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HEALTH

Reader question: Are Brits in Switzerland still banned from donating blood?

For many years, people coming from the United Kingdom were banned from donating their blood in Switzerland. This is what the situation is right now.

Reader question: Are Brits in Switzerland still banned from donating blood?
Mad cow disease is no longer a threat to blood donations for the most part. Image by Ahmad Ardity from Pixabay

The ‘blood ban’ that extended to British citizens or those of any nationality who had lived in the UK (England, Wales, Scotland and Northern Ireland), was implemented for safety purposes.

The reason was the so-called mad cow disease (BSE), which was particularly rampant in Great Britain in the 1980s and 1990s.

Many people contracted and even died from the cattle-borne condition known scientifically as Creutzfeld-Jakob disease.

It is believed that one in 2,000 people in the UK is a carrier of the disease. 

While most of them got BSE from eating contaminated beef, “experience tells us that the disease could be transmitted from human to human via blood”, according to a BBC report.

As a result, a number of governments, including the Swiss, prohibited people from the UK to donate blood.

However, this rule is no longer in force in Switzerland.

According to Geneva’s university hospital (HUG), which is a member of the national blood transfusion network Blutspende and follows the same rules, only people who had lived in the UK between 1980 and 1996 for more than six months at a stretch still can’t donate blood.

This is a period when the BSE outbreak was at its worst in the UK.

If you had lived in Great Britain prior to or after that date, you can safely donate your blood.

Have there been any BSE cases in Switzerland?

About 465 cases had been reported in Switzerland between 1990 and 2020, with less than 20 deaths.

There are still isolated cases of BSE throughout Europe, but they are no longer a cause for as much concern as previously.

Can everyone donate blood in Switzerland?

Gay men are still not allowed to do so.

Under Swiss law, any man who has had sex with another man is prevented from donating blood for 12 months — the legislation was introduced during the the AIDS pandemic in the 1980s, while the 12-month rule was introduced in 2017.

However, in March 2020, the National Council’s Commission for Social Security and Health said the rule was “no longer appropriate” and filed a motion to rescind it. 

READ MORE: Switzerland to clear way for gay and bisexual men to donate blood

Who else is prevented from donating blood?

According to Blutspende, these medical and other conditions disqualify people from donating blood in Switzerland:

  • Positive test for HIV (AIDS), syphilis, hepatitis C and hepatitis B
  • Prostitution
  • Past or present drug use by injection
  • Blood transfusion after 01.01.1980

These reasons could be a cause for deferral though not an outright ban:

  • Stay during the past six months in a region where malaria is endemic, without any health problem (in case of illness with fever, tell the doctor at the blood donation centre).
  • Suffering from a sexually transmitted disease during the past 12 months
  • Change of sexual partner during the past four months
  • Sexual intercourse with multiple partners during the past 12 months
  • Stay of six months or longer in the past 12 months in countries with a high HIV-prevalence

More information about blood donation in Switzerland can be found here.

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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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