# episodes

urn: urn:srf:video:f163061c-9370-432d-bbf8-170f6ec29b47
title: Wie weiter in der Gesundheitspolitik?
created_at: 2024-10-11 09:12:39
updated_at: 2024-10-11 09:12:39
mediacomposition:
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subtitles:
  WEBVTT

  1
  00:00:03.871 --> 00:00:04.589 
  <font color="#ffffff">.</font>

  2
  00:00:05.230 --> 00:00:06.693 
  <font color="#00ffff">Es muss etwas gehen</font>
  <font color="#00ffff">im Gesundheitswesen,</font>

  3
  00:00:07.335 --> 00:00:09.070 
  <font color="#00ffff">aber offensichtlich nicht so:</font>

  4
  00:00:17.011 --> 00:00:22.209 
  <font color="#00ffff">So, und hier stehen wir wieder</font>

  5
  00:00:22.851 --> 00:00:25.348 
  <font color="#00ffff">und machen wieder einmal eine Aus-</font>
  <font color="#00ffff">legeordnung in diesen ganzen Fragen.</font>

  6
  00:00:25.989 --> 00:00:28.349 
  <font color="#00ffff">Denn es gibt durchaus</font>
  <font color="#00ffff">einige neue, spannende Ideen</font>

  7
  00:00:28.991 --> 00:00:30.729 
  <font color="#00ffff">für die Gesundheitspolitik.</font>

  8
  00:00:31.371 --> 00:00:32.829 
  <font color="#00ffff">Politstoff für die "Arena".</font>

  9
  00:00:34.758 --> 00:00:41.131 
  <font color="#ffffff">Mit Live-Untertiteln von SWISS TXT</font>

  10
  00:00:41.772 --> 00:00:44.381 
  <font color="#ffffff">Heute in der "Arena":</font>

  11
  00:00:45.021 --> 00:00:47.232 
  <font color="#ffffff">Lukas Engelberger, Präsident</font>
  <font color="#ffffff">Gesundheitsdirektorenkonferenz.</font>

  12
  00:00:47.873 --> 00:00:51.668 
  <font color="#ffffff">Er sagt: "Die Qualität</font>
  <font color="#ffffff">unseres Gesundheitssystems ist hoch,</font>

  13
  00:00:52.309 --> 00:00:55.489 
  <font color="#ffffff">das hat seinen Preis."</font>

  14
  00:00:56.130 --> 00:00:58.099 
  <font color="#ffffff">"Die Kantone</font>
  <font color="#ffffff">nehmen ihre Verantwortung wahr -</font>

  15
  00:00:58.741 --> 00:01:03.632 
  <font color="#ffffff">z.B. bei der Spitalplanung.</font>
  <font color="#ffffff">Sie muss Sache der Kantone bleiben."</font>

  16
  00:01:04.272 --> 00:01:06.530 
  <font color="#ffffff">Patrick Hässig, Nationalrat GLP,</font>
  <font color="#ffffff">sagt:</font>

  17
  00:01:07.171 --> 00:01:09.159 
  <font color="#ffffff">"Eine gute Spitalplanung hilft uns,</font>

  18
  00:01:09.800 --> 00:01:12.249 
  <font color="#ffffff">die Kosten im Gesundheitswesen</font>
  <font color="#ffffff">zu senken."</font>

  19
  00:01:12.890 --> 00:01:16.429 
  <font color="#ffffff">"Weil die Kantone</font>
  <font color="#ffffff">hier zu wenig Mut beweisen,</font>

  20
  00:01:17.070 --> 00:01:18.580 
  <font color="#ffffff">muss der Bund</font>
  <font color="#ffffff">stärker mitreden können."</font>

  21
  00:01:19.222 --> 00:01:21.149 
  <font color="#ffffff">Bettina Balmer, Nationalrätin FDP,</font>
  <font color="#ffffff">sagt:</font>

  22
  00:01:21.791 --> 00:01:25.399 
  <font color="#ffffff">"Es existieren Fehlanreize und</font>
  <font color="#ffffff">Ineffizienzen im Gesundheitswesen."</font>

  23
  00:01:26.039 --> 00:01:28.469 
  <font color="#ffffff">"Diese müssen wir beseitigen."</font>

  24
  00:01:29.110 --> 00:01:31.249 
  <font color="#ffffff">"Gleichzeitig müssen wir als</font>
  <font color="#ffffff">Gesellschaft darüber diskutieren,</font>

  25
  00:01:31.890 --> 00:01:34.848 
  <font color="#ffffff">was uns eine gute</font>
  <font color="#ffffff">Gesundheitsversorgung wert ist."</font>

  26
  00:01:35.490 --> 00:01:38.899 
  <font color="#ffffff">Flavia Wasserfallen, Ständerätin SP,</font>
  <font color="#ffffff">sagt: "Die Prämienlast ist immens."</font>

  27
  00:01:39.542 --> 00:01:44.500 
  <font color="#ffffff">"Das liegt auch daran, dass sich</font>
  <font color="#ffffff">die Akteure im Gesundheitswesen</font>

  28
  00:01:45.143 --> 00:01:48.489 
  <font color="#ffffff">gegenseitig blockieren</font>
  <font color="#ffffff">und wichtige Reformen verhindern."</font>

  29
  00:01:49.130 --> 00:01:51.009 
  <font color="#ffffff">"Das muss endlich aufhören."</font>

  30
  00:01:51.650 --> 00:01:53.199 
  <font color="#ffffff">Ausserdem im Studio:</font>

  31
  00:01:53.841 --> 00:01:56.939 
  <font color="#ffffff">Lukas Golder, Co-Leiter</font>
  <font color="#ffffff">Forschungsinstitut gfs.bern.</font>

  32
  00:01:57.581 --> 00:02:01.699 
  <font color="#ffffff">Die "Arena",</font>
  <font color="#ffffff">moderiert von Mario Grossniklaus.</font>

  33
  00:02:05.211 --> 00:02:08.750 
  <font color="#00ffff">Schönen guten Abend,</font>
  <font color="#00ffff">herzlich willkommen im Studio</font>

  34
  00:02:09.390 --> 00:02:13.299 
  <font color="#00ffff">und vor den Bildschirmen,</font>
  <font color="#00ffff">schön, dass Sie da sind,</font>

  35
  00:02:13.941 --> 00:02:16.948 
  <font color="#00ffff">um mitzudiskutieren</font>
  <font color="#00ffff">bei einem wichtigen Thema.</font>

  36
  00:02:17.591 --> 00:02:19.978 
  <font color="#00ffff">Es gibt nichts anderes,</font>

  37
  00:02:20.621 --> 00:02:23.269 
  <font color="#00ffff">das den Leuten in diesem Land</font>
  <font color="#00ffff">mehr Sorgen macht</font>

  38
  00:02:23.910 --> 00:02:29.811 
  <font color="#00ffff">als das Thema, über</font>
  <font color="#00ffff">das wir heute Abend diskutieren.</font>

  39
  00:02:30.453 --> 00:02:32.437 
  <font color="#00ffff">Schauen Sie: Im Sorgenbarometer</font>
  <font color="#00ffff">der Credit Suisse</font>

  40
  00:02:33.079 --> 00:02:34.558 
  <font color="#00ffff">stehen die Gesundheit</font>
  <font color="#00ffff">und die Krankenkasse zuoberst,</font>

  41
  00:02:35.200 --> 00:02:36.849 
  <font color="#00ffff">noch vor der Umwelt</font>
  <font color="#00ffff">und der Altersvorsorge.</font>

  42
  00:02:37.490 --> 00:02:40.079 
  <font color="#00ffff">Es gab zweimal ein Nein</font>
  <font color="#00ffff">am Abstimmungssonntag</font>

  43
  00:02:40.720 --> 00:02:42.969 
  <font color="#00ffff">zu zwei Gesundheitsinitiativen.</font>

  44
  00:02:43.611 --> 00:02:46.319 
  <font color="#00ffff">Flavia Wasserfallen, wo bleiben</font>
  <font color="#00ffff">die mehrheitsfähigen Vorlagen?</font>

  45
  00:02:46.960 --> 00:02:49.560 
  <font color="#ffffff">Es ist tatsächlich so,</font>

  46
  00:02:50.201 --> 00:02:52.958 
  <font color="#ffffff">dass die präsentierten Lösungen</font>
  <font color="#ffffff">nicht überzeugt haben.</font>

  47
  00:02:53.600 --> 00:02:55.768 
  <font color="#ffffff">Aber wenn man</font>
  <font color="#ffffff">das Sorgenbarometer anschaut</font>

  48
  00:02:56.410 --> 00:02:58.430 
  <font color="#ffffff">und mit den Menschen spricht,</font>

  49
  00:02:59.071 --> 00:03:01.449 
  <font color="#ffffff">weiss man, dass wir noch</font>
  <font color="#ffffff">sehr viele Aufgaben zu lösen haben.</font>

  50
  00:03:02.090 --> 00:03:03.639 
  <font color="#ffffff">Die Politik ist in der Pflicht.</font>

  51
  00:03:04.280 --> 00:03:06.089 
  <font color="#ffffff">Ich hoffe, dass die</font>
  <font color="#ffffff">teils auch sehr knappen Resultate</font>

  52
  00:03:06.731 --> 00:03:09.728 
  <font color="#ffffff">den Druck auf das Parlament erhöhen,</font>

  53
  00:03:10.371 --> 00:03:13.289 
  <font color="#ffffff">Massnahmen, die wir sofort</font>
  <font color="#ffffff">beschliessen können ...</font>

  54
  00:03:13.930 --> 00:03:15.998 
  <font color="#ffffff">Letzte Woche</font>
  <font color="#ffffff">war der Ständerat daran,</font>

