Switzerland must do a wide healthcare reform

19 comments

1. 3. pharma / medicine prices

2. I think the healthcare system in Switzerland works well, and I am satisfied with it.

3. I don’t say that often but I feel like trump.is right with forcing lower prices on medicin. Even swiss made medicin is here more expensive then in other countries and this just has to be stopped.

   Also I feel like we need a new system of how you pay. Because currently people who very rarely go to the doctor are encouraged to set their franchise to 2500fr and if they have to go to a small check up they still pay everything even though they payed a lot for like 3 years. It should be more focused on who gets more pays more

4. >Most doctors have 0 curiosity and inability to think in term of conditional probability.

   Not their fault as they are predomonantly selected based on memorizing ability.

5. Yeah, not sur that “Medical AI” is really that good of a solution. What if the AI hallucinantes symptoms ? Who would be responsible then ?

   The point about self-medication is correct, lots of people go to the doctor for useless stuff, but that can be solved by simply talking to a pharmacist, they now lots of things. And if you need something with prescription, I can’t really see a solution without a doctor…

6. I use LMMs in software engineering and I have to double check and correct the output a lot (and no, I wont “vibe” with my LLM). I wouldn’t trust some LLM making decisions that could potentially kill someone or lead to complications..

7. lol. I had a good laugh.

   Wdym by healthcare mafia? Is there a secret gatherings of doctors who are conspiring that the price of paracetamol should be higher?

   So the COO of an AI company wrote a post about his “friend”, according to whom doctors are using chatgpt. Additionally there is also a vote linked (with 13 votes) which proves this.

   My counterpoint: my neighbour told me that he heard about doctors who are not using chatgpt.

   Doctor Google became Doctor AI, and now you are an expert and know what your headache means and you want to treat it with lobotomy but the evil doctors are keeping it away from you.

8. I hope this post gets more traction since it’s important. I can’t tell you how many times I was down with a cold or something trivial and wanted to take the medication I usually take but I’m too tired or exhausted to go out so I going online to order Ibuprofen or something would be an alternative, but noooooooooooo, you need to go to the pharmacy for that and maybe even (if they’re real stuck up) need a prescription.

   Also there are some things I was prescribed but once they run out, you can’t just go to the pharmacy or online (non addictive, no real overdose risk, just a cream) and get another one to continue with your therapy. Noooooo, go to the doctor again, because you need a prescription. The old prescription doesn’t matter as proof that you were prescribed it for a certain period of time but it just wasn’t enough in the package.

   All these little insignificant things add up so much empty kilometers and paperwork to the system, it’s beyond exhausting.

9. So what you’re saying is you prefer the AI mafia over a regulated human workforce.

   Healthcare under Capitalism being what it is, that is already a reality in many aspects of healthcare systems all over the world:
   [https://www.theguardian.com/us-news/2025/jan/25/health-insurers-ai](https://www.theguardian.com/us-news/2025/jan/25/health-insurers-ai)

   Careful what you wish for – you might get it.

10. This is the most idiotic take I have seen in a while. Go back to your AI, I prefer that my doctor doesn’t hallucinate and can draw conclusions from facts.

11. The same issue afflicts healthcare everywhere:
    – doctors do not see preventatively of holistically. It is one ailment in isolation treated reactively (co-morbidities are common, frequently same underlying issues, like poor diet and sedentiary lifestyle).
    – they refuse to see the whole picture
    – if a diagnosis cannot be made easily with an appointment and some tests, dismiss it.

    None of these are Switzerland specific.

    Having experience of 5 other countries healthcare, I think we should be careful about trying to address cost in similar ways to other countries: the consequence will be reduced access to healthcare and the original issues I mentioned getting even worse.
    Healthcare here is expensive, but at least we get it (cannot be said about countries like UK or Sweden). And seen in the light if taxation levels, maybe healthcare is actually cheap.

