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Swiss Back Health Reform, Boosting Incentive for Outpatient Care

(Swiss government)

(Bloomberg) -- Swiss voters approved a government plan to alter funding in the health-care system, a decision that could see more outpatient treatments being chosen over hospitalizations.

The bill to give state support not only to inpatient care, but also to therapies at doctor’s offices, received 53.08% in Sunday’s plebiscite, according to early government results.

So far, only hospitalizations are partially funded by Swiss cantons — the country’s states — while other therapies have to be fully paid by insurers or the treated themselves. By boosting the incentive for outpatient care, the government aimed for savings of some 440 million francs ($490 million) per year.

An alliance of Social Democrats and unions contested the reform, saying that it would hand too much power to health insurers. Polls had seen supporters and opponents essentially tied before the vote.

The expensive Swiss health-care system — in which residents bear the highest costs in Europe — frequently gives rise to heated campaign battles. In a vote in June, citizens narrowly rejected a cap on insurance premiums favored by left parties.

Three other measures also were on the ballot:

  • A plan to extend highways at congestion hotspots which regularly trigger drivers to divert on surrounding roads — early returns showed 50.51% rejection.
  • A plan to tighten subletting rules seeking to prevent overcharging of tenants and unlawful renting — early returns showed 50.77% support.
  • A plan to make claiming back rented-out properties for personal use easier — early returns showed 51.27% rejection.

In Switzerland’s system of direct democracy, citizens vote as much as four times a year on issues ranging from taxation to whether apes should have human rights. The plebiscites can easily yield surprises, like when citizens unexpectedly voted for a 13th annual pension payment, which saw the government proposing to raise the sales tax for funding. 

(Updates with newest results starting in second paragraph)

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