  55
  00:03:16.640 --> 00:03:19.359 
  <font color="#ffffff">diese Woche ist die nationalrätliche</font>
  <font color="#ffffff">Gesundheitskommission daran,</font>

  56
  00:03:20.000 --> 00:03:22.728 
  <font color="#ffffff">Massnahmen für tiefere</font>
  <font color="#ffffff">Medikamentenkosten zu beschliessen</font>

  57
  00:03:23.370 --> 00:03:25.778 
  <font color="#ffffff">und für eine stärker koordinierte</font>
  <font color="#ffffff">Versorgung.</font>

  58
  00:03:26.420 --> 00:03:29.538 
  <font color="#ffffff">Aber die Prämienlast ist natürlich</font>
  <font color="#ffffff">immer noch sehr hoch.</font>

  59
  00:03:30.180 --> 00:03:33.289 
  <font color="#00ffff">Was Sie erzählt haben</font>
  <font color="#00ffff">aus den Kommissionen</font>

  60
  00:03:33.930 --> 00:03:36.439 
  <font color="#00ffff">ist noch nicht in trockenen Tüchern.</font>

  61
  00:03:37.079 --> 00:03:41.161 
  <font color="#ffffff">Leider noch nicht.</font>

  62
  00:03:41.802 --> 00:03:43.348 
  <font color="#ffffff">Ich habe die Hoffnung,</font>
  <font color="#ffffff">dass jetzt Druck besteht.</font>

  63
  00:03:43.989 --> 00:03:45.698 
  <font color="#ffffff">Die Bevölkerung will,</font>
  <font color="#ffffff">dass wir Lösungen erarbeiten.</font>

  64
  00:03:46.340 --> 00:03:48.478 
  <font color="#ffffff">Bei der Prämienlast muss ich</font>
  <font color="#ffffff">in Richtung der Kantone schauen,</font>

  65
  00:03:49.120 --> 00:03:51.279 
  <font color="#ffffff">zu Herrn Engelberger.</font>

  66
  00:03:51.920 --> 00:03:54.219 
  <font color="#ffffff">Sie müssen die Ziele</font>
  <font color="#ffffff">einer Prämienlast definieren</font>

  67
  00:03:54.860 --> 00:03:56.189 
  <font color="#ffffff">und ihre Verantwortung</font>
  <font color="#ffffff">stärker wahrnehmen.</font>

  68
  00:03:56.829 --> 00:03:58.209 
  <font color="#ffffff">Das haben sie in der Vergangenheit</font>
  <font color="#ffffff">nicht getan.</font>

  69
  00:03:58.850 --> 00:04:00.564 
  <font color="#ffffff">Deshalb wurde die Initiative</font>
  <font color="#ffffff">lanciert.</font>

  70
  00:04:01.205 --> 00:04:03.398 
  <font color="#ffffff">Wir hoffen,</font>
  <font color="#ffffff">dass am Schluss bei den Menschen</font>

  71
  00:04:04.039 --> 00:04:06.200 
  <font color="#ffffff">eine Entlastung resultieren wird.</font>

  72
  00:04:06.841 --> 00:04:11.109 
  <font color="#00ffff">Ein direkter Angriff: Sie hätten</font>
  <font color="#00ffff">Ihre Aufgabe nicht gemacht,</font>

  73
  00:04:11.750 --> 00:04:13.051 
  <font color="#00ffff">sagt Frau Wasserfallen.</font>

  74
  00:04:13.692 --> 00:04:14.997 
  <font color="#ffffff">Ich weiss nicht,</font>
  <font color="#ffffff">ob sie das so gemeint hat.</font>

  75
  00:04:15.638 --> 00:04:17.148 
  <font color="#ffffff">Ich halte es jedenfalls</font>
  <font color="#ffffff">für nicht zutreffend.</font>

  76
  00:04:17.789 --> 00:04:19.447 
  <font color="#ffffff">Die Kantone stehen</font>
  <font color="#ffffff">zu ihrer sozialen Verantwortung.</font>

  77
  00:04:20.089 --> 00:04:21.957 
  <font color="#ffffff">Wir haben ein Gesundheitswesen,</font>
  <font color="#ffffff">das über Prämien finanziert wird.</font>

  78
  00:04:22.600 --> 00:04:25.527 
  <font color="#ffffff">Diese sind das direkte Resultat</font>
  <font color="#ffffff">der Kosten, die wir verursachen</font>

  79
  00:04:26.169 --> 00:04:28.196 
  <font color="#ffffff">durch unseren Konsum,</font>
  <font color="#ffffff">was wir in Anspruch nehmen.</font>

  80
  00:04:28.839 --> 00:04:31.589 
  <font color="#ffffff">Dann gibt es ein soziales Korrektiv,</font>

  81
  00:04:32.231 --> 00:04:34.459 
  <font color="#ffffff">die individuellen</font>
  <font color="#ffffff">Prämienverbilligungen,</font>

  82
  00:04:35.100 --> 00:04:36.688 
  <font color="#ffffff">bei denen auch</font>
  <font color="#ffffff">die Kantone gefordert sind.</font>

  83
  00:04:37.330 --> 00:04:39.038 
  <font color="#ffffff">Wenn man die Gesamtheit der Kantone</font>
  <font color="#ffffff">anschaut,</font>

  84
  00:04:39.679 --> 00:04:42.399 
  <font color="#ffffff">haben wir in den letzten Jahren</font>
  <font color="#ffffff">massiv mehr ausgegeben</font>

  85
  00:04:43.040 --> 00:04:45.929 
  <font color="#ffffff">für die Prämienverbilligung.</font>

  86
  00:04:46.570 --> 00:04:48.158 
  <font color="#ffffff">Mit dem Gegenvorschlag</font>
  <font color="#ffffff">wird es so sein,</font>

  87
  00:04:48.799 --> 00:04:51.970 
  <font color="#ffffff">dass v.a. einzelne Kantone noch mehr</font>
  <font color="#ffffff">in dieses System geben müssen.</font>

  88
  00:04:52.611 --> 00:04:54.268 
  <font color="#ffffff">Dem stellen wir uns.</font>

  89
  00:04:54.909 --> 00:04:57.878 
  <font color="#ffffff">Ich gehe davon aus, dass man</font>
  <font color="#ffffff">dieser zusätzlichen Verantwortung</font>

  90
  00:04:58.520 --> 00:05:02.313 
  <font color="#ffffff">wird nachkommen können.</font>

  91
  00:05:02.955 --> 00:05:05.599 
  <font color="#ffffff">Wenn wir mit dem 9. Juni beginnen,</font>
  <font color="#ffffff">möchte ich in Erinnerung rufen,</font>

  92
  00:05:06.240 --> 00:05:09.149 
  <font color="#ffffff">dass die Resultate deutlich waren.</font>

  93
  00:05:09.790 --> 00:05:12.388 
  <font color="#00ffff">Am Abstimmungssonntag.</font>

  94
  00:05:13.030 --> 00:05:14.488 
  <font color="#ffffff">Man ist aufgerufen,</font>

  95
  00:05:15.131 --> 00:05:17.498 
  <font color="#ffffff">nicht sofort in einen</font>
  <font color="#ffffff">neuen Aktionismus zu verfallen,</font>

  96
  00:05:18.140 --> 00:05:19.751 
  <font color="#ffffff">sondern dies mal entgegenzunehmen.</font>

  97
  00:05:20.392 --> 00:05:24.429 
  <font color="#ffffff">Radikale Reformen</font>
  <font color="#ffffff">finden keine Mehrheit.</font>

  98
  00:05:25.071 --> 00:05:26.770 
  <font color="#ffffff">Die Menschen in diesem Land</font>

  99
  00:05:27.412 --> 00:05:28.957 
  <font color="#ffffff">schätzen die Leistungen</font>
  <font color="#ffffff">des Gesundheitswesens enorm,</font>

  100
  00:05:29.599 --> 00:05:31.568 
  <font color="#ffffff">sie sind ihnen auch wichtig.</font>

  101
  00:05:32.210 --> 00:05:33.810 
  <font color="#ffffff">Und das hat auch seinen Grund:</font>
  <font color="#ffffff">Das Gesundheitswesen ist einer</font>

  102
  00:05:34.451 --> 00:05:38.139 
  <font color="#ffffff">der ganz elementaren</font>
  <font color="#ffffff">Produktivitätsfaktoren der Schweiz.</font>

  103
  00:05:38.780 --> 00:05:42.879 
  <font color="#ffffff">Die Stimmbürger/-innen spüren,</font>
  <font color="#ffffff">dass das seinen Preis hat</font>

  104
  00:05:43.520 --> 00:05:45.978 
  <font color="#ffffff">und man damit</font>
  <font color="#ffffff">sehr sorgfältig umgehen muss.</font>

  105
  00:05:46.619 --> 00:05:48.270 
  <font color="#00ffff">Die beiden hatten keine Chance.</font>

  106
  00:05:48.912 --> 00:05:50.818 
  <font color="#00ffff">Flavia Wasserfallen hat aber</font>
  <font color="#00ffff">skizziert, dass etwas geht,</font>

  107
  00:05:51.459 --> 00:05:53.406 
  <font color="#00ffff">v.a. in den Kommissionen,</font>
  <font color="#00ffff">im Moment im Hintergrund.</font>

  108
  00:05:54.048 --> 00:05:56.409 
  <font color="#00ffff">Diese Woche</font>
  <font color="#00ffff">lief aber auch sonst viel.</font>

