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EXPLAINED: Why Switzerland avoided adding French border regions to its quarantine list

Switzerland on Monday added several regions of France and Austria to its quarantine list, but avoided including border regions. Here’s why.

EXPLAINED: Why Switzerland avoided adding French border regions to its quarantine list
The river La Morge in Saint-Gingolph, a natural border between Switzerland and France. Photo: FABRICE COFFRINI / AFP

Switzerland put in place a mandatory, ten-day quarantine on arrivals from certain ‘high-risk’ countries in early July. 

While until mid-September, none of these countries shared a border with Switzerland, rising infection rates in neighbouring France and Austria forced authorities to make a call they hadn't made with the dozens of other countries on the list. 

Authorities broke France and Austria up into regions, with Swiss Health Minister Alain Berset implying that border regions would not be placed on the list regardless of infection rates due to economic and social ties. 

READ: How Switzerland avoided a coronavirus 'catastrophe' by protecting cross-border workers 

The government said it was following the lead of other European nations that are already implementing “a region-based approach” to neighbouring countries.

“Taking a regional approach means that persons returning to Switzerland from risk areas will be required to go into quarantine, but not persons returning from regions on the Swiss border,” authorities said, adding that the decision takes “account of the close economic, social and cultural exchanges that take place in the border regions”.

Berset said the decision to avoid placing border areas under quarantine reflected the need to show 'pragmatism, proportionality, modesty' in decision making. 

'No intention of shutting down the economy'

Berset told a news conference Friday that the government had decided to place nine of 13 French regions, including Paris, on its at-risk list, as well as Vienna in neighbouring Austria.

“We have seen a number of new infections in France, which are today already higher that the numbers in March and April,” he said, stressing that “this is a situation to take seriously… We're trying to keep the pandemic under control.”

EXPLAINED: Which countries quarantine travellers from France?

At the same time, he said, the government had sought a “pragmatic” approach and thus exempted the border regions in France and other neighbouring countries from the order, set to take effect from Monday.

“The idea is to preserve life along the borders where people live and work,” he said, pointing to heavy cross-border trade, as well as the many people who live on one side of the border but work on the other.

To define a risk area, Switzerland has set a limit of more than 60 coronavirus infections per 100,000 inhabitants in the last 14 days.

In the nine French regions, as well as in Vienna, this number is exceeded, meeting the Swiss criteria for a risk country.

READ MORE: UPDATED: Everything you need to know about Switzerland's quarantine requirement

However, Berset said that regions of France and Austria bordering Switzerland will not be added to the list, as local economies depend on the cross-border workers.

That is especially the case in the Lake Geneva region, which relies heavily on over 125,000 frontier workers from France.

“We have no intention of letting entire swathes of our economy to shut down”, Antonio Hodgers, president of the Geneva Council of State told Tribune de Genéve. 

In Geneva, some 60 percent of the city's health workers live in France.

The government also added France’s overseas territories to the countries at risk, meaning that all travellers from those regions will have to self-quarantine as well.

'We are together, for better or worse'

President of the Geneva Council of State, Antonio Hodgers, welcomed the decision – saying it would ensure the region didn't suffer. 

“We are very satisfied with the device chosen because there will be no negative impact on our region” Hodgers told Le Temps

Jacques Gerber, Minister of the Economy and Health, agreed. 

“It is a pragmatic solution which makes it possible to keep the balance between the necessary health measures and the economic, cultural and social activity of our regions” he said. 

Hodgers said the decision was a reflection of the reality of the region's interconnected ties and that imposing a lockdown along an arbitrary border would be ineffective. 

“The French did not want to relive the suffering of this spring either. We are in the same living area, therefore in the same sanitary basin. We are together, for better or for worse, in a way.”

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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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