One of the things really striking for Americans is that under LAMal, you now say the insurance companies can't make a profit on basic coverage. What's the thinking there?
The idea is very simple: If it is a social insurance, and everybody is obliged to be a member of a health insurance system, you can't ask them to pay so that the shareholders get a better revenue. It is a little the same, if I can compare with SBB, our railway system. We are very attached to the railway system; Switzerland is a country of railway. ... I think that the people wouldn't [have] agreed to privatize the railways [as] it is done now in Great Britain. To think that they can [make] a profit on the railway system, it [would] be against equality in this matter.
Naturally, you can question that, ... but till now we were able to afford a good railway system, to improve it and to have a high quality in transportation. ... We want also high quality for everybody in the health system, and after that you can earn more money than your neighbor. ... School, health care, railway system, aging, to have a good place for nursing homes for old people, retired people, we think that we must have equality of that -- not quite complete equality, it is impossible, but to have a great sense of solidarity among the people.
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... When you said to the insurance companies, "No more profit on the basic health plan," what did they say?
They accept it; they have no choice. And [all these] companies are [heirs] of former social companies. For instance, the Groupe Mutuel ... was built on this idea: no profit; everything must be given to the people who are members of it. So there is a tradition of social attitude in these systems.
I am not systematically against the idea of having profits in the health insurance system, but if we introduce it, it is more with the idea to balance the power in the health insurance system, because now there is a lack of balance of power.
... One of the problems we have in America is that many people -- it's a huge number of people -- go bankrupt because of medical bills; some studies say 700,000 people a year. How many people in Switzerland go bankrupt because of medical bills?
Nobody. Doesn't happen. It would be a huge scandal if it happens.