  109
  00:05:57.051 --> 00:06:01.289 
  <font color="#00ffff">Der Bundesrat hat neue Tarife</font>
  <font color="#00ffff">abgesegnet für das Gesundheitswesen.</font>

  110
  00:06:01.930 --> 00:06:04.275 
  <font color="#00ffff">Und dann war noch das hier:</font>

  111
  00:06:11.860 --> 00:06:14.408 
  <font color="#00ffff">Bettina Balmer, kann man also sagen,</font>
  <font color="#00ffff">dass momentan etwas geht?</font>

  112
  00:06:15.050 --> 00:06:17.233 
  <font color="#ffffff">Stillstand sieht anders aus,</font>
  <font color="#ffffff">definitiv.</font>

  113
  00:06:17.870 --> 00:06:20.248 
  <font color="#ffffff">Und das ist auch gut so.</font>

  114
  00:06:20.889 --> 00:06:23.028 
  <font color="#ffffff">Für die Krankenkassen</font>
  <font color="#ffffff">ist es eine Chance.</font>

  115
  00:06:23.669 --> 00:06:25.939 
  <font color="#ffffff">Wir nehmen sie und schauen,</font>
  <font color="#ffffff">wohin es führt.</font>

  116
  00:06:26.581 --> 00:06:29.451 
  <font color="#ffffff">Gleichzeitig arbeiten wir im</font>
  <font color="#ffffff">Parlament auch sonst am Thema.</font>

  117
  00:06:30.092 --> 00:06:31.669 
  <font color="#ffffff">Ich erinnere an DigiSante,</font>

  118
  00:06:32.310 --> 00:06:34.269 
  <font color="#ffffff">das Projekt</font>
  <font color="#ffffff">des Bundesamts für Gesundheit,</font>

  119
  00:06:34.909 --> 00:06:37.568 
  <font color="#ffffff">damit endlich die digitale</font>
  <font color="#ffffff">Transformation vorwärtskommt.</font>

  120
  00:06:38.209 --> 00:06:44.218 
  <font color="#ffffff">Die Tendenz zu mehr ambulanten</font>
  <font color="#ffffff">Behandlungen wird auch aufgegriffen.</font>

  121
  00:06:44.863 --> 00:06:47.024 
  <font color="#ffffff">Wir sind dran,</font>
  <font color="#ffffff">wir haben sogar im Dezember</font>

  122
  00:06:47.665 --> 00:06:49.718 
  <font color="#ffffff">bei meiner allerersten Session</font>
  <font color="#ffffff">EFAS verabschiedet.</font>

  123
  00:06:50.360 --> 00:06:51.829 
  <font color="#ffffff">Das ist das komplizierte Konstrukt</font>

  124
  00:06:52.470 --> 00:06:55.870 
  <font color="#ffffff">der einheitlichen Finanzierung</font>
  <font color="#ffffff">für ambulante und stationäre Tarife.</font>

  125
  00:06:56.511 --> 00:06:58.688 
  <font color="#ffffff">Auch hier kann man Geld sparen.</font>
  <font color="#ffffff">Wir sind dran.</font>

  126
  00:06:59.329 --> 00:07:01.818 
  <font color="#ffffff">Aber es gibt kein Wundermittel,</font>
  <font color="#ffffff">das dafür sorgt,</font>

  127
  00:07:02.461 --> 00:07:06.528 
  <font color="#ffffff">dass alle Krankenkassenprämien</font>
  <font color="#ffffff">nur noch halb so hoch sind.</font>

  128
  00:07:07.170 --> 00:07:10.739 
  <font color="#00ffff">Das sagen Sie als Nationalrätin</font>
  <font color="#00ffff">und mit Ihrem Hut als Ärztin.</font>

  129
  00:07:11.380 --> 00:07:15.128 
  <font color="#00ffff">Patrick Hässig, auch Sie haben einen</font>
  <font color="#00ffff">anderen Hut als Nationalrat der GLP,</font>

  130
  00:07:15.769 --> 00:07:17.228 
  <font color="#00ffff">Sie sind Pflegefachmann.</font>

  131
  00:07:17.869 --> 00:07:19.516 
  <font color="#00ffff">Wie beurteilen Sie die Situation</font>
  <font color="#00ffff">im Moment?</font>

  132
  00:07:20.155 --> 00:07:21.698 
  <font color="#00ffff">Geht es in die richtige Richtung?</font>

  133
  00:07:22.339 --> 00:07:23.568 
  <font color="#ffffff">Es geht.</font>

  134
  00:07:24.210 --> 00:07:26.978 
  <font color="#ffffff">Der Abstimmungssonntag</font>
  <font color="#ffffff">vor zwei Wochen hat gezeigt,</font>

  135
  00:07:27.620 --> 00:07:29.299 
  <font color="#ffffff">dass die Bevölkerung will,</font>
  <font color="#ffffff">dass man etwas tut.</font>

  136
  00:07:29.940 --> 00:07:32.078 
  <font color="#ffffff">Sie haben aber</font>
  <font color="#ffffff">mit den zwei Vorschlägen,</font>

  137
  00:07:32.719 --> 00:07:34.878 
  <font color="#ffffff">über die sie abstimmen durften,</font>
  <font color="#ffffff">nicht das Richtige bekommen.</font>

  138
  00:07:35.519 --> 00:07:37.628 
  <font color="#ffffff">Gerade die Kostenbremse der Mitte</font>
  <font color="#ffffff">sagte der Bevölkerung nicht,</font>

  139
  00:07:38.269 --> 00:07:42.510 
  <font color="#ffffff">wo man spart - das war heikel</font>
  <font color="#ffffff">und deshalb gab es dieses Nein.</font>

  140
  00:07:43.151 --> 00:07:45.571 
  <font color="#ffffff">Die Bevölkerung</font>
  <font color="#ffffff">wollte keine Katze im Sack kaufen.</font>

  141
  00:07:46.212 --> 00:07:50.388 
  <font color="#ffffff">Aber es braucht Lösungen, und zwar</font>
  <font color="#ffffff">solche, die Kosten wirklich angehen.</font>

  142
  00:07:51.029 --> 00:07:54.998 
  <font color="#ffffff">Nicht ein wenig</font>
  <font color="#ffffff">aus dem Leistungskatalog streichen,</font>

  143
  00:07:55.639 --> 00:07:57.848 
  <font color="#ffffff">was einige Milliönchen spart,</font>
  <font color="#ffffff">sondern wir müssen wirklich ...</font>

  144
  00:07:58.489 --> 00:08:00.728 
  <font color="#ffffff">Deshalb auch mein Vorstoss</font>
  <font color="#ffffff">mit den Spitalplanungen.</font>

  145
  00:08:01.369 --> 00:08:05.000 
  <font color="#ffffff">Das ist ein Drittel</font>
  <font color="#ffffff">der ganzen Gesundheitskosten:</font>

  146
  00:08:05.641 --> 00:08:08.370 
  <font color="#ffffff">30 Mrd. gehen über die Spitäler.</font>
  <font color="#00ffff">- Darüber sprechen wir gleich.</font>

  147
  00:08:09.011 --> 00:08:10.768 
  <font color="#00ffff">Man sieht schon</font>
  <font color="#00ffff">in der ersten Diskussion:</font>

  148
  00:08:11.409 --> 00:08:13.918 
  <font color="#00ffff">Die Probleme</font>
  <font color="#00ffff">sind bei Weitem noch nicht gelöst.</font>

  149
  00:08:14.559 --> 00:08:16.888 
  <font color="#00ffff">Die Krankenkassenprämien</font>
  <font color="#00ffff">steigen und steigen.</font>

  150
  00:08:17.529 --> 00:08:19.480 
  <font color="#00ffff">Der Vergleichsdienst Comparis</font>
  <font color="#00ffff">geht jetzt schon davon aus,</font>

  151
  00:08:20.122 --> 00:08:24.319 
  <font color="#00ffff">dass es 2025 um 6 % steigen wird.</font>

  152
  00:08:24.961 --> 00:08:26.758 
  <font color="#00ffff">Auf dieser Karte sieht man es:</font>

  153
  00:08:27.399 --> 00:08:29.838 
  <font color="#00ffff">Man zahlt nicht in allen Kantonen</font>
  <font color="#00ffff">gleich viel Prämie.</font>

  154
  00:08:30.479 --> 00:08:34.472 
  <font color="#00ffff">In Genf z.B.</font>
  <font color="#00ffff">ist es am teuersten mit 454 Fr.</font>

  155
  00:08:35.115 --> 00:08:37.498 
  <font color="#00ffff">Appenzell Innerrhoden</font>
  <font color="#00ffff">ist der günstigste Kanton,</font>

  156
  00:08:38.139 --> 00:08:40.496 
  <font color="#00ffff">dort bezahlt man nur 246 Fr.</font>

  157
  00:08:41.139 --> 00:08:45.940 
  <font color="#00ffff">Lukas Engelberger, Sie sind Präsi-</font>
  <font color="#00ffff">dent der Gesundheitsdirektor/-innen.</font>

  158
  00:08:46.582 --> 00:08:51.118 
  <font color="#00ffff">Wenn ich</font>
  <font color="#00ffff">aus dem Kanton Basel-Landschaft</font>

  159
  00:08:51.760 --> 00:08:53.888 
  <font color="#00ffff">zu Ihnen</font>
  <font color="#00ffff">in den Kanton Basel-Stadt ziehe -</font>

  160
  00:08:54.529 --> 00:08:56.798 
  <font color="#00ffff">das kann nur ein paar Hundert Meter</font>
  <font color="#00ffff">auseinanderliegen -,</font>

  161
  00:08:57.440 --> 00:09:01.448 
  <font color="#00ffff">zahle ich auf einmal</font>
  <font color="#00ffff">fast 50 Fr. mehr Prämie.</font>

