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HEALTH

‘Unrealistic’: Is Switzerland’s vaccination scheme set for further delays?

The Swiss government promised everyone would be vaccinated by June - but several cantonal doctors are now saying the end of autumn is a more realistic date.

'Unrealistic': Is Switzerland’s vaccination scheme set for further delays?
Photo: DENIS CHARLET / AFP

When Switzerland announced its vaccination plan, one message was made clear: anyone who wanted to be vaccinated in Switzerland would get a jab before the end of June. 

This date is however now in serious doubt, with some cantonal experts indicating vaccinations are set to run well into autumn, reports Switzerland’s NZZ newspaper

READ MORE: How can I get vaccinated for Covid-19 in Switzerland? 

Their concerns appear to be borne out, with the Federal Office of Public Health’s Virginie Masserey on Tuesday appearing to offer a more cautious approach. 

After months of reaffirming that the end of June remained the expected date to have vaccinations carried out, Masserey told the media that the end of summer was a more realistic deadline. 

What is the current situation? 

Vaccinations started in December, but the country’s vaccination scheme has experienced delays due to delivery problems, primarily with the Pfizer-Biontech vaccine, and competition due to demand in other countries

Switzerland’s decision not to approve the AstraZeneca vaccine also put additional pressure on other manufacturers to make up the shortfall. 

READ MORE: Will Switzerland’s rejection of the AstraZeneca vaccine delay vaccinations? 

What are cantonal doctors saying?

The chief cantonal doctor, Rudolf Hauri, told Switzerland’s SRF media outlet that vaccinations for the general public were unlikely to be completed until the end of autumn. 

This was not only due to delivery delays, but problems with the existing vaccination framework. 

“Even if large quantities of vaccines arrive, they cannot simply be inoculated faster than the infrastructure allows,” Hauri said. 

Cantonal doctor Marina Jamnicki, from Graubünden, disagreed with Hauri’s assertion that infrastructure was the problem, arguing cantonal authorities have struggled to tailor and change their infrastructure to reflect fluctuations in deliveries. 

“The canton of Graubünden is constantly adjusting capacities to the delivery quantities.”

Jamnicki however agreed that she cannot see more than 60 or 70 percent of the population being vaccinated before the end of autumn. 

The NZZ reported on Wednesday that a major issue was guaranteeing the security of the vaccine, given that the Pfizer-Biontech and Moderna varieties need to be kept below -60 degrees celsius. 

Which cantons are well-equipped – and which are not? 

As with almost everything in Switzerland, there are large differences between the cantons when it comes to vaccine infrastructure and approaches. 

Zurich, Jura and Appenzeller Inneroden have said their vaccination logistics is established and ready. 

All vaccinations can be carried out by the end of summer – provided enough are delivered. 

In Fribourg however, authorities believe they will not be able to stick to a summer deadline – even if supply increases dramatically in May. 

“If we can only work at full speed in May, it will be too late to vaccinate everyone who wants to by the end of June.”

UPDATED: Which Swiss cantons are vaccinating fastest against coronavirus?

Officials in Thurgau said the major problem was the government’s promises about vaccinations which created high expectations. 

“Expectations have been created that cannot be fulfilled with the current quantities of vaccines. This provokes a lot of strife in the population,” said Thurgau health director Urs Martin told the NZZ. 

Martin said the canton had been receiving thousands of calls each week about the vaccination scheme – 95 percent of which have been critical. 

What role are the mutations playing?

Bern cantonal doctor Linda Nartey said the spread of the mutations is playing a role in the delays. 

“Now the Brazilian and South African variants are causing us more worries and more work,” Nartey said. 

More than 6,000 infections of a mutated form of coronavirus have now been detected in Switzerland.

According to official government figures, 2,381 of those mutations are of the British variant, along with 96 of the South African variant.

Three cases of the Brazilian variant have been detected in Switzerland. A further 3,526 are of an “unknown origin” according to the Swiss government.

READ MORE: Which cantons are Switzerland’s coronavirus mutation hotspots? 

Member comments

  1. Thank you for the helpful update. Please keep them coming!

    Wish they would allow access to the AstraZeneca vaccine, millions of doses have been given in the UK and expect there would be plenty of volunteers in Switzerland that would take the risk (myself included!).

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HEALTH

How difficult is it to change your doctor in Switzerland?

If you already have a GP doctor in Switzerland but, for some reason, need or want to switch, how easy is it to do so?

How difficult is it to change your doctor in Switzerland?

There are a number of reasons why you may want to leave your GP and find a new one.

Maybe you don’t like their bedside manner, are not happy with the medical care, or are simply moving away and need to find someone closer to your new home.

Whatever the reason, whether or not you can easily switch from one doctor to another depends on the kind of health insurance you have.

Different models, different rights

If you have the ‘standard’ — and typically the most expensive — type of the obligatory health insurance (KVG / LaMal), then you are free to switch your GPs at will, and you don’t have to inform the insurance carrier of the switch.

However, if you have opted for one of the cheaper insurance models, then your right to switch doctors may be limited:

Family doctor model’

It is the most popular in Switzerland (and 20 percent cheaper than standard insurance policy premiums).

Under this model, you have a family doctor who will manage your care — that is, treat you or send you to specialists if needed (with the exception of gynecologists and eye doctors, who don’t require a referral).

You can’t, however, change doctors at will, unless your insurance company approves the switch.

Telemedicine model

If you have opted for the Telemed formula, you must call a health hotline set up by your insurance company.

They will give you a referral to a doctor or hospital based on your symptoms.
 
Heath Maintainance Organisation (HMO)

Under this model, policyholders are required to consult a particular HMO practice. Two disadvantages of this alternative is a limited choice of doctors and you also need a referral to see a specialist.

So the only option that gives you the right to switch doctors with no hassle is the standard one, with the family doctor model also possibly allowing you to do so, under certain circumstances.

The way Telmed and HMO are set up, however, switching doctors is not possible. If that option is important to you, then you will have to switch to the (more expensive) standard insurance.

The only exception to the above restrictions are emergencies, when you need urgent medical treatment.

Assuming you have the standard model, how do you go about changing?

The process is pretty simple: you can find physicians in your area either through recommendations from people you know (which is the best way to ensure you will not be getting an ‘anonymous’ doctor) or, if no recommendations are available, then through the OneDoc platform, which lists which doctors are taking new patients and where.

You can then make an appointment directly online.

When you do so, ask your current physician’s office to transfer your file to the new doc.

You don’t need to explain the reasons for the switch.
 
READ ALSO: The essential Swiss websites you need to use for health matters 
 

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