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Anyone who fails to pay their health insurance premiums can be blacklisted. There is resistance to this.
Anyone who fails to pay their health insurance premiums can be listed by cantonal authorities and only receive medical treatment in an emergency. There are lists of this type in seven cantons: Thurgau, St. Gallen, Schaffhausen, Zug, Lucerne, Aargau and Ticino. Two cantons, Solothurn and Graubünden, have abolished it again.
Correctly, believes the commission responsible for the Council of States. Its president Paul Rechsteiner says: “There are several court decisions that have shown where the problems lie. In this sense, the majority of the Commission is of the opinion that blacklists should be abolished. “
TG: Not just a list, it helps too
But there is resistance from the affected cantons. The cantons of Thurgau and Zug, for example, speak of good experiences with the lists, as they are combined with offers of help for those affected.
Thurgau Health Director Urs Martin speaks of a successful model: “The canton of Thurgau has the lowest outstanding premium payments in Switzerland, and they are even declining. It is a successful model that the other cantons should consider, especially since we not only have the list, but also a case management system. That helps those affected. “
GDK accepts abolition
In the federal system, the cantons should be able to decide for themselves, adds the Thurgau governing council. But in the case of the controversial lists, these cantons are in the minority. Even the Cantonal Directors of Health Conference (GDK) has agreed to remove the lists of premium payers in arrears.
For specialized agencies, the lists are not only sensitive from a legal but also ethical point of view and are not suitable as an early warning system. Therefore, the so-called blacklists will have difficulties in the subsequent political process. The responsible commission is now evaluating all reactions to the proposal.
