Healthcare expenditure and fiscal sustainability: evidence from Switzerland

Colombier, Carsten; Braendle, Thomas

doi:10.3326/pse.42.3.3.

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Healthcare expenditure and fiscal sustainability: evidence from Switzerland

Carsten Colombier*

Thomas Braendle*

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https://doi.org/10.3326/pse.42.3.3

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Table 1
Expenditure on healthcare by area and source of financing in reference scenario (in GDP %)

Level	2013	2030			2045
		Ratio	Change 2013-2030	Ratio		Change 2013-2045
Total healthcare	10.8	12.2	+1.4	14.0		+3.2
Healthcare excluding long-term care	8.6	9.3	+0.7	9.9		+1.3
Long-term care (from the age of 65)	1.6	2.3	+0.7	3.4		+1.8
Long-term care (below the age of 65)	0.6	0.6	0.0	0.6		0.0
Source of financing
Government (incl. soc. sec. funds)	3.5	4.2	+0.7	5.0		+1.5
Confederation	0.4	0.5	+0.1	0.5		+0.1
Cantons	2.4	2.9	+0.5	3.5		+1.1
Communes	0.3	0.4	+0.1	0.5		+0.2
AHV/IV*	0.4	0.3	-0.0	0.4		+0.0
Mandatory health insurance**	3.3	3.7	+0.4	4.1		+0.8
Other expenditure***	4.0	4.3	+0.3	4.8		+0.9
of which: private households****	2.6	2.9	+0.3	3.3		+0.7

* Allowances for the helpless, contributions to medical services and therapeutic equipment.

** Excluding public expenditure on individual premium reductions, which are attributed to the general government sector.

*** Other expenditure contains the expenditure of private households, mandatory accident assurance (SUVA) and military insurance, supplementary insurances, private foundations and supplementary benefits of IV, which are not driven by ageing.

**** Cost contribution of OKP and out-of-pocket payments (OOP).

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