Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
To the Editor: We believe that the Special
Communication by Drs Herzlinger and Parsa-Parsi1 illustrates
some misconceptions about the Swiss health care system.
First, we do not agree with the assertion that health care costs are
controlled in Switzerland. Health care expenditures continue to rise2 and Switzerland ranks second after the United States
in terms of health expenditure per capita. Second, basic coverage is strictly
regulated by the federal Health Insurance Law and is identical for all health
insurance plans, making real “experimentation in insurance policies’
coverage, benefits, and terms” impossible. The choices for Swiss residents
are limited to higher deductibles, bonus plans, or managed care schemes.
Peytremann Bridevaux I, Santos-Eggimann B. Holes in the Swiss Health Care System. JAMA. 2005;293(19):2337-2341. doi:10.1001/jama.293.19.2338-b