Nope, I think ambulance costs should be regulated (like they are in some cantons) so that they stay reasonable. 1500.- for an ambulance ride, whoever ends up paying for it, is ludicrous. This is what happens when you let businesses dictate prices.
Same for health insurance. Why can’t it be a government insurance since it’s mandatory and everyone pays for it? Why allow for profit businesses to lobby for worse conditions to the consumer and higher prices (their profits make premiums higher)?
I also agree with others that it doesn’t make sense to have an obligatory health insurance and let private for profit companies handle it. It was supposed to decrease cost of health care, instead we have this circus with tons of insurance companies having tons of insurance models and tons of people changing insurance every year to have a cheaper insurance or, worse, people ending up for some reason locked with an expensive insurance. My opinion is that there should be one state company managing obligatory medical insurance per canton.
I know that it is a highly politicized topic and its discussion may escalate, but so far the discussion is not more heated than a regular discussion in this forum. I don’t want to heat it up, but I also don’t want to give a silent consent to the current system.
When the time will come, I will vote correspondingly.
And this is in Purchase Power Adjusted dollars, so Switzerland is the second most expensive country. France, having a similar system but with the mandatory part covered by a state organisation, is much cheaper per head (having its problem too, I won’t disregard that), and complementary private insurance. Still it is the top country of the WHO healtcare ranking.
If you find a study, I would be interested, unfortunately it seems that in Switzerland there is no proper analysis of the effect of health care policies (which would be actually easier than in other centralised countries since you have cantons with different policies).
No because the quality is just laughable compared to Switzerland. How long do you need to wait for a MRI appointment in France or Germany? 3 Months. How long in Switzerland? You get one the very next day. It doesn‘t account for such things, or hospital density etc.
I don‘t want to get too political. But there are structural reasons why the EU is doomed and why Switzerland is doing so well. One main reason is the „Staatsquote“. The more the goverment does what private companies could be doing, the more disastrous the longterm effects. France is already at a 60% quota and this can never be fixed, it can only get worse from here on.
Not according to the WHO.
MRI in France took me less than a week for a non urgent check. I guess for urgent checks you will get it right away (I remember I had to wait at my appointment because some accident victim came in).
And it is also a sign of efficiency when you allocate ressources properly. Not every MRI needs to be done in a day.
Where is your source ?
From my experience, the tasks from the state and private are pretty much the same in France and Switzerland. Furthermore in France you see a lot of outsourcing of state infrastructure (Public Private Partnerships, highways, sewer systems operated by private companies like Veolia/Suez etc.) which in Switzerland would be a no go. Quick disclaimer : efficiency never went well there.
Actually the energy system in Switzerland is the least liberalized in Europe and it is holding up pretty good compared to the liberalized one in Germany (and partially in France), partially because of it because utility companies can think long term. On the other hand you see a lack of professionalism, especially in smaller utilities.
And just a remark, if the EU will be doomed, Switzerland will be as well (who do you think Switzerland is doing most business with ?)
EDIT: just to be clear, I am not saying that there are no problems in France, the EU, etc. I just want to be clear that problems are much more complicated than opposing private to public. Do I have the ultimate solution, certainly not. Comparing what other countries and looking what they do differently makes sense.
For now I make a decision that we can discuss the health insurance policy (current Swiss system vs. state insurance companies or other alternatives). It does have an effect on people’s health and financial standing. Of course as long as the argument remains civilized.
The issue is transparency.
Any doctor can bill everyday 150% of his time and nobody can control/object this. This overbiling is further cascaded down to insurances and eventually end-patients.
Personal example: before south Asia tip decided to get some vaccines. I got 4 vaccines, wife got only 2 out of those 4 (same arzthaus albeit different doctor) despite asking same service. Now guess who’s consultation time (no conditions to make it different) and bill was almost 2x higher…