  162
  00:09:02.089 --> 00:09:04.178 
  <font color="#00ffff">Das sieht man auf dieser Karte auch.</font>
  <font color="#00ffff">Wie kann so etwas sein?</font>

  163
  00:09:04.819 --> 00:09:08.738 
  <font color="#ffffff">Sie wohnen dann</font>
  <font color="#ffffff">in einem anderen Kanton.</font>

  164
  00:09:09.379 --> 00:09:13.108 
  <font color="#ffffff">Jeder Kanton</font>
  <font color="#ffffff">macht seine Gesundheitspolitik,</font>

  165
  00:09:13.749 --> 00:09:17.617 
  <font color="#ffffff">seine Bildungspolitik,</font>
  <font color="#ffffff">hat seine Infrastruktur,</font>

  166
  00:09:18.258 --> 00:09:22.918 
  <font color="#ffffff">seine Steuersysteme,</font>
  <font color="#ffffff">seine Angebote der Kinderbetreuung.</font>

  167
  00:09:23.559 --> 00:09:26.900 
  <font color="#ffffff">Es gibt letztlich immer</font>
  <font color="#ffffff">ein unterschiedliches Angebot</font>

  168
  00:09:27.541 --> 00:09:31.408 
  <font color="#ffffff">oder Bündel von Angeboten</font>
  <font color="#ffffff">an Bürger/-innen.</font>

  169
  00:09:32.050 --> 00:09:35.347 
  <font color="#ffffff">Ja, es ist so, dass der Stadtkanton</font>
  <font color="#ffffff">nicht überraschend</font>

  170
  00:09:35.989 --> 00:09:38.356 
  <font color="#ffffff">aus demografischen Gründen</font>
  <font color="#ffffff">als Stadtkanton</font>

  171
  00:09:38.997 --> 00:09:40.570 
  <font color="#ffffff">höhere Krankenkassenprämie hat.</font>

  172
  00:09:41.209 --> 00:09:43.639 
  <font color="#00ffff">Das kann sehr frustrierend sein.</font>

  173
  00:09:44.280 --> 00:09:46.783 
  <font color="#ffffff">Nicht jede Differenz</font>
  <font color="#ffffff">ist per se frustrierend.</font>

  174
  00:09:47.424 --> 00:09:48.915 
  <font color="#ffffff">Man könnte auch</font>
  <font color="#ffffff">ein Gegenbeispiel nehmen.</font>

  175
  00:09:49.557 --> 00:09:51.637 
  <font color="#ffffff">Dann wären die Unterschiede</font>
  <font color="#ffffff">erfreulich,</font>

  176
  00:09:52.279 --> 00:09:56.088 
  <font color="#ffffff">wenn man umzieht in einen Kanton,</font>
  <font color="#ffffff">in dem etwas günstiger ist.</font>

  177
  00:09:56.730 --> 00:09:58.468 
  <font color="#ffffff">Sie werden z.B. in Basel-Stadt</font>
  <font color="#ffffff">andere Vorteile sehen.</font>

  178
  00:09:59.109 --> 00:10:02.468 
  <font color="#ffffff">Wir müssen dazu stehen.</font>

  179
  00:10:03.109 --> 00:10:07.637 
  <font color="#ffffff">Die föderalistische Tradition</font>
  <font color="#ffffff">wird in unserem Land sehr betont.</font>

  180
  00:10:08.279 --> 00:10:11.088 
  <font color="#ffffff">Sie erklärt sich auch</font>
  <font color="#ffffff">mit der Vielfalt unseres Landes,</font>

  181
  00:10:11.729 --> 00:10:14.728 
  <font color="#ffffff">mit den Sprachräumen, mit</font>
  <font color="#ffffff">teilweise kulturellen Unterschieden.</font>

  182
  00:10:15.369 --> 00:10:21.378 
  <font color="#ffffff">Das dürfen wir</font>
  <font color="#ffffff">nicht als Problem sehen,</font>

  183
  00:10:22.019 --> 00:10:25.314 
  <font color="#ffffff">sondern sie sind das Resultat davon,</font>
  <font color="#ffffff">dass wir als Bürger/-innen</font>

  184
  00:10:25.956 --> 00:10:28.009 
  <font color="#ffffff">vor Ort in einem Kanton sehr viele</font>
  <font color="#ffffff">Gestaltungsmöglichkeiten haben.</font>

  185
  00:10:28.651 --> 00:10:31.248 
  <font color="#00ffff">Das führt dazu, dass die Prämienlast</font>
  <font color="#00ffff">unterschiedlich gross ist.</font>

  186
  00:10:31.889 --> 00:10:34.108 
  <font color="#ffffff">Das ist mir zu passiv.</font>

  187
  00:10:34.749 --> 00:10:37.569 
  <font color="#ffffff">Natürlich gibt es</font>
  <font color="#ffffff">Unterschiede der Prämienlast.</font>

  188
  00:10:38.211 --> 00:10:40.899 
  <font color="#ffffff">Aber sie ist überall hoch</font>
  <font color="#ffffff">und sie steigt überall.</font>

  189
  00:10:41.539 --> 00:10:43.967 
  <font color="#ffffff">Auch nächstes Jahr</font>
  <font color="#ffffff">wird es so weitergehen.</font>

  190
  00:10:44.608 --> 00:10:46.997 
  <font color="#ffffff">Dass man dem tatenlos zuschaut,</font>

  191
  00:10:47.638 --> 00:10:49.928 
  <font color="#ffffff">wird der Sorge der Bevölkerung</font>
  <font color="#ffffff">nicht gerecht.</font>

  192
  00:10:50.569 --> 00:10:54.395 
  <font color="#ffffff">Es braucht ein höheres Engagement</font>
  <font color="#ffffff">beim Modell der Prämienverbilligung.</font>

  193
  00:10:55.037 --> 00:10:57.648 
  <font color="#ffffff">Die Kantone, die es versäumt haben,</font>
  <font color="#ffffff">müssen aufholen.</font>

  194
  00:10:58.289 --> 00:11:02.857 
  <font color="#ffffff">Das ist zentral: Zugang zu Gesund-</font>
  <font color="#ffffff">heit, Bezahlbarkeit von Gesundheit.</font>

  195
  00:11:03.500 --> 00:11:07.067 
  <font color="#ffffff">Wir in der Politik sind</font>
  <font color="#ffffff">ständig gefragt, dies zu gewähren.</font>

  196
  00:11:07.709 --> 00:11:09.558 
  <font color="#ffffff">Dort liegt</font>
  <font color="#ffffff">eine unserer Hauptaufgaben.</font>

  197
  00:11:10.199 --> 00:11:13.128 
  <font color="#ffffff">Deshalb haben wir die Lösung</font>
  <font color="#ffffff">mit dem Prämiendeckel gebracht.</font>

  198
  00:11:13.770 --> 00:11:16.008 
  <font color="#ffffff">Sie hat nicht überzeugt.</font>

  199
  00:11:16.649 --> 00:11:20.368 
  <font color="#ffffff">Ich hoffe, dass sie</font>
  <font color="#ffffff">auf kantonaler Ebene umgesetzt wird.</font>

  200
  00:11:21.008 --> 00:11:23.969 
  <font color="#ffffff">Einfach zu sagen, die Vorlage</font>
  <font color="#ffffff">habe keine Mehrheit gefunden,</font>

  201
  00:11:24.610 --> 00:11:28.478 
  <font color="#ffffff">man müsse einen Schritt</font>
  <font color="#ffffff">zurück machen und abwarten,</font>

  202
  00:11:29.119 --> 00:11:31.038 
  <font color="#ffffff">ist das völlig falsche Signal.</font>

  203
  00:11:31.679 --> 00:11:34.787 
  <font color="#ffffff">Es gibt Ineffizienzen im System.</font>

  204
  00:11:35.429 --> 00:11:37.757 
  <font color="#ffffff">Es wird Geld verdient</font>
  <font color="#ffffff">auf dem Rücken des Personals</font>

  205
  00:11:38.399 --> 00:11:40.287 
  <font color="#ffffff">und der Patient/-innen.</font>

  206
  00:11:40.928 --> 00:11:42.592 
  <font color="#ffffff">Wir haben noch viele Hausaufgaben</font>
  <font color="#ffffff">zu erledigen.</font>

  207
  00:11:43.234 --> 00:11:44.637 
  <font color="#ffffff">Ich möchte kurz darauf reagieren,</font>

  208
  00:11:45.279 --> 00:11:46.818 
  <font color="#ffffff">weil Basel-Stadt und Baselland</font>
  <font color="#ffffff">angesprochen sind.</font>

  209
  00:11:47.459 --> 00:11:48.918 
  <font color="#ffffff">Wir machen</font>
  <font color="#ffffff">eine gemeinsame Spitalplanung.</font>

  210
  00:11:49.559 --> 00:11:51.198 
  <font color="#ffffff">Wir haben</font>
  <font color="#ffffff">ein gemeinsames Planungsteam,</font>

  211
  00:11:51.840 --> 00:11:54.217 
  <font color="#ffffff">wir machen die Spitalliste</font>
  <font color="#ffffff">gemeinsam.</font>

  212
  00:11:54.859 --> 00:11:56.767 
  <font color="#ffffff">Wir sind ein Beispiel, das zeigt,</font>
  <font color="#ffffff">dass wir es angehen wollen.</font>

  213
  00:11:57.408 --> 00:11:59.988 
  <font color="#ffffff">Wir haben einen Mengendialog</font>
  <font color="#ffffff">eingeführt mit den Spitälern,</font>

