic inequality and the ability to articulate it as a problem,” she explained.

One of the victims spoke out in the media several years ago about the trauma she experienced.

A podcast series by Danish public broadcaster DR in 2022 then revealed the extent of the campaign.

“It’s important that the Danish state takes responsibility,” said Berthelsen.

“Some things happened as a result of colonialism” — like “deciding, instead of the people (concerned), whether they are too many or too few, committing a genocide, committing violence and offences against young girls”, she fumed.

Historian Soren Rud told AFP: “In the context of the 2020s, the authoritarian elements of the campaign stood out as a shocking example of how the colonial and post-colonial situation affected the interaction between Greenlanders and Danes.”

‘Big success’

The lawyer for the plaintiffs, Mads Pramming, said one of the documents presented as evidence in the case is a copy of a 1971 review by a doctor extolling the “success” of the policy.

“There were 9,000 fertile women and, in just four years, they inserted an IUD in half of them. So 4,500. And the population dived enormously,” he said.

“Some towns had zero births during that period. After four years they concluded (it was a) big success.”

The large majority of the plaintiffs — the oldest of whom is now 82 — were left with lasting scars.

“Of the 143, about 50 of them had their uterus removed and were not able to have kids, and all of them suffered” physically and mentally, he said.

“Their own testimony is going to be the hardest evidence in the case.”

A fire destroyed many of the women’s medical files but that’s unlikely to change much.

“I don’t think the doctor would put in the medical file that he inserted this IUD in a 12-year-old girl with her crying and being held by two other adults,” Pramming said.

In October 2023, 67 of the plaintiffs filed claims for compensation from the Danish state of 300,000 kroner ($42,000) each.

“All of the requests for compensation will be evaluated by (us),” the health ministry told AFP in an email.

The case comes as Denmark and Greenland are re-examining their past relationship in a historic parliamentary committee.

In addition, researchers have opened a probe specifically into the forced contraception campaign.

Its conclusions are due in mid-2025.

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