Thoughts, stories and ideas.

What It Actually Takes to Reform Healthcare in Western Uusimaa

In January 2023, Finland did something that most countries only talk about. It consolidated its fragmented municipal health and social services into 21 regional wellbeing services counties, each responsible for delivering care to hundreds of thousands of residents. The idea was ambitious and the execution was chaotic. Ten distinct city

When Austerity Feeds Inequality: A Hard Look at Finland’s Fiscal Priorities

By Harshwardhan Saini This article has been sitting in my drafts for months. I kept telling myself I needed more data, more sources, a better angle. But the truth is simpler than that. As a resident of Finland, a public health researcher, and someone who ran as a political candidate