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HEALTH

How Switzerland plans to roll out the coronavirus vaccine

While Switzerland has said the coronavirus vaccine will not be mandatory, fines or obligations for people in specific jobs are being considered.

How Switzerland plans to roll out the coronavirus vaccine
A doctor administers a vaccine in a hospital in Lausanne. Photo: Richard Juilliart / AFP

According to reports, the coronavirus vaccine is likely to be available by the spring of 2021 in Switzerland. 

However, while it would appear that securing a safe and effective vaccine would be the major hurdle, the actual process of vaccination is also likely to prove difficult. 

In particular, convincing vaccine sceptics is likely to be difficult. 

In order to be effective, between 60 and 70 percent of the population in Switzerland needs to be vaccinated against the coronavirus. 

EXPLAINED: When will Switzerland roll out a Covid-19 vaccine? 

In a country where only around 15 percent of people are vaccinated against the flu, getting to that figure poses a range of challenges. 

No compulsory vaccine

As has been repeated frequently by the Swiss government, any coronavirus vaccine will not be made compulsory. 

While Health Minister Alain Berset has frequently ruled out making the vaccine mandatory, even if the government wanted to it is unlikely such a measure would be allowed under Swiss law. 

That said, there is the possibility that people in certain industries would be required to undergo a vaccination. 

“Immunisation will be obligatory for people in certain jobs whose work brings them in close contact with the public,” said Dominique Sprumont, deputy director of the Institute of Health Law at the University of Neuchâtel. 

Health Minister Alain Berset pointed out that he is “open” to mandating the vaccine for those who work in the healthcare sector and elderly care homes.

“If an employee refuses, then they would have to work elsewhere, in a place where they don't come in contact with people at risk,” Berset said.

He added that if the controversy arises when the vaccine becomes available, “we would hope to resolve this problem pragmatically, as we've always done in our country”.

How would this work?

Some employers could decide only to hire people who have been vaccinated – or to require their existing staff to get vaccinated. 

Similarly, schools, hospitals and nursing homes may decide to only accept people who have been vaccinated, reports NZZ

While Swiss law prevents a mandatory vaccination regime, it appears there is nothing to stop the government putting in place fines for anyone who refuses to get vaccinated. 

Legal experts suggest while this would be legal, it may be politically difficult to achieve. 

Instead, there is legal precedent for a law which requires people in specific industries to get vaccinated. 

A Swiss court in 2006 decided that the dismissal of an employee in a hospital who refused a hepatitis B vaccine was “neither arbitrary or disproportionate” and thereby could be upheld. 

Easier in private than in public

Lorenz Langer, professor of public law at the University of Zurich, told the NZZ that an obligation to vaccinate “may be justified in exceptional situations”. 

Langer said that such a requirement would be easier to enforce in the public sphere rather than in the private sphere. 

While employees of public hospitals and schools may be prevented from an obligation to vaccinate due to Swiss law, employees in entities which do not receive government funding could be required to vaccinate. 

Langer argued that private schools could require students and teachers to be vaccinated, while sports clubs and even landlords could require participants and tenants to be vaccinated. 

The Federal Supreme Court has already said that the Child and Adult Protection Authority (KESB) in each canton may decide on whether children should be vaccinated when parents refuse, although this was in the case of measles rather than coronavirus.  

 

 

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HEALTH INSURANCE

Could glasses and contact lenses soon be covered by Swiss health insurance?

The Swiss health system is ranked among the best in the world, but some essentials, like glasses, aren't automatically covered by health insurance. That could soon change, however

Could glasses and contact lenses soon be covered by Swiss health insurance?

Green Party Federal Councillor Katharina Prelicz-Huber revealed in an interview with newspaper 20 Minuten this week that the Federal Parliament had tabled a motion to include prescription glasses and contact lenses in Switzerland’s mandatory health insurance scheme. 

Prelicz-Huber stated: “The purpose of compulsory health insurance is to provide the services you need to get or stay healthy,”

The motion forms part of the legislation that will be voted on during the 2024 summer session of the Federal Council. 

Proposed changes 

According to Switzerland’s peak optician body, 4 in 5 Swiss wear glasses or contact lenses at some point. 

It’s no surprise that statistics repository, Statista, projects the Swiss eyewear industry to be worth €1.37 billion by 2028. 

Currently, glasses and contact lenses are covered for up to 180 francs for children until age eighteen, if they are proscribed by a doctor.

Adults can also claim money back for glasses and contact lenses – however, they must be suffering from one of a short list of specific conditions such as keratoconus – where the cornea is distorted – or severe myopia, otherwise known as near-sightedness.

They must also have been specifically prescribed them by a doctor or optometrist. 

Otherwise, supplemental optical insurance must be purchased in Switzerland to ensure you can recoup the cost. 

Under the Green Party proposal, glasses, contact lenses, and other visual aids would be covered, regardless of age. 

Rising premiums prompt opposition 

Not everybody agrees with the proposal. 

The right-wing SVP has already spoken out against it, with Federal Councillor Diana Gutjahr arguing: “If we seriously want to slow down the burdensome and constantly rising health costs for the benefit of the population, we [must] show the political will not to constantly expand the benefits of compulsory health insurance.”

A spokesman for the the health insurance advocacy group Santesuisse, Matthias Müller, echoed Gutjahr, claiming that insurance constitutes “financing for extraordinary events such as illness.”

“If almost everyone benefits from a certain service, it is no longer an insurance benefit.”

A date for the vote has yet to be announced. 

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