  214
  00:12:00.629 --> 00:12:02.687 
  <font color="#ffffff">wir haben eine Zulassungssteuerung</font>
  <font color="#ffffff">eingeführt.</font>

  215
  00:12:03.329 --> 00:12:05.538 
  <font color="#ffffff">Wir versuchen,</font>
  <font color="#ffffff">die Instrumente zu nutzen,</font>

  216
  00:12:06.179 --> 00:12:07.788 
  <font color="#ffffff">die wir</font>
  <font color="#ffffff">unter dem geltenden Recht haben,</font>

  217
  00:12:08.429 --> 00:12:10.067 
  <font color="#ffffff">um die Kostenentwicklung</font>
  <font color="#ffffff">abzudämpfen.</font>

  218
  00:12:10.709 --> 00:12:12.896 
  <font color="#ffffff">(Wasserfallen)</font>
  <font color="#ffffff">Viel zu wenige Kantone machen das.</font>

  219
  00:12:13.537 --> 00:12:14.509 
  <font color="#ffffff">(Engelberger) Wir gehören zu jenen,</font>

  220
  00:12:15.151 --> 00:12:16.553 
  <font color="#ffffff">die eine eher flache Entwicklung</font>
  <font color="#ffffff">hatten -</font>

  221
  00:12:17.194 --> 00:12:18.617 
  <font color="#ffffff">trotz der immer noch hohen Zahlen.</font>

  222
  00:12:19.259 --> 00:12:20.818 
  <font color="#ffffff">(Balmer)</font>
  <font color="#ffffff">Ich möchte hier reingrätschen.</font>

  223
  00:12:21.460 --> 00:12:22.848 
  <font color="#ffffff">Ich selbst finde es gut,</font>

  224
  00:12:23.489 --> 00:12:25.429 
  <font color="#ffffff">wenn die Kantone</font>
  <font color="#ffffff">möglichst autonom unterwegs sind.</font>

  225
  00:12:26.071 --> 00:12:27.277 
  <font color="#ffffff">Das ist mir auch</font>
  <font color="#ffffff">ein grosses Anliegen.</font>

  226
  00:12:27.918 --> 00:12:29.508 
  <font color="#ffffff">Gleichzeitig gibt es nicht in</font>
  <font color="#ffffff">jedem Kanton ein Universitätsspital.</font>

  227
  00:12:30.150 --> 00:12:35.767 
  <font color="#ffffff">Wenn einige Kantone zusammen-</font>
  <font color="#ffffff">arbeiten, ist das ein guter Anfang.</font>

  228
  00:12:36.409 --> 00:12:38.558 
  <font color="#ffffff">Aber es braucht</font>
  <font color="#ffffff">eine gesamtheitliche Sicht.</font>

  229
  00:12:39.199 --> 00:12:41.270 
  <font color="#ffffff">Mein Eindruck ist nicht,</font>

  230
  00:12:41.911 --> 00:12:44.417 
  <font color="#ffffff">dass das Bundesamt für Gesundheit</font>
  <font color="#ffffff">jetzt die Spitalplanung übernimmt.</font>

  231
  00:12:45.058 --> 00:12:46.643 
  <font color="#ffffff">Das möchte ich auch nicht.</font>

  232
  00:12:47.285 --> 00:12:48.908 
  <font color="#ffffff">Aber ich möchte, dass</font>
  <font color="#ffffff">die Gesundheitsdirektorenkonferenz</font>

  233
  00:12:49.551 --> 00:12:50.907 
  <font color="#ffffff">besser zusammenarbeitet.</font>

  234
  00:12:51.549 --> 00:12:54.227 
  <font color="#ffffff">Und wenn es nicht möglich ist,</font>
  <font color="#ffffff">kann der Bund Ultima Ratio mitreden.</font>

  235
  00:12:54.868 --> 00:12:57.301 
  <font color="#00ffff">Über die Spitalplanung</font>
  <font color="#00ffff">sprechen wir gleich ausführlich.</font>

  236
  00:12:57.941 --> 00:13:00.169 
  <font color="#00ffff">Zuerst gehe ich zu</font>
  <font color="#00ffff">einem weiteren Gast von heute Abend.</font>

  237
  00:13:02.013 --> 00:13:04.377 
  <font color="#00ffff">Zu Lukas Golder, Politologe.</font>

  238
  00:13:05.019 --> 00:13:07.257 
  <font color="#00ffff">Man kennt ihn aus dem</font>
  <font color="#00ffff">Forschungsinstitut gfs.bern.</font>

  239
  00:13:07.898 --> 00:13:12.230 
  <font color="#00ffff">Lukas Golder</font>
  <font color="#00ffff">analysiert die Abstimmungsvorlagen</font>

  240
  00:13:12.871 --> 00:13:14.788 
  <font color="#00ffff">seit Jahrzehnten.</font>

  241
  00:13:15.428 --> 00:13:17.669 
  <font color="#00ffff">Die machen auch Umfragen</font>
  <font color="#00ffff">im Gesundheitsbereich.</font>

  242
  00:13:18.309 --> 00:13:22.577 
  <font color="#00ffff">Mich interessiert, wer Schuld ist</font>
  <font color="#00ffff">an den hohen Gesundheitskosten,</font>

  243
  00:13:23.221 --> 00:13:25.867 
  <font color="#00ffff">die wir in der Schweiz haben.</font>

  244
  00:13:26.509 --> 00:13:30.299 
  <font color="#00ffff">Es gibt verschiedene Möglichkeiten:</font>
  <font color="#00ffff">die Lobby, die Pharma,</font>

  245
  00:13:30.941 --> 00:13:33.620 
  <font color="#00ffff">die Krankenkassen, die Spitäler,</font>
  <font color="#00ffff">Ärzte oder wir Patient/-innen.</font>

  246
  00:13:34.259 --> 00:13:36.697 
  <font color="#00ffff">Wo sehen Sie das grösste Problem?</font>

  247
  00:13:37.338 --> 00:13:39.857 
  <font color="#008000">Wir können nicht mehr</font>
  <font color="#008000">politisch steuern.</font>

  248
  00:13:40.498 --> 00:13:43.318 
  <font color="#008000">Vielleicht in den Kantonen</font>
  <font color="#008000">noch minimal.</font>

  249
  00:13:43.960 --> 00:13:45.857 
  <font color="#008000">Sie haben aber eine komplizierte</font>
  <font color="#008000">Rolle in der Planung.</font>

  250
  00:13:46.499 --> 00:13:50.667 
  <font color="#008000">Die Akteure</font>
  <font color="#008000">sind sehr stark und mächtig.</font>

  251
  00:13:51.309 --> 00:13:54.607 
  <font color="#008000">Es ist ein kompliziertes System</font>
  <font color="#008000">mit Kantonen, Bund usw.</font>

  252
  00:13:55.248 --> 00:13:56.757 
  <font color="#008000">Viele verschiedene Akteure.</font>

  253
  00:13:57.398 --> 00:13:59.397 
  <font color="#008000">Das hat in meinen Augen</font>
  <font color="#008000">zu einer Expertokratie geführt.</font>

  254
  00:14:00.038 --> 00:14:01.877 
  <font color="#008000">D.h., man hat nicht die Möglichkeit,</font>
  <font color="#008000">politisch zu steuern.</font>

  255
  00:14:02.518 --> 00:14:04.607 
  <font color="#00ffff">Was heisst das, Expertokratie?</font>

  256
  00:14:05.248 --> 00:14:09.048 
  <font color="#00ffff">Dass nicht die Politik steuert,</font>
  <font color="#00ffff">sondern z.B. Kassen ...</font>

  257
  00:14:09.689 --> 00:14:13.947 
  <font color="#008000">Gremien, die sehr viele Daten</font>
  <font color="#008000">und Wissen und Vorteile haben,</font>

  258
  00:14:14.589 --> 00:14:16.976 
  <font color="#008000">um Einfluss zu nehmen</font>
  <font color="#008000">und blockieren können.</font>

  259
  00:14:17.618 --> 00:14:20.277 
  <font color="#008000">Das ist einfacher in unserem System</font>
  <font color="#008000">als bewegen.</font>

  260
  00:14:20.919 --> 00:14:23.228 
  <font color="#008000">In dieser Konstellation</font>
  <font color="#008000">war es fast nicht mehr möglich,</font>

  261
  00:14:23.870 --> 00:14:25.938 
  <font color="#008000">zumindest nicht auf Bundesebene,</font>
  <font color="#008000">Einfluss zu nehmen.</font>

  262
  00:14:26.579 --> 00:14:29.838 
  <font color="#008000">Den Frust in der Bevölkerung</font>
  <font color="#008000">anzugehen mit den Prämien.</font>

  263
  00:14:30.480 --> 00:14:31.827 
  <font color="#008000">Man weiss,</font>

  264
  00:14:32.468 --> 00:14:34.877 
  <font color="#008000">wenn die Stimmberechtigten die Rolle</font>
  <font color="#008000">wechseln, zu Patient/innen werden,</font>

  265
  00:14:35.518 --> 00:14:38.247 
  <font color="#008000">wollen sie die maximale Versorgung.</font>

  266
  00:14:38.889 --> 00:14:42.046 
  <font color="#008000">In diesem Spagat ist die Politik</font>
  <font color="#008000">im Moment nur bedingt fähig.</font>

  267
  00:14:42.686 --> 00:14:45.517 
  <font color="#008000">Ich bin aber optimistisch.</font>

  268
  00:14:46.159 --> 00:14:49.067 
  <font color="#008000">Viele kleine Reformen sind auf dem</font>
  <font color="#008000">Tisch, die erfolgversprechend sind.</font>

