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HEALTH

What stricter coronavirus measures is the Swiss government considering?

Switzerland is considering a range of stricter coronavirus measures. What is currently on the table?

What stricter coronavirus measures is the Swiss government considering?

NOTE: Switzerland announced will go into a stricter lockdown from January 18th. More information is available here. 

Switzerland on Wednesday decided it will extend coronavirus measures, including the continued closure of bars, restaurants, gyms and museums, until the end of February.

At the announcement, Swiss authorities said they had put a number of stricter measures to the cantons for consultation. 

These could be adopted nationwide, or they could be put in place in specific cantons if the situation deteriorates. 

READ MORE: What are Switzerland's current coronavirus shutdown measures?

A decision on whether to adopt some or all of these measures will be made on Wednesday, January 13th. 

What measures has the Swiss government proposed? 

Health Minister Alain Berset has put forward a number of stricter measures to cut the spread of the virus in the cantons. 

While these have not yet been approved, they are currently being debated by the federal and cantonal authorities. 

Obligation to work from home

Working from home has been 'recommended' for anyone who can do so in Switzerland since October. 

One option being considered is to require everyone who can work from home to do so all across Switzerland. 

Currently, only the canton of Thurgau has put in place such a requirement. 

READ: Why is Switzerland set to extend coronavirus measures?

Swiss media reports that “further restrictions in the workplace” are also being considered, although there have been no concrete indications as to what this will be. 

Closure of all non-essential shops

One approach being considered is the closure of all non-essential shops – defined as “shops that do not sell everyday goods”. 

This approach was adopted during the first wave of the virus in the Spring of 2020. 

School closures

One further approach being considered is to close compulsory schools. 

While the government has not provided express guidance on how this could take place, Swiss media reports that this is unlikely to happen at a federal level. 

Instead, closures are likely on a canton-to-canton basis. 

Further restrictions on gatherings in public and private

Another possible change would be to further limit the number of people that can meet in public or in private in Switzerland. 

Currently, gatherings in public spaces are capped at 15 people, while a maximum of ten people can meet in private with friends and family. 

Extra protections for vulnerable people

One suggestion made in the Swiss media is that additional protections could be introduced to protect the most vulnerable in society, however no specific examples were given about how this will be pursued. 

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HEALTH

How is Swiss healthcare system different from the rest of Europe?

Switzerland’s health infrastructure is consistently rated among the best in the world, but how does it compare with other countries?

How is Swiss healthcare system different from the rest of Europe?

Whether in terms of politics, social system or economy, the Swiss often chart their own course, which fundamentally diverges from that of its European neighbours.

Healthcare is no exception.

The differences lie primarily in who finances the scheme — public versus private — and how the overall system functions.

Like much of the European Union, Switzerland has a universal health system, which means everyone in the country is covered by insurance and has access to medical care.

In most countries, the government typically has control, to a lesser or greater extent, over funding, health insurance, and health providers.

In France, for instance, most healthcare costs are covered by the state healthcare system, known as assurance maladie, and this is funded by taxes – healthcare costs account for about 13 percent of the average person’s gross salary.

In Germany, health costs are shared by employers and workers, with employees paying 7.5 percent of their salaries into a public health insurance fund, and companies matching that amount.

Italy’s national, system, called the Servizio Sanitario Nazionale, or simply SSN, which is financed mainly though federal and regional taxes, automatically covers all residents. Medical care is largely free of charge at the point of service.

Public healthcare also exists in Austria, with certain portions of salaries being automatically deducted to fund the scheme. However, healthcare is free of charge for low-income people or those who who are disabled, studying, or retired.

Although no longer part of the EU, the UK health system is also based on state healthcare via the NHS. It is funded by taxes which account for about 4.5 percent of the average citizens’ gross income.

What about Switzerland?

The system here is fundamentally different in that it is not tax-based or financed by employers, but rather by individuals themselves.

Everyone must have a basic health insurance coverage and purchase it from one of dozens of private carriers.

Basic insurance — KVG in German and LaMal in French and Italian — is compulsory in Switzerland. It doesn’t come cheap — premiums are based on the canton of residence and age, costing 300 to 400 francs a month on average — but it is quite comprehensive; it includes coverage for illness, medications, tests, maternity, physical therapy, preventive care, and many other treatments.

READ MORE: Everything you need to know about health insurance in Switzerland

There are no employer-sponsored or state-run insurance programmes, and the government’s only role is to ensure that all insurance companies offer the same basic coverage to everyone and that they have the same pricing.

While companies can’t compete on prices or benefits offered by the basic compulsory insurance — which are defined by the Health Ministry — they can, and do, compete on supplemental polices which offer perks not included in the basic coverage.

READ MORE: What isn’t covered by Switzerland’s compulsory health insurance?

All policies have deductibles (also called co-pays) that can range from 300 to 2,500 francs a year.

After the deductible is reached, 90 percent of all medical costs will be covered by insurance, with 10 percent being paid by the patient; however, this co-pay is capped at 700 francs a year for adults and 350 francs for children under 18.

The government does subsidise healthcare for the low-income individuals and households – defined as those for whom insurance premiums exceed 10 percent of their income.

What percentage of a person’s income goes to health insurance premiums?

This depends on wages and premiums, for instance, whether a person chose the cheapest option with a high deductible or the expensive one with a 300-franc deductible.

Generally speaking, however, based on the average monthly income of just over 7,000 francs, about 6.5 percent is spent on premiums.

What happens if you don’t take out an health insurance policy?

Anyone who arrives in  Switzerland must get insured within three months. If you don’t, the government will choose one for you and send you the bill. If this happens you may end up with more expensive premiums than you might have gotten if you shopped around yourself.

If you are still delinquent on your payments, your healthcare will be restricted to emergencies only; any other non-urgent medical treatment will be denied, unless you pay for it out of pocket.

The pros and cons of the Swiss system

Let’s look at the ‘cons’ first. Basically, there is one: the cost.

Not only are insurance premiums high and steadily increasing, but, at 7,179 francs per capita, Switzerland has the third most expensive healthcare scheme in the world — behind only the United States ($12,318) and Germany ($7,383).

Unlike taxpayer-funded models, there is no price grading according to income, so people on a low income pay a high proportion of their income for healthcare than higher earners. 

However, the system is generally efficient, has an extensive network of doctors, as well as well-equipped hospitals and clinics.

Patients are free to choose their own doctor and usually have unlimited access to specialists.

READ MORE: EXPLAINED: How to see a specialist doctor in Switzerland without a referral

Waiting lists for medical treatments are relatively short.

According to a survey by the Organisation  for Economic Cooperation and Development  (OECD) on how long patients in various countries typically wait for an appointment with a specialist, the share of people in Switzerland waiting a month or more is 23 percent, compared to 36 percent in France, 52 percent in Sweden, and 61 percent in Norway.

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