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HEALTH

Can children be vaccinated without parental consent in Switzerland?

A vaccine-skeptic parent in Aargau was forced by a court to vaccinate her child. Whether for Covid or otherwise, what are the rules in Switzerland?

What happens if parents refuse to vaccinate their children - for Covid or otherwise - in Switzerland? Photo: Pascal POCHARD-CASABIANCA / AFP
What happens if parents refuse to vaccinate their children - for Covid or otherwise - in Switzerland? Photo: Pascal POCHARD-CASABIANCA / AFP

In late February, a Swiss court handed down an order requiring a mother to vaccinate her child against several childhood diseases including diphtheria. tetanus, measles, mumps, rubella and pneumococci.

The mother, a vaccination sceptic who believed all forms of vaccination constitute bodily harm, was engaged in a dispute with the child’s father, who wanted the child vaccinated. 

On the basis of consultations with the child’s doctor, the Chamber for the Protection of Children and Adults in the Aargau Supreme Court dismissed the mother’s complaint.

Child vaccinations could only be avoided on doctor’s advice, the court held, saying the studies and arguments the mother produced “lacked evidence”. 

The court held she faced up to CHF10,000 in fines if she refused to have her child vaccinated. 

What are the rules in Switzerland?  

Do parents need to consent for their children to be vaccinated?

No. In the midst of the Covid pandemic, Swiss Health Minister Alain Berset confirmed to parliament that parental consent is not required in order for children to be vaccinated, whether for Covid or otherwise. 

While some parents, particularly those who are sceptical about vaccines, may be dismayed by the decision, the position is valid in Swiss law.

READ MORE: How to register for the coronavirus vaccine in your Swiss canton

Children aged 12 and over can decide whether they want to be vaccinated, while parents can be compelled with fines to vaccinate their children under that age. 

Berset said minors from the age of 12 and up were “largely capable of judgement” and therefore can make their own decisions with regard to vaccinations, provided they are mentally healthy and conscious.

Where a child from the age of 12 satisfies this standard “no parental or legal guardian consent is required”.

Parents are only allowed to have a say on whether their child gets vaccinated if the child is incapacitated or otherwise unable to make the decision.

“Only if a child or a young person is incapable of judgment do the owners of parental authority have to give consent to the vaccination,” concludes Switzerland’s Federal Office of Public Health.

 

Member comments

  1. Media must be sued for spreading such horrifying lies. Do not compare the rest of vaccines that have license and have been proven to be safe for decades with Covid experimental mRNA technology. I am sick and tired of the media. In the last two years the media is directly responsible for the social damage and I hope those responsible can be punished fairly.

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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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