12. Without going into more details, I just saw a major “medical AI” flop during a live presentation from a leading vendor, where the scenario was to examine a boy with stomach pains that resulted in the AI suggesting prescribing him Ozempic and a follow up with a gynecologist 🤷🏼🤦🏻‍♂️😅 Your trust in AI is admirable, but I’d rather stick with the “mafia” for a while, at least before *they* start to rely on it 😅

13. Honestly, the state of this sub…

14. There is also a large realization happening in the population that 90% of healthcare costs are downstream of lifestyle and environmental problems. We pay for plasters on a wooden leg instead of going root cause. That will be the largest result of the MAHA / MWHA movement.

15. We have issues, the whole Europe and developed countries have issues, because of plain demographics. This postwar generation that’s overwhelming healthcare, housing, pension is plain and simple still too big! Thank you inventions like statins, beta blockers, good nutrition but we have people that are in pensions now longer then they were working and it’s a rule. That all sounds very nasty but we ignored it and that’s why we have it on our hands. 

    We needed bigger healthcare, we needed twice as many apartments as projected, the pension system isn’t sustainable and with every voting (who’s the most active voter?) the guilt is dropped on the middle ones. It’s ridiculous that younger people receive less of a care (have cancers discovered at 4th stage, regularly, also die, regularly) while the older have it round the clock. 

    It’s unsolvable because nobody planned for a society of centerians that keep their voting to their last day but need active care for three to four decades!

    A simple example, my parents, uncles and aunts at my age had either inherited real estate or bought it in some cheap wave of urbanisation, had no elders to listen or to take care of. Me and my generation? Not even our kids can hope for taking the place of the grandparents, politically and materially. They’re even the direct victims of their grandparents voting for the extreme rights that is objectively detrimental for their future. 

16. bro medical AI? And i thinks its not the doctors who gatekeep and make everything cost a fortune but the insurances and the underlying cost uniformisation that leads to higher price. But yeah we need medical reform, just not ai doctors.

17. I use AI daily for work (IT), but anyone who trusts AI on a subject he is not an expert in will have a rude awakening. Cause AI sucks donkey balls atm as soon as you ask it something more complicated. It helps tremendously for mundane tasks but you need someone with the ability to double check and correct it for anything complex.

    anyway… AI is gonna make us all retarded, the first signs are already there.

18. Lol no honey, I’m not giving my health to some racist stuff made by oligarchs in the US.

    The medical system has flaws and problems including racial biases, but at least it isn’t shedding my very intimate and sensitive data all over the world like GPT does…reason as to why we are not allowed to use it at work while working in a way less sensitive field!

    We need reform in our healthcare system, yes, but absolutely not that way. Maybe stop treating all small medication like bio hazard? People in the southern hemisphere don’t die on hormone or cough syrup overdosis…while their medications are way, away stronger than ours and are available over the counter.

19. Im not oppost to the use of AI in medicine, Especialy for the use by doctors to help them diagnose and be more on board with new drugs and studies, but im clearly against self diagnose and medicate using AI because of the follwoing reasons:

    – People and AI cant catch all the details that might be important to add to a diagnosis. A rash, abnormal movement restriction, seemingly unrelated pain, family history etc. simply because some of these symptoms seem unrelated or normal to them.

    – Tests are expensive to make, not just because they want them to be expensive, because the labwork just is expensive. So making tests able to be ordered by everyone will result in much more tests which will make them even more expensive and bring in many unneccesary tests.

    – You describing “obviously addictive or uncommon pills still requiring additional control” is already in place and called prescription medicine, A Drugs can be restricted because it is addictive, has many side effects, dangerous if consumed to much, loosing its potenty because of incorrect usage (see antibiotic resistances), dangerous in combination with other medicines and many more reasons, This system is already in place and in use like we know it today. The need for prescricpion isnt set in place by the doctors themselves but by swissmedic while loocking at the potential danger of the medicine.

    -Training AI on real patient data without proper medical supervision is also a huge red flag to me. Normal People have no idea of the human body and simply because some drugs seemed to work doesnt mean it actualy was responsible for the recovery.

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