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Referendum: Why are the Swiss voting on nursing conditions?

Swiss voters will cast their ballots on November 28th on a proposal to improve working conditions for nurses. This is what’s at stake.

Swiss hospitals are short-staffed and nurses are overworked.
The upcoming referendum will focus on improving working conditions of nurses. Photo by Fabrice COFFRINI / AFP

The Covid-19 pandemic has shed light on a crucial role nurses and other medical professionals play not only in managing a health crisis, but also the more mundane but nevertheless essential tasks involved in patient care.

But according to the Swiss Association of Nurses, which launched the so-called ‘nursing care initiative’, more must be done to improve health employees’ work conditions and maintain high-quality nursing care.

What is the proposal calling for?

At the centre of the initiative is the shortage of nurses in Switzerland.

About 10,000 caregivers are needed urgently right now, with additional 70,500 needed within the next eight years, said Rebecca Spirig, Director of Nursing at the University Hospital in Zurich.

“As it is, the situation is untenable”, she added.

And because there are not enough caregivers, the existing personnel is working longer hours, resulting in increased workloads and exhaustion, which cause many nurses to quit their jobs.

That, in turn, creates even more shortages and a vicious circle that, the association says, must be broken.

To achieve this, the initiative is calling mainly for sufficient nursing staff to ensure the quality of patient care, as well as training of more caregivers to relieve the pressure on the health personnel and avoid burnouts and dropouts in the profession.

Another benefit of training more nurses is that Switzerland will rely less on foreign workers. At Geneva’s university hospital (HUG), for instance, 60 percent of medical personnel are cross-border workers from France.

“Without foreign employees, our healthcare system would no longer function. This great dependency is problematic. It is imperative that we train more nurses domestically”, Spirig said.

READ MORE: How do nurses’ salaries in Switzerland compare to the rest of the world?

The government is against the proposal — this is why

The Federal Council and parliament believe that this initiative is too extreme and goes too far, especially with regard to the government role in regulating working conditions and wages.

Authorities have created their own counter-project, proposing to invest up to 1 billion francs over eight years to train more caregivers.

The counter-proposal will come into force if the original initiative is rejected by voters.

Which of the two proposals — the nursing association’s or the government’s — is more likely to pass?

Latest polls show the former is the more likely winner.

The one carried out by the Swiss Broadcasting Corporation shows that 78 percent of voters support the nurses’ version.

A nearly the same result — 77 percent — is reported by another recent poll, conducted by Tamedia media group.

READ MORE: What’s at stake in Switzerland’s Covid referendum on November 28th?

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POLITICS

Vital Swiss role as US-Iran go-between, as tensions soar

Washington and Tehran have not had diplomatic relations for decades, but before Iran's attack on Israel they had direct communications through "the Swiss channel".

Vital Swiss role as US-Iran go-between, as tensions soar

Switzerland represents US interests in Iran, and at times of soaring tensions its role as go- between takes on heightened importance.

The Swiss foreign ministry refused Monday to divulge what actions the country had taken in connection with Iran’s weekend attack on Israel.

But US and Iranian officials alluded to the important role Switzerland was playing as an intermediary.

As Washington engaged in whirlwind efforts prior to the attack to prepare for the expected violence, it sent “a series of direct communications through the Swiss channel”, a senior administration official told AFP.

Mohammad Bagheri, the Iranian armed forces’ chief of staff, was more explicit, telling state television that “we sent a message to America through the Swiss embassy that if it cooperates with Israel in their next potential actions, their bases will not be secure”.

 Maintaining relations 

Switzerland, renowned for its neutrality, has been representing US interests in Iran since Washington broke off relations with Tehran after the 1980 hostage crisis, a year after the Iranian revolution.

In its role as the so-called protecting power, Switzerland has for decades allowed the two feuding nations to maintain a minimum of diplomatic and consular relations.

The Swiss embassy in Tehran handles all consular affairs between the United States and Iran, including passport requests, altering civil status and consular protection for US citizens in Iran.

Under the protecting power mandate, Switzerland allows “states to maintain low-level relations and provide consular protection to nationals of the other state concerned”, the foreign ministry explains on its website.

“Switzerland can either offer to act as a go-between on its own initiative or can fulfil this function at the request of the parties concerned, provided that all those involved agree,” it added.

Switzerland has often had to play the go-between role.

The country has on several occasions in recent years mediated in prisoner exchanges between Iran and the United States.

Iran’s interests in the United States are meanwhile represented by Pakistan.

Switzerland also exercises a range of other protecting power mandates.

It represents Iran’s interests in Egypt and Canada.

And it represented Iran’s interests in Saudi Arabia for five years before the two countries resumed diplomatic relations last year.

Saudi has not yet formally terminated Switzerland’s protecting power mandate, so Bern still handles its consular services in Iran.

And until 2015, it represented US interests in Cuba and Cuban interests in the United States.

Switzerland first acted as a protecting power in the 19th century. It looked after the interests of the Kingdom of Bavaria and the Grand Duchy of Baden in France during the 1870-71 Franco- Prussian War.

During World War II, Switzerland’s neutral status paved the way for it to be the main protecting power, representing the interests of 35 states, including the major warring powers, with more than 200 individual mandates.

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