Health System

Over the past few decades, health expenditure and health insurance premiums have continuously increased in Switzerland. This development has led to the launch of two popular initiatives, which will be voted on by Swiss citizens on 9 June 2024. To make the views of research economists in academia on this topic visible, KOF and the Neue Zürcher Zeitung (NZZ) conducted a short survey.

These are the two popular initiatives on which Swiss citizens will vote on 9 June 2024:

The first initiative, the Premium Relief Initiative, proposes to limit the amount insured individuals have to spend on health insurance premiums to 10% of their disposable income. If this limit is exceeded, the federal government and cantons would provide premium subsidies. 

The second initiative, the Cost Brake Initiative, demands that the federal government, in collaboration with the cantons, take measures to reduce costs if the average costs per insured person in compulsory health insurance rise significantly more than nominal wages and economic output.

To make the views of research economists in academia on the topic visible to the public, the KOF, together with the Neue Zürcher Zeitung (NZZ), conducted in May 2024 a short survey.

KOF contacted 814 economists for the survey. We received responses from 113 economists from 17 institutions.

Results

1. The Premium Relief Initiative advocates that premiums should not exceed 10 percent of disposable income. Premium subsidies should be expanded accordingly, financed two-thirds by the federal government and one-third by the cantons. From an economic point of view, this is a measure that I

strongly support.somewhat support.neither support nor oppose.somewhat oppose.strongly oppose.I prefer not to answer.05101520253035
in %

2. The Cost Brake Initiative demands that the federal government initiates cost reductions if the costs of compulsory health insurance rise significantly more than nominal wages and economic output. From an economic point of view, this is a measure that I

strongly support.somewhat support.neither support nor oppose.somewhat oppose.strongly oppose.I prefer not to answer.051015202530
in %

3. The Cost Brake Initiative does not propose specific measures for cost reduction in the initiative text. How much confidence do you have that the responsible authorities will develop and implement economically efficient measures? I have

full confidence.great confidence.little confidence.no confidence.I prefer not to answer.010203040506070
in %

4. If you were asked to advise on which measures would best improve efficiency in the health care system, which three measures would you, as an economist, prioritize?

Allow parallel imports of patent-protected medicinesApply antitrust law to the health care system (prohibit tariff negotiations btw. organizations)Increase cost sharing (deductible and retention) of the insured individualsSet Managed Care models as standard in basic insuranceThe federal government (not the cantons) should plan hospitalsIntroduce basic insurance models with different service catalogsReduce the number of hospitalsIntroduce a single company for compulsory health insuranceOther measuresReduce the number of (specialised) doctorsPrivatize public hospitals/Stop covering deficitsI prefer not to answer0102030405060
in %

5. Compulsory health insurance is financed by contributions from insured individuals, which are uniform within a premium region and age group regardless of income (per-capita premium). Insured individuals in modest financial circumstances, as well as children and young people in education, are entitled to premium reductions. How should compulsory health insurance be primarily financed from an economic point of view?

Mainly through general tax revenueMainly through risk-adjusted premiumsMainly through income-dependent premiumsMainly through per-capita premiumsOther, namely ...I prefer not to answer.05101520253035
in %

About this survey

KOF is acting as a mediator between academic researchers and the public. It aims to make the voices of research economists heard. KOF categorises economic researchers as those from Swiss research institutions who have published scientifically.

The survey was conducted together with the external page Neuen Zürcher Zeitung.

Contact

Dr. Nina Mühlebach
  • LEE G 113
  • +41 44 633 86 09
  • muehlebach@kof.ethz.ch

KOF FB Konjunkturumfragen
Leonhardstrasse 21
8092 Zürich
Switzerland

Dr. Klaus Abberger
  • LEE G 121
  • +41 44 632 51 56
  • abberger@kof.ethz.ch

KOF Konjunkturforschungsstelle
Leonhardstrasse 21
8092 Zürich
Switzerland