Tuesday , January 25 2022

The Federal Council also wants more carers, but without an initiative


The popular initiative leads to additional costs in health care. Moreover, it was not a matter of giving a particular professional group a special status in the Constitution. Therefore, the Federal Council opposes the referendum.

Christof Forster, Bern

The Federal Council rejects the initiative for care without a contract. (Picture: Adrian Baer / NZZ)

The Federal Council rejects the initiative for care without a contract. (Picture: Adrian Baer / NZZ)

It was a novelty for the Association of Women and Men of Nurses when it submitted a popular initiative to the Federal Office a year ago. The immediate launch was a decision of the Parliament. This was rejected by an attempt to directly charge qualified nurses to compulsory health insurance. Now the concern is part of the catalog of the request for a protection initiative – the Federal Council's reason for rejecting the referendum. There is a risk that this health care will continue to be more expensive, Health Minister Alain Berset said on Wednesday.

Against the special position of care

Direct payment of long-term care in nursing homes would lead to additional annual costs of CHF 30 million. The Federal Council considers this assessment by the health insurance company Santesuisse credible, as it says in the message on the initiative. At Spitek, the association estimates additional costs from CHF from 25 to 110 million. Even at the federal level, this would leave a sign: the cost of the premium subsidy would amount to 4 million to 10 million francs a year for him.

In addition to financial Berset, there is also a major concern against the initiative on the ground. The Federal Council opposes the allocation of a special status framework to a special status in the Constitution. The initiative would also mean that the federal government will intervene in the area of ​​competence of cantons and social partners. Requests the Federation to adopt provisions on working conditions and career development of caregivers. The Federal Council rejects it.

Foreigners fill the void

However, the goal of the initiator for improving the situation of care is the government. However, she refused a direct counter-proposal. The existing constitutional article on basic health care is sufficient to strengthen care, Berset said. This voted for voters in 2014. According to the Federal Council, concern – although not explicitly mentioned in the constitution – is an integral part of the universal service. On this basis, the care of the guardian could be taken into account today. Berset spoke about the already taken measures against the lack of qualified medical workers. This includes funding for re-entry programs and a campaign to improve the image of training and careers in the LTC. In the spring, the Federal Council commissioned the Berset Department for the elaboration of such measures.

According to the initiators, the need for nurses will increase by 20 percent by 2025. The reasons for this are aging of the population and a shorter stay in the hospital. The average length of stay declined from 7.2 days (2000) to 5.4 days (2016). This gap is currently filled with foreign personnel.

Switzerland accounts for just under half of the estimated need for care (since 2014), according to the Federal Council in the 2016 report. It also states that by 2025 about 40,000 people will need care and support.

Berset defends a doctor's payment study

Health Minister Alain Berset on Wednesday commented on a recently published study by the federal government on the arrival of a doctor who was under great fire. Medical associations criticize, the Federal Office for Public Health (FOPH) thus campaigned against a doctor (NZZ from November 7). The study serves transparency, Berset said. It is good that the debate on medical beaches is now being launched. He opposed the claims that the Confederation conducted a policy study, pointing out that it was scientific paper in an external way. It is not final, the discussion continues.

Berset also commented on an investigation by the Federal Bureau of Statistics (BfS), which shows a significantly lower average income of self-employed doctors. Two studies have two views of the same reality. The BfS study calculates medical profits on the basis of turnover, while the study published by BAG took as the basis the income that is the subject of the AHV. According to the results of two studies, according to Berset.

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