A recent ruling by the Federal Administrative Court obliges the canton of Vaud to postpone its hospital planning. His plan would not be in accordance with the law. The Vaudois Department of Health has announced that it will review its copy.
In early autumn, the Federal Administrative Court had already forced the canton of Neuchâtel to cancel its hospital planning. However, as that of the canton of Vaud is similar in spirit and form, the Vaud health minister Rebecca Ruiz prefers to withdraw her project in order to be able to amend it according to the judgment issued by the high judicial authority.
Not in accordance with the law
Like the Neuchâtel project, Vaud hospital planning would not comply with the law, because its centralizing aspect – in particular on the CHUV – would harm the diversity of choice and competition between establishments. In addition, the text would set control criteria whose prioritization – rather unfavorable to private clinics – would not be legal.
Thus, to avoid a legal snub, the canton of Vaud postpones its hospital planning until further notice. It was to come into force next January and was the result of several years of work.
This about-face does not surprise Vincent Bettschart, surgeon and president of the Group of doctors working in private clinics. This planning poses several problems, he explained Thursday in La Matinale: “It does not comply with either the spirit or the letter of the law on health insurance. It aims for an extremely strong centralization, mainly on the CHUV and perhaps one or two other public hospitals at most for all kinds of services. And our fear is that this type of planning will lead to a rationing of care “.
For him, if we remove these skills from regional hospitals and clinics, “we will find ourselves in difficult situations for access to care for patients”.