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The UN’s sustainable development goal 3 in Switzerland: assessing the efficiency of a leading global health care system

Switzerland is renowned for being a society in which a high standard of living is ensured thanks to the accessibility to first-class services and participatory democracy, which protects human rights and ensures the inclusion of all citizens regardless of their background. Nonetheless, when it comes to the health care system, this tendency tends to reverse as there are no free state-provided health facilities, making Switzerland one of the most expensive countries in Europe for accessing this service. The health care system is regulated by the Swiss Federal Law on Health Insurance, thus forming a mix of public and private insurance. The Swiss system portrays the country’s federal structure through the distribution of cantons for overseeing health care allocation; however, the health system does not receive funding from government taxes, but from insured premiums. The country's population indeed receive excellent quality and a wide variety of medical services, still, research reveals that OECD countries perform with similar results but at a lower cost. In the following dissertation, we will take the approach of the third Sustainable Development Goal, ‘Good health and well-being’, to better understand the efficiency of the Swiss health system and analyse the following paradox: how is it possible that one of the best health care systems in the globe cannot guarantee free health care performance assuming a great expense for its residents; including new policy strategies such as DigiSanté or Health2030.

(2025) Gimeno Sánchez, Alba