❓ What is a zorgfuik?

A care trap —
easy to enter, hard to leave

The Dutch word fuik means a fish trap: a cage that fish swim into easily but cannot escape. A zorgfuik (care trap) is a situation in which a person becomes trapped in the healthcare and social welfare system — not because of any single mistake, but through an accumulation of institutional failures.

How a care trap forms

Someone needs help. They contact a GP, a municipality, a mental health service, a welfare agency. Each has its own procedures, waiting lists and criteria. Nobody has the full picture. Nobody has the mandate to make a decision that cuts across institutional boundaries.

The person is passed from one institution to the next. Forms, referrals, waiting. Months pass. The situation worsens. At some point, it becomes a crisis — and even then, each institution sees only its own piece of the problem.

"Nobody said: I have the overview. I will make sure this gets resolved."

🚪

Many entry points

GP, municipality, mental health, welfare, insurer — each with its own door, its own waiting room, its own assessment.

🔁

Circular referrals

Institutions refer back and forth. The person does the coordinating. Nobody is responsible for the whole.

📈

Escalation while waiting

Situations worsen during wait times. The system was not designed to detect or prevent this.

What needs to change

🧩 Now

Every institution holds a piece
Nobody has the mandate to decide across boundaries
The person coordinates their own care
Coordination without mandate = just more meetings

🧭 What is needed

One coordinator with the full overview
Mandate to cut across institutional boundaries
Early recognition of escalating situations
One clear route forward