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Hospital mergers have made it difficult to

So much work for nothing. For years, cantons Basel-Stadt and Basel-land have drawn up a template, the University hospital Basel and the cantonal hospital of Basel-land. And now this. Almost 56 percent of the Basel-city dweller said yesterday, no. The project is dead. It is the first Swiss hospital would have been fusion on the Canton boundaries.

proponents argued that the merger savings of around 70 million Swiss francs per year and in the longer term, "quality health care" would be guaranteed.

In contrast to the city of Basel, the Canton voted with 66 percent. In the city the parties of the left were fighting closed the merger relative. In Basel-land, the FDP was against it. In 2014, when it came to the Fusion of the cantons, was the result of Vice versa: country, city.

Fears of privatisation

The Basel-based no is, unfortunately, not encouraging for politicians in other cantons, says Silvia Schenker. The city of Basel SP-national councillor and Member of the Board of the Unispitals Basel belonged to the minority of left Supporters. "Such a defeat is necessary to swallow only once," says Schenker.

According to Silvia Schenker, a "hodgepodge of reasons" for the rejection. "Everyone was looking for his own arguments." These Fears would have counted against an alleged privatization, but also local Patriotic feelings. In the case of the cooperation between the city and the country, there is always friction. "Unfortunately, you have influenced the result."

privatisation is undesirable

Despite the defeat, is convinced Schenker to continue from the template. "In Switzerland, there are too many hospitals, mergers are an important means for businesses to survive." You hope that no one leave by the Basel no quenching.

According to the SP-the Parliament Kaspar Sutter, the Basel no a relatively easy lesson to teach us: One should not make in the case of mergers of public hospitals to the private-law joint-stock companies. "The people don't want to." This has also been shown elsewhere, for example in the Canton of Zurich, which rejected it almost two years ago, the cantonal hospital of Winterthur in an AG convert.

To many hospitals

mergers should be also fair, says Sutter. It was in Basel. "Basel country would have introduced only a third of the capital, and nothing for teaching and research paid. However, you would get 50 percent participation. This is unacceptable."

the Fact that Switzerland has too many hospitals, there is no doubt, says Kaspar Sutter. Mergers, but not necessarily the best solution for this Problem, they were often a lot of bureaucracy. Nothing is over lead to the fact that smaller hospitals will have to close. "The merger in Basel, and wanted to cement all of the sites."

no one is allowed to believe lose

health economist, Willy Oggier, that a " Yes " in Basel sent a strong Signal that it survives such merger politically. "If it would have succeeded, two of the cantons with such a difficult history, then it would go almost anywhere." No, according to Oggier, but not as a deterrent for the rest of Switzerland suggest. Specifically in Basel, the private hospitals have in the city, a large social Tradition. "These clinics do not – have suffered as a result of the merger, the a lot of wanted among the Left."

The " no " in Basel show two things: The Savings from mergers would have to be larger than in this case, says Oggier. "In addition, a party may not benefit as clearly as it should have been done in Basel-land." The city residents would have used the merger.

The Left doesn't like the legal form

Thomas Heiniger (FDP), President of the conference of cantonal Health Directors and the Zurich cantonal government, fears that the " no " out of Basel will brakes similar projects. "Coordination and concentration of hospitals are the right way to go, both economically and in terms of quality," said Heiniger.

This is the way to commit just Lucerne and Nidwalden. 2020, the cantonal hospital in Lucerne is to take that of Nidwalden. Here, too, however, the Left doesn't like the conversion into a public limited company.

a number of projects failed

hospital mergers have in Switzerland it is not easy. In 2007, such a project between the männedorf hospital with the hospital Linth in Uznach failed. Already at the end of 90s of the voting population ended the planned merger of the Unispitäler Lausanne and Geneva. In Basel, too the conclusion is for the time being. The municipal health Director Lukas Engelberger (CVP) told the media that he is referring not modified fusion template. The two cantonal hospitals could, in future, only "very limited".

(editing Tamedia)

Created: 10.02.2019, 20:14 PM

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