Another reason could be the user charges that apply for all types of health services. Besides, user charges for dental care can be high for groups with costly treatments such as older people. Finally, waiting times are relatively long for specialists, which may contribute to inequalities in access to health care (OECD, 201 le). In 2010, the Health Care Act was changed to account for these new developments, and now stipulates the freedom of choice of primary care provider for the population and the freedom of establishment for providers accredited by the local county councils.