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Swiss popular initiative for a single health insurer… once again!

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  • De Pietro, Carlo
  • Crivelli, Luca

Abstract

The article describes a recent Swiss popular initiative, aiming to replace the current system of statutory health insurance run by 61 competing private insurers with a new system run by a single public insurer. Despite the rejection of the initiative by 62% of voters in late September 2014, the campaign and ballot results are interesting because they show the importance of (effective) public communication in shaping the outcome of a popular ballot. The relevance of the Swiss case goes beyond the peculiarities of its federalism and direct democracy and might be useful for other countries debating the pros and cons of national unitary health insurance systems versus models using multiple insurers.

Suggested Citation

  • De Pietro, Carlo & Crivelli, Luca, 2015. "Swiss popular initiative for a single health insurer… once again!," Health Policy, Elsevier, vol. 119(7), pages 851-855.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:7:p:851-855
    DOI: 10.1016/j.healthpol.2015.05.004
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    References listed on IDEAS

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    1. Office of Health Economics, 2007. "The Economics of Health Care," For School 001490, Office of Health Economics.
    2. Luigino Bruni & Pier Luigi Porta (ed.), 2007. "Handbook on the Economics of Happiness," Books, Edward Elgar Publishing, number 3437.
    3. Luca Crivelli & Gianfranco Domenighetti & Massimo Filippini, 2007. "Federalism Versus Social Citizenship: Investigating the Preference for Equity in Health Care," Chapters, in: Luigino Bruni & Pier Luigi Porta (ed.), Handbook on the Economics of Happiness, chapter 22, Edward Elgar Publishing.
    4. Beck, Konstantin & Spycher, Stefan & Holly, Alberto & Gardiol, Lucien, 2003. "Risk adjustment in Switzerland," Health Policy, Elsevier, vol. 65(1), pages 63-74, July.
    5. Thomson, Sarah & Busse, Reinhard & Crivelli, Luca & van de Ven, Wynand & Van de Voorde, Carine, 2013. "Statutory health insurance competition in Europe: A four-country comparison," Health Policy, Elsevier, vol. 109(3), pages 209-225.
    6. Beck, Konstantin & Trottmann, Maria & Zweifel, Peter, 2010. "Risk adjustment in health insurance and its long-term effectiveness," Journal of Health Economics, Elsevier, vol. 29(4), pages 489-498, July.
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    Cited by:

    1. Maarse, Hans & Jeurissen, Patrick, 2019. "Low institutional trust in health insurers in Dutch health care," Health Policy, Elsevier, vol. 123(3), pages 288-292.
    2. Nicolet, Anna & Perraudin, Clémence & Krucien, Nicolas & Wagner, Joël & Peytremann-Bridevaux, Isabelle & Marti, Joachim, 2023. "Preferences of older adults for healthcare models designed to improve care coordination: Evidence from Western Switzerland," Health Policy, Elsevier, vol. 132(C).

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