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HEALTH

Switzerland helps create ‘garden therapy’ centre in Poland

An elderly woman leans over to smell a lush flowerbed of lavender in sprawling gardens surrounding an imposing early 20th-century palace in a pastoral corner of eastern Poland.

Switzerland helps create 'garden therapy' centre in Poland
Photo: Alina Anasiewicz/AFP
Slowly a smile lights up her face, erasing her previous stony expression — she suffers from paranoid schizophrenia which often renders her emotionless.
   
The sudden burst of happiness is one of the benefits of horticultural, or garden therapy, as it is better known.
   
She is among 59 female patients at this state-run, mental health care home in the village of Ruskie Piaski who are undergoing the springtime treatment, introduced here in 2014.
   
“Gardens provide an environment that stimulates many senses; the patient can smell the scents of flowers and plants, touch them, and even get pricked by thorns,” says biological scientist Bozena Szewczyk-Taranek, who has created a horticultural therapy training course at the Agricultural University of Krakow, due to start in September.
   
“It also facilitates physical exercise, for example for patients who have problems with balance, they can hop from one stone to another.
   
“But when we have intellectually-impaired patients, we must make sure there are no toxic plants in the gardens like yews, hydrangeas or lily of the valley,” she told AFP in an interview.
 
Walking on pebbles 
 
The positive influence of a garden on the ill is thought to have already been known in Ancient Egypt, but modern therapy dates back to the 19th century and was used to help soldiers wounded in World War I.
   
While horticultural therapy does not cure mental illness, it can stimulate patients both intellectually and socially, boosting their self-confidence and sense of well-being, experts say.
   
Even just getting them out of their rooms into the fresh air can help by improving their physical condition.
   
Alina Anasiewicz, the director of the Ruskie Piaski care home which is one of the leading centres in Poland for garden therapy, says she came across it on a 2013 study trip to Switzerland.
   
“We brought home quite a few of the methods we learnt from the Swiss,” she told AFP.
 
'Changing mentality' 
   
She points proudly to a fountain, where, on hot days, patients can touch the flowing water and wade into a small pool with pebbles lining the bottom that tickle their feet.
 
To reach the fountain, patients must walk barefoot along a “sensory path”, of gravel, sand and wooden logs, allowing the varied textures to stimulate their senses.
   
On the other side of the palace, three patients are working hard, digging a vegetable garden. Anasiewicz says that later they will also make preserves from the vegetables and berries they grow and harvest.
   
She says that, while the progress made by patients undergoing garden therapy is obvious to her, some of the staff who had been working at the centre for years needed convincing about this novel approach to mental health.
   
“It's sometimes easier to do all the hands-on renovation work for the gardens than to change the mentality of our staff,” Anasiewicz told AFP.
 
Closing the gap 
 
In 2013, Switzerland handed her a cheque for 1.4 million zloty (330,000 euros, $370,000) to create the therapeutic park, with flower and vegetable gardens as well as an orchard, at the care home.
   
The sum covered 85 percent of the project, with local authorities chipping in the rest.
   
While it is not a member of the European Union, Switzerland set up a financing programme a decade ago to help reduce disparities between wealthier old EU members and poorer new ones, such as Poland.
  
It spent a total of 1.3 billion Swiss francs (1.2 billion euros, $1.4 billion), of which Poland received almost half a billion.
   
The funds were spent on 58 projects across Poland, many focused on health, including the removal of asbestos from the roofs of houses — 131,000 tons in all — and installing hectares of solar panels.
 
Patients at the Ruskie Piaski care home can stay as long as their condition requires medical supervision and are able to leave for family visits or have visitors, but their daily garden therapy can depend on the weather.
   
Staff say that when the weather is bad or in winter, patients are more depressed. One went on a visit to see her family, but asked to return earlier than planned. 
   
She'd said simply, “I miss the garden”, they explained.

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HEALTH

How you can save money on healthcare in Switzerland

Between insurance premiums and over-priced drugs and other costs, healthcare in Switzerland comes at a steep price. Clare O'Dea looks at why the costs are so high and some of the ways you can save money.

How you can save money on healthcare in Switzerland

On the surface, the Swiss healthcare provision model looks egalitarian. All residents are obliged by law to purchase the same basic package of insurance, and the premiums are subsidised for those on low incomes. So why is cost such a bone of contention?