  269
  00:14:49.708 --> 00:14:53.239 
  <font color="#008000">Sie sind nicht der grosse Wurf,</font>
  <font color="#008000">aber in Kombination,</font>

  270
  00:14:53.880 --> 00:14:56.237 
  <font color="#008000">wenn es mehr Zentralisierung gibt,</font>

  271
  00:14:56.878 --> 00:14:58.949 
  <font color="#008000">wenn man sich</font>
  <font color="#008000">bei den Tarifen einig wird,</font>

  272
  00:14:59.591 --> 00:15:02.338 
  <font color="#008000">haben wir eine Chance, dass von</font>
  <font color="#008000">der Politik mehr Steuerung kommt.</font>

  273
  00:15:02.980 --> 00:15:05.596 
  <font color="#008000">Dass man den Frust aufnehmen</font>
  <font color="#008000">und reagieren kann.</font>

  274
  00:15:06.238 --> 00:15:08.057 
  <font color="#00ffff">Vieles sei auf dem Tisch.</font>

  275
  00:15:08.698 --> 00:15:10.277 
  <font color="#00ffff">Wir wollen über einiges reden</font>
  <font color="#00ffff">heute Abend.</font>

  276
  00:15:10.918 --> 00:15:14.319 
  <font color="#00ffff">Es gibt verschiedene Rezepte</font>
  <font color="#00ffff">der Parteien.</font>

  277
  00:15:14.961 --> 00:15:16.477 
  <font color="#00ffff">Teils sind sie noch unausgegoren.</font>

  278
  00:15:17.118 --> 00:15:18.729 
  <font color="#00ffff">Wir müssen aber darüber sprechen.</font>

  279
  00:15:19.371 --> 00:15:21.686 
  <font color="#00ffff">Zuerst aber zu einer Idee</font>
  <font color="#00ffff">der Grünliberalen,</font>

  280
  00:15:22.328 --> 00:15:24.147 
  <font color="#00ffff">konkret von Patrick Hässig.</font>
  <font color="#00ffff">Eine, die nicht neu ist.</font>

  281
  00:15:24.788 --> 00:15:27.157 
  <font color="#00ffff">Sie wurde bereits</font>
  <font color="#00ffff">im Parlament diskutiert.</font>

  282
  00:15:27.798 --> 00:15:32.847 
  <font color="#00ffff">Sie wollen den Kantonen etwas</font>
  <font color="#00ffff">das Zepter aus der Hand nehmen</font>

  283
  00:15:33.488 --> 00:15:36.767 
  <font color="#00ffff">bei der Spitalplanung.</font>

  284
  00:15:37.409 --> 00:15:40.231 
  <font color="#00ffff">Sie wollen, dass der Bund</font>
  <font color="#00ffff">mehr Mitsprache hat.</font>

  285
  00:15:40.867 --> 00:15:42.267 
  <font color="#00ffff">Ist bei den Kantonen der Wurm drin?</font>

  286
  00:15:42.908 --> 00:15:44.047 
  <font color="#ffffff">Ja.</font>

  287
  00:15:44.688 --> 00:15:47.479 
  <font color="#ffffff">Ganz klar, seit Jahren.</font>

  288
  00:15:48.120 --> 00:15:49.746 
  <font color="#ffffff">Irgendwo ist der Wurm drin.</font>

  289
  00:15:50.387 --> 00:15:52.507 
  <font color="#ffffff">Man hätte schon einen Auftrag</font>
  <font color="#ffffff">seit ein paar Jahren.</font>

  290
  00:15:53.148 --> 00:15:55.747 
  <font color="#ffffff">Es gab auch Ideen</font>
  <font color="#ffffff">von überregionaler Zusammenarbeit.</font>

  291
  00:15:56.389 --> 00:15:59.747 
  <font color="#ffffff">Alle sind daran.</font>

  292
  00:16:00.388 --> 00:16:02.457 
  <font color="#ffffff">Es werden viele Vorstösse</font>
  <font color="#ffffff">eingereicht, Postulate,</font>

  293
  00:16:03.098 --> 00:16:04.717 
  <font color="#ffffff">Interpellationen.</font>

  294
  00:16:05.358 --> 00:16:06.921 
  <font color="#ffffff">Ich habe</font>
  <font color="#ffffff">eine verbindliche Motion dabei.</font>

  295
  00:16:07.562 --> 00:16:09.127 
  <font color="#ffffff">Ich möchte es auf Bundesebene heben.</font>

  296
  00:16:09.768 --> 00:16:11.857 
  <font color="#ffffff">Aber nichts passiert.</font>

  297
  00:16:12.500 --> 00:16:13.947 
  <font color="#ffffff">Die Leute wollen,</font>
  <font color="#ffffff">dass man etwas macht.</font>

  298
  00:16:14.589 --> 00:16:20.178 
  <font color="#00ffff">Was würde es bringen,</font>
  <font color="#00ffff">wenn der Bund Mitspracherecht hat?</font>

  299
  00:16:20.820 --> 00:16:24.247 
  <font color="#ffffff">Wenn die Kantone</font>
  <font color="#ffffff">heute zusammen reden,</font>

  300
  00:16:24.888 --> 00:16:26.407 
  <font color="#ffffff">finden sie sich nicht.</font>

  301
  00:16:27.048 --> 00:16:29.619 
  <font color="#ffffff">Das hat man</font>
  <font color="#ffffff">in der Ostschweiz gesehen.</font>

  302
  00:16:30.262 --> 00:16:32.806 
  <font color="#ffffff">St. Gallen, das Bündnerland,</font>
  <font color="#ffffff">Thurgau, die beiden Appenzell ...</font>

  303
  00:16:33.448 --> 00:16:37.777 
  <font color="#ffffff">Einer nach dem anderen</font>
  <font color="#ffffff">ist abgesprungen,</font>

  304
  00:16:38.418 --> 00:16:41.587 
  <font color="#ffffff">als es konkreter wurde,</font>
  <font color="#ffffff">etwas zu gestalten.</font>

  305
  00:16:42.228 --> 00:16:45.017 
  <font color="#ffffff">St. Gallen und Appenzell</font>
  <font color="#ffffff">arbeiten noch zusammen.</font>

  306
  00:16:45.659 --> 00:16:47.587 
  <font color="#ffffff">Der Kanton Bern möchte aber</font>
  <font color="#ffffff">nicht mit dem Kanton Jura</font>

  307
  00:16:48.229 --> 00:16:50.165 
  <font color="#ffffff">zusammenarbeiten.</font>

  308
  00:16:50.811 --> 00:16:52.127 
  <font color="#ffffff">Im Kanton Zürich</font>
  <font color="#ffffff">haben wir im Oberland</font>

  309
  00:16:52.768 --> 00:16:55.027 
  <font color="#ffffff">das Problem mit Wetzikon und Uster.</font>

  310
  00:16:55.668 --> 00:16:57.917 
  <font color="#ffffff">Basel ist auch kein Vorzeigekanton,</font>

  311
  00:16:58.558 --> 00:17:02.977 
  <font color="#ffffff">was Baselland und Basel-Stadt</font>
  <font color="#ffffff">anbelangt.</font>

  312
  00:17:03.618 --> 00:17:07.445 
  <font color="#ffffff">Um die Kantone</font>
  <font color="#ffffff">aus der Schusslinie zu nehmen,</font>

  313
  00:17:08.088 --> 00:17:10.867 
  <font color="#ffffff">um auch die Gesundheitsdirektorinnen</font>
  <font color="#ffffff">und -direktoren aus der Schusslinie</font>

  314
  00:17:11.508 --> 00:17:13.007 
  <font color="#ffffff">zu nehmen.</font>

  315
  00:17:13.647 --> 00:17:15.938 
  <font color="#ffffff">Sie haben vielleicht</font>
  <font color="#ffffff">auch Angst vor einer Abwahl.</font>

  316
  00:17:16.577 --> 00:17:17.558 
  <font color="#ffffff">Wenn sie irgendwo</font>
  <font color="#ffffff">etwas anderes machen wollen ...</font>

  317
  00:17:18.199 --> 00:17:19.277 
  <font color="#00ffff">Z.B. ein Spital schliessen.</font>

  318
  00:17:19.917 --> 00:17:21.298 
  <font color="#ffffff">... aus der Distanz</font>
  <font color="#ffffff">etwas entscheiden können.</font>

  319
  00:17:21.939 --> 00:17:23.778 
  <font color="#00ffff">Patrick Hässig</font>
  <font color="#00ffff">will Ihnen also nur helfen.</font>

  320
  00:17:24.419 --> 00:17:27.376 
  <font color="#ffffff">So meint er es wohl nicht.</font>
  <font color="#ffffff">- Doch, eigentlich schon.</font>

  321
  00:17:28.018 --> 00:17:31.627 
  <font color="#ffffff">Er schreibt, die Kantone</font>
  <font color="#ffffff">sollen die Planungskompetenz</font>

  322
  00:17:32.268 --> 00:17:34.867 
  <font color="#ffffff">bei den Spitälern abgeben.</font>
  <font color="#ffffff">Das wollen wir nicht.</font>

  323
  00:17:35.508 --> 00:17:37.367 
  <font color="#ffffff">Die Kritik, dass zu wenig</font>
  <font color="#ffffff">passiert sei, ist fehl am Platz.</font>

  324
  00:17:38.010 --> 00:17:41.458 
  <font color="#ffffff">Wenn man die Entwicklung der grossen</font>
  <font color="#ffffff">Kostenblöcke der letzten Jahre</font>

