Direct democracy Switzerland: How To
Your browser is out of date. It has known security flaws and may not display all features of this websites. Learn how to update your browser[Close]

Specialist doctors

Caps for new medical practices tabled

By Urs Geiser

Interior Minister Berset says too many new medical practises will push costs up (Keystone)

Interior Minister Berset says too many new medical practises will push costs up


The cabinet is seeking to reintroduce limits on new medical specialists’ practices to rein in health costs and allow the cantonal authorities to improve the management of care provision in remote regions.

Interior Minister Alain Berset said the planned re-introduction of a moratorium on some practices and other restrictions would be limited to three years and was in response to several demands by parliament.

“It is a tried and tested method and the cantons know exactly how to apply it,” Berset, whose portfolio includes health matters, told the media on Wednesday.

The caps were first introduced by the government in 2002 and parliament extended the measure twice before it ran out at the end of last year.

As a result, the number of applications to open new practices for specialist doctors rocketed, notably in metropolitan areas such as Zurich and Geneva.

They were 1,542 requests in the first nine months of this year, compared with about 900 applications for the whole of 2011 according to the Federal Health Office. Top of the list are applications by psychiatrists and psychotherapists, as well as radiologists and plastic surgeons.

However, it is not clear how many of the requests were filed by doctors trained outside Switzerland.

According to the health insurance association, a new practice triggers annual costs of up to SFr500,000 ($536,000) on average per doctor under Switzerland's semi-private healthcare system.

Foreign doctors

A survey by the Swiss Medical Association found that one in four practising doctors received their diplomas from a foreign university. In many hospitals foreign doctors outnumber local colleagues, raising concerns about quality standards.

The government is to discuss its plans with parties, organisations, cantons and institutions next month. It is part of a broader reform of the healthcare system to be tackled in two stages.

Berset said he hoped parliament will discuss the latest proposals early next year paving the way for the implementation of the restrictions next April.

In June, voters overwhelmingly threw out a decision by parliament to promote the creation of medical clusters comprising doctors, therapists, hospitals and pharmacies.

Berset described at the time the outright rejection as a missed opportunity to halt rising healthcare costs.

Switzerland is known for its high quality health system, but the sector saw costs increase by about 50 per cent over the past 15 years.

Swiss healthcare system

The country's healthcare is universal.

In principle insurance is compulsory for all people  residing in Switzerland.

Health insurance covers the costs of medical treatment and hospitalisation of the insured.

However, the insured person pays part of the cost of treatment.

This is done by means of an annual excess and by a charge of 10% of the costs over and above the excess up to a stop-loss amount of SFr700.



All rights reserved. The content of the website by is copyrighted. It is intended for private use only. Any other use of the website content beyond the use stipulated above, particularly the distribution, modification, transmission, storage and copying requires prior written consent of Should you be interested in any such use of the website content, please contact us via

As regards the use for private purposes, it is only permitted to use a hyperlink to specific content, and to place it on your own website or a website of third parties. The website content may only be embedded in an ad-free environment without any modifications. Specifically applying to all software, folders, data and their content provided for download by the website, a basic, non-exclusive and non-transferable license is granted that is restricted to the one-time downloading and saving of said data on private devices. All other rights remain the property of In particular, any sale or commercial use of these data is prohibited.