The problem is that the healthcare itself is very expensive, the second most expensive system in the world after the United States. And most of the cost is shouldered by households one way or another. This hurts those on low to middle incomes the most.

Between health insurance premiums, out-of-pocket expenses and over-priced drugs, households are spending a significant chunk of their income on health. Amazingly, Swiss residents fund 59 per cent of the national expenditure on health, according to the Federal Office for Public Health figures for 2020. The rest comes from state coffers, and, to a small extent, from employers.

To bring it down to an individual level, Swiss residents shell out 478 francs per person per month on health costs. Compulsory health insurance premiums account for 252 francs of that total on average. The rest goes on supplementary (top-up) health insurance premiums (42 francs), co-payment on policies plus out-of-pocket expenses (174 francs) and ‘other funding’ (10).

Politicians across the spectrum seem to be incapable of doing anything to curb health inflation. The latest is that health insurance premiums are set to increase by 8.7 per cent in 2024. That’s not a projection but a fact, as announced by the health minister in September.

KEY POINTS: What you need to know about Switzerland’s health insurance price hikes

Public purse

The worst thing would be to miss out on your entitlements. To find out if you qualify for premium subsidies, you’ll have to go through your home canton. Each canton has its own reduction rates and rules on eligibility. In some, there are systems in place to identify and notify eligible people but in others, you have to check and apply yourself.

This possibility is definitely worth looking into if you think you might be eligible – around a quarter of the population qualify for these payments. In some cantons, the proportion of recipients is higher. Moneyland.ch has put together a list of the contact information for premium reductions in each canton.

Take the initiative

Generally speaking, to save money on healthcare costs, the insured have to take the initiative themselves. New arrivals to Switzerland are required to take out a policy within three months, and should definitely shop around. Pricing comparison websites such as moneyland.ch , comparis.ch and Priminfo (in the national languages only) help to cut through the noise and find the best deal for your individual circumstances.

Age and location are important criteria. There are infinite tiny pricing variations between the 40+ non-profit insurers (known as “Krankenkasse”, “caisse maladie” or “cassa malati”), which means you may even find a better deal by buying policies from different insurers for different members of the family.

For those who already have a policy, it makes sense to do an annual price check up when the following year’s rates are announced in the autumn. Chopping and changing, which everyone has a right to do once a year, can really pay off.

The window for changing providers has just closed but you can be ready to notify your current provider by November 30th next year. Handily, the comparison websites also provide template letters for cancelling a policy.

READ ALSO: Which Swiss health insurance providers have the lowest rates in 2024?

Different models

Even if you decide to stay with the same insurer, you can obviously change the type of policy to a cheaper version. The so-called standard model is the most expensive. Under this arrangement, you decide which doctor you’d like to see, including specialists, and make appointments when you feel the need. 

There are other cheaper managed care models which are designed to cut down on unnecessary visits to the doctor. With these, you have to have a telemedicine consultation or visit a pharmacy before you get the green light to make an appointment with a doctor. There is another model where you have to see your general practitioner to get a referral to a specialist.

Calculations

The best way to save overall is to get clever with your deductible. That’s the share of medical expenses that you have to pay from your own pocket in the space of the year before your insurer starts reimbursing. The lower the deductible, the higher the premium.

Making the right choice involves a certain risk. But it is at least possible to make an educated guess based on past experience. There are several bands between 300 and 2,500 francs per year for deductibles (the amounts are lower for children).

If you tend not to need medical care and think your health costs are likely to be low in the coming year, it would make sense to go for the maximum deductible, which can translate into a saving up around 40 per cent on premiums. If you have reason to believe your bills will add up to 2,000 francs or more, then you’re better off going for the minimum deductible.

Don’t double up

That’s all speaking about the mandatory insurance package, which includes illness, accident and maternity care. But make sure you really need that accident insurance. Anyone who is employed for more than 8 hours per week is covered by their employer’s accident insurance, in which case it should be removed from their personal policy.

If you are looking to save money on health insurance, chances are you won’t be looking for additional insurance, also known as supplementary insurance. These policies give you more freedom over choice of hospital, and also cover therapies and treatments that are not included in the basic mandatory package. You can have both policies from the same provider or mix and match.

Though it can be irritating to hear this, especially if you already have a health condition, there is one final way that you can save on health costs – don’t get sick. What this advice really means is to lead a healthy lifestyle by taking exercise, eating a balanced diet, not consuming too much alcohol and cutting out smoking. Those are things we have control over, unlike genetics and luck.

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