  325
  00:17:42.099 --> 00:17:44.586 
  <font color="#ffffff">anschaut,</font>

  326
  00:17:45.228 --> 00:17:48.877 
  <font color="#ffffff">steuern wir mit der Spitalplanung</font>
  <font color="#ffffff">die stationären Spitalleistungen.</font>

  327
  00:17:49.519 --> 00:17:53.278 
  <font color="#ffffff">Nur jene mit Übernachtung also.</font>

  328
  00:17:53.919 --> 00:17:56.310 
  <font color="#ffffff">Sie machen etwa einen Fünftel</font>
  <font color="#ffffff">der Gesamtkosten aus.</font>

  329
  00:17:56.951 --> 00:17:59.706 
  <font color="#ffffff">Das entwickelt sich am flachsten.</font>

  330
  00:18:00.348 --> 00:18:02.806 
  <font color="#ffffff">Das hat in den letzten Jahren 0 %,</font>
  <font color="#ffffff">Negativwachstum -</font>

  331
  00:18:03.448 --> 00:18:05.207 
  <font color="#ffffff">die Pandemie</font>
  <font color="#ffffff">war eine Ausnahmesituation -</font>

  332
  00:18:05.848 --> 00:18:08.057 
  <font color="#ffffff">in den letzten Jahren 1-2 %.</font>

  333
  00:18:08.698 --> 00:18:10.447 
  <font color="#ffffff">Im Schnitt der letzten sechs Jahre</font>
  <font color="#ffffff">etwa 1,5 %.</font>

  334
  00:18:11.089 --> 00:18:12.747 
  <font color="#00ffff">Es gibt auch mehr</font>
  <font color="#00ffff">ambulante Leistungen.</font>

  335
  00:18:13.389 --> 00:18:15.496 
  <font color="#ffffff">Ja, aber es gibt auch immer mehr</font>
  <font color="#ffffff">ältere und hochbetagte Menschen,</font>

  336
  00:18:16.138 --> 00:18:17.979 
  <font color="#ffffff">die mehr Stationäres brauchen.</font>

  337
  00:18:18.618 --> 00:18:20.986 
  <font color="#ffffff">Wir wachsen im ambulanten Bereich,</font>

  338
  00:18:21.628 --> 00:18:23.458 
  <font color="#ffffff">das ist teils in den Spitälern,</font>
  <font color="#ffffff">aber das steuern wir nicht,</font>

  339
  00:18:24.099 --> 00:18:25.686 
  <font color="#ffffff">in den Praxen, Pflegeheimen usw.</font>

  340
  00:18:26.329 --> 00:18:32.087 
  <font color="#ffffff">Wenn man die Spitalplanung anschaut,</font>
  <font color="#ffffff">fokussiert man aufs Falsche.</font>

  341
  00:18:32.728 --> 00:18:35.756 
  <font color="#ffffff">Nämlich auf das,</font>
  <font color="#ffffff">das sich moderat entwickelt.</font>

  342
  00:18:36.397 --> 00:18:39.776 
  <font color="#ffffff">Mit einer Verlagerung</font>
  <font color="#ffffff">der Kompetenzen</font>

  343
  00:18:40.418 --> 00:18:42.847 
  <font color="#ffffff">schafft man massive Probleme.</font>

  344
  00:18:43.488 --> 00:18:46.937 
  <font color="#ffffff">Wenn das am Ende alles der Bund</font>
  <font color="#ffffff">verabschieden oder genehmigen muss,</font>

  345
  00:18:47.577 --> 00:18:50.147 
  <font color="#ffffff">kann man zu den Planungsprozessen</font>
  <font color="#ffffff">ein bis zwei Jahre hinzufügen.</font>

  346
  00:18:50.788 --> 00:18:54.136 
  <font color="#ffffff">Es wird extrem kompliziert</font>
  <font color="#ffffff">und schwerfällig im Verfahren.</font>

  347
  00:18:54.778 --> 00:19:00.327 
  <font color="#00ffff">Patrick Hässig sagte, die Kantone</font>
  <font color="#00ffff">kommen auf keinen grünen Zweig.</font>

  348
  00:19:00.969 --> 00:19:03.697 
  <font color="#00ffff">Gibt es Grenzen</font>
  <font color="#00ffff">im föderalistischen System?</font>

  349
  00:19:04.338 --> 00:19:10.796 
  <font color="#ffffff">Es gibt kein Ziel,</font>
  <font color="#ffffff">möglichst wenig Spitäler zu haben.</font>

  350
  00:19:11.440 --> 00:19:13.396 
  <font color="#ffffff">Das ist auf jeden Fall nicht meines.</font>

  351
  00:19:14.038 --> 00:19:15.971 
  <font color="#ffffff">Während der Pandemie</font>
  <font color="#ffffff">ging es in die andere Richtung.</font>

  352
  00:19:16.608 --> 00:19:18.096 
  <font color="#ffffff">Es gab Doppelseiten</font>
  <font color="#ffffff">in den Zeitungen,</font>

  353
  00:19:18.738 --> 00:19:20.427 
  <font color="#ffffff">welcher Kanton</font>
  <font color="#ffffff">besser aufgestellt ist,</font>

  354
  00:19:21.068 --> 00:19:23.337 
  <font color="#ffffff">mehr Spitalkapazität,</font>
  <font color="#ffffff">mehr IPS-Plätze etc. hat.</font>

  355
  00:19:23.978 --> 00:19:25.932 
  <font color="#ffffff">Das ändert sich schnell.</font>
  <font color="#ffffff">Die Leute erinnern sich daran.</font>

  356
  00:19:26.573 --> 00:19:29.860 
  <font color="#ffffff">Sie wissen, dass die Kantone</font>
  <font color="#ffffff">nahe bei den Leuten sind,</font>

  357
  00:19:30.501 --> 00:19:32.016 
  <font color="#ffffff">die Bedürfnisse vor Ort kennen,</font>

  358
  00:19:32.657 --> 00:19:35.996 
  <font color="#ffffff">direkt demokratisch legitimierte</font>
  <font color="#ffffff">Entscheide fällen können.</font>

  359
  00:19:36.638 --> 00:19:39.617 
  <font color="#ffffff">Es ist nicht so,</font>
  <font color="#ffffff">dass zentralisieren besser ist.</font>

  360
  00:19:40.262 --> 00:19:42.877 
  <font color="#ffffff">Bei den hochspezialisierten</font>
  <font color="#ffffff">Leistungen ist das so.</font>

  361
  00:19:43.518 --> 00:19:46.196 
  <font color="#ffffff">Diese muss man bündeln.</font>
  <font color="#ffffff">Das machen wir schweizweit.</font>

  362
  00:19:46.837 --> 00:19:50.296 
  <font color="#ffffff">Bei der Grundversorgung</font>
  <font color="#ffffff">ist eine dezentrale Struktur</font>

  363
  00:19:50.938 --> 00:19:53.176 
  <font color="#ffffff">nicht nur näher bei den Leuten,</font>
  <font color="#ffffff">sondern teils auch effizienter.</font>

  364
  00:19:53.818 --> 00:19:56.778 
  <font color="#ffffff">(Hässig) Von Zentralisieren</font>
  <font color="#ffffff">steht in meiner Motion nichts.</font>

  365
  00:19:57.418 --> 00:20:00.067 
  <font color="#ffffff">Es steht auch nicht drin,</font>

  366
  00:20:00.717 --> 00:20:04.326 
  <font color="#ffffff">dass man den Kantonen</font>
  <font color="#ffffff">die Kompetenz wegnehmen möchte.</font>

  367
  00:20:04.967 --> 00:20:06.807 
  <font color="#ffffff">In meiner Motion steht:</font>

  368
  00:20:07.448 --> 00:20:11.079 
  <font color="#ffffff">"Wenn die Kantone nach grösst-</font>
  <font color="#ffffff">möglichem Einbezug der Kantone ..."</font>

  369
  00:20:11.720 --> 00:20:13.259 
  <font color="#ffffff">Ich bin kein Kantonsschreck.</font>

  370
  00:20:13.900 --> 00:20:15.896 
  <font color="#ffffff">Ich bin auch kein Gegner</font>
  <font color="#ffffff">des Föderalismus. Im Gegenteil.</font>

  371
  00:20:16.537 --> 00:20:19.016 
  <font color="#ffffff">Wenn sich die Kantone</font>
  <font color="#ffffff">weiterhin nicht finden,</font>

  372
  00:20:19.657 --> 00:20:22.807 
  <font color="#ffffff">dass die Kantone</font>
  <font color="#ffffff">nicht geschafft haben im Moment,</font>

  373
  00:20:23.448 --> 00:20:28.386 
  <font color="#ffffff">möchte ich, dass der Bund</font>
  <font color="#ffffff">nach gewissen Leitplanken</font>

  374
  00:20:29.028 --> 00:20:33.015 
  <font color="#ffffff">die Kompetenz zum Handeln bekommt.</font>

  375
  00:20:33.657 --> 00:20:35.229 
  <font color="#ffffff">Jetzt hat er die Kompetenz</font>
  <font color="#ffffff">gar nicht.</font>

  376
  00:20:35.870 --> 00:20:37.407 
  <font color="#ffffff">In allen Antworten des Bundesrates</font>
  <font color="#ffffff">steht immer:</font>

  377
  00:20:38.048 --> 00:20:39.166 
  <font color="#ffffff">"Wir haben die Kompetenz nicht."</font>
  <font color="#ffffff">"Der Bund kann hier nichts machen."</font>

  378
  00:20:39.807 --> 00:20:44.036 
  <font color="#ffffff">Ich zitiere die Bundesverfassung,</font>

  379
  00:20:44.678 --> 00:20:46.896 
  <font color="#ffffff">um zu zeigen, dass der Föderalismus</font>
  <font color="#ffffff">angegriffen werden darf.</font>

  380
  00:20:47.538 --> 00:20:50.387 
  <font color="#ffffff">In Art. 43a steht: "Der Bund</font>
  <font color="#ffffff">übernimmt nur die Aufgaben,</font>

  381
  00:20:51.028 --> 00:20:53.577 
  <font color="#ffffff">welche die Kraft der Kantone</font>
  <font color="#ffffff">übersteigen</font>

  382
  00:20:54.218 --> 00:20:57.906 
  <font color="#ffffff">oder einer einheitlichen Regelung</font>
  <font color="#ffffff">durch den Bund bedürfen."</font>

  383
  00:20:58.547 --> 00:21:02.024 
  <font color="#ffffff">Ich bin überzeugt, dass hier</font>
  <font color="#ffffff">dringend eine Regelung nötig ist.</font>

  384
  00:21:02.665 --> 00:21:05.316 
  <font color="#00ffff">Sie zitieren</font>
  <font color="#00ffff">aus der Bundesverfassung,</font>

  385
  00:21:05.958 --> 00:21:08.320 
  <font color="#00ffff">ich zitiere jemand anderes,</font>
  <font color="#00ffff">SVP-Ständerat Hannes Germann.</font>

  386
  00:21:15.604 --> 00:21:18.689 
  <font color="#00ffff">Läuft dieses Modell nicht Gefahr,</font>
  <font color="#00ffff">dass es teurer wird?</font>

  387
  00:21:19.325 --> 00:21:21.206 
  <font color="#ffffff">Wenn man mir sagt,</font>
  <font color="#ffffff">der Bund könne es auch nicht,</font>

  388
  00:21:21.848 --> 00:21:23.636 
  <font color="#ffffff">dann weiss man nicht, ob das stimmt.</font>

  389
  00:21:24.278 --> 00:21:27.047 
  <font color="#ffffff">Wir wissen,</font>
  <font color="#ffffff">dass die Kantone es nicht können.</font>

  390
  00:21:27.688 --> 00:21:30.706 
  <font color="#ffffff">Es geht darum, dem Bund</font>
  <font color="#ffffff">eine gewisse Kompetenz zu geben,</font>

  391
  00:21:31.347 --> 00:21:35.176 
  <font color="#ffffff">damit er einen Entscheid</font>
  <font color="#ffffff">fällen könnte,</font>

  392
  00:21:35.817 --> 00:21:37.351 
  <font color="#ffffff">wenn es nach gewissen Vorgaben</font>
  <font color="#ffffff">nicht geht.</font>

  393
  00:21:37.993 --> 00:21:39.481 
  <font color="#00ffff">Flavia Wasserfallen,</font>
  <font color="#00ffff">Sie sind Vertreterin der Kantone</font>

  394
  00:21:40.123 --> 00:21:41.367 
  <font color="#00ffff">im Ständerat.</font>

  395
  00:21:42.008 --> 00:21:43.476 
  <font color="#00ffff">Hat man es verpasst,</font>
  <font color="#00ffff">besser zu koordinieren?</font>

  396
  00:21:44.118 --> 00:21:45.587 
  <font color="#ffffff">Das glaube ich.</font>

  397
  00:21:46.230 --> 00:21:47.716 
  <font color="#ffffff">Es braucht</font>
  <font color="#ffffff">mehr interkantonale Spitalplanung,</font>

  398
  00:21:48.358 --> 00:21:50.108 
  <font color="#ffffff">es braucht mehr Tempo.</font>

  399
  00:21:50.753 --> 00:21:53.336 
  <font color="#ffffff">Es leuchtet ein, dass nicht die</font>
  <font color="#ffffff">ideale Versorgung der Patient/-innen</font>

  400
  00:21:53.978 --> 00:21:57.236 
  <font color="#ffffff">gewährleistet werden kann,</font>

  401
  00:21:57.877 --> 00:21:59.506 
  <font color="#ffffff">wenn jeder Karton</font>
  <font color="#ffffff">für sich am Tischtuch zieht.</font>

  402
  00:22:00.148 --> 00:22:01.636 
  <font color="#ffffff">Aber das wollen wir.</font>

  403
  00:22:02.278 --> 00:22:07.076 
  <font color="#ffffff">Bei diesem Vorstoss in dieser Art</font>
  <font color="#ffffff">und Weise habe ich ehrlicherweise</font>

  404
  00:22:07.718 --> 00:22:10.826 
  <font color="#ffffff">auch nicht das Gefühl, dass es die</font>
  <font color="#ffffff">Probleme adressiert und lösen kann,</font>

  405
  00:22:11.467 --> 00:22:13.556 
  <font color="#ffffff">die ich</font>
  <font color="#ffffff">in der Spitallandschaft sehe.</font>

  406
  00:22:14.198 --> 00:22:17.646 
  <font color="#ffffff">Wenn wir schauen, welche Spitäler</font>
  <font color="#ffffff">in Schwierigkeiten sind,</font>

  407
  00:22:18.288 --> 00:22:19.786 
  <font color="#ffffff">welche Spitäler</font>
  <font color="#ffffff">rote Zahlen schreiben,</font>

  408
  00:22:20.428 --> 00:22:23.666 
  <font color="#ffffff">dann sind es die öffentlichen</font>
  <font color="#ffffff">Spitäler, 24/7, mit Bildungsauftrag.</font>

  409
  00:22:24.307 --> 00:22:26.066 
  <font color="#ffffff">Die Endversorger</font>
  <font color="#ffffff">haben grosse Probleme,</font>

  410
  00:22:26.707 --> 00:22:28.726 
  <font color="#ffffff">in der heutigen Finanzierung</font>
  <font color="#ffffff">zu überleben.</font>

  411
  00:22:29.367 --> 00:22:32.416 
  <font color="#ffffff">Den Privatspitälern geht es.</font>

  412
  00:22:33.058 --> 00:22:37.077 
  <font color="#ffffff">Sie haben von morgens um 8 Uhr</font>
  <font color="#ffffff">bis abends um 18 Uhr offen,</font>

  413
  00:22:37.718 --> 00:22:39.305 
  <font color="#ffffff">können sich die lukrativen Fälle</font>
  <font color="#ffffff">herauspicken.</font>

  414
  00:22:39.947 --> 00:22:41.986 
  <font color="#ffffff">Am Wochenende sind sie geschlossen</font>
  <font color="#ffffff">und machen schöne Gewinne,</font>

  415
  00:22:42.627 --> 00:22:45.657 
  <font color="#ffffff">während auch von den öffentlichen</font>
  <font color="#ffffff">Spitälern ein Gewinn erwartet wird</font>

  416
  00:22:46.305 --> 00:22:48.841 
  <font color="#ffffff">für die Investitionen.</font>
  <font color="#ffffff">Das ist ein Widerspruch in sich.</font>

  417
  00:22:49.482 --> 00:22:53.148 
  <font color="#ffffff">Wenn man das Zusammenspiel</font>
  <font color="#ffffff">und die unterschiedlichen Aufträge</font>

  418
  00:22:53.790 --> 00:22:57.196 
  <font color="#ffffff">und die Konkurrenz,</font>
  <font color="#ffffff">die zulasten der Patientinnen,</font>

  419
  00:22:57.839 --> 00:22:59.539 
  <font color="#ffffff">der öffentlichen Spitäler</font>
  <font color="#ffffff">und des Personals geht,</font>

  420
  00:23:00.181 --> 00:23:04.547 
  <font color="#ffffff">nicht adressiert, reden wir</font>
  <font color="#ffffff">an der zentralen Diskussion vorbei.</font>

  421
  00:23:05.189 --> 00:23:06.586 
  <font color="#ffffff">Das ist für mich viel wichtiger,</font>

  422
  00:23:07.227 --> 00:23:09.146 
  <font color="#ffffff">dass wir schauen,</font>

  423
  00:23:09.787 --> 00:23:13.179 
  <font color="#ffffff">ob wir die öffentlichen Spitäler</font>
  <font color="#ffffff">nicht stärker stützen können,</font>

  424
  00:23:13.820 --> 00:23:16.390 
  <font color="#ffffff">damit sie ihren wichtigen Ver-</font>
  <font color="#ffffff">sorgungsauftrag wahrnehmen können.</font>

  425
  00:23:17.031 --> 00:23:21.348 
  <font color="#00ffff">Wir müssen schauen,</font>
  <font color="#00ffff">was Spitalplanung heisst,</font>

  426
  00:23:21.992 --> 00:23:24.186 
  <font color="#00ffff">was die Kantone genau machen.</font>
  <font color="#00ffff">Dazu ein Video:</font>

  427
  00:23:24.827 --> 00:23:28.506 
  <font color="#ffffff">Wo ist welches Spital nötig</font>

  428
  00:23:29.148 --> 00:23:31.712 
  <font color="#ffffff">und welche stationären Behandlungen</font>
  <font color="#ffffff">soll es anbieten?</font>

  429
  00:23:32.354 --> 00:23:34.876 
  <font color="#ffffff">Mit dieser Frage</font>
  <font color="#ffffff">beschäftigen sich die Kantone.</font>

  430
  00:23:35.517 --> 00:23:39.236 
  <font color="#ffffff">Sie sind für die Spitalplanung</font>
  <font color="#ffffff">verantwortlich.</font>

  431
  00:23:39.877 --> 00:23:44.576 
  <font color="#ffffff">Bei der Spitalplanung</font>
  <font color="#ffffff">prüft der Kanton,</font>

  432
  00:23:45.218 --> 00:23:47.156 
  <font color="#ffffff">ob ein Spital wirtschaftlich und</font>
  <font color="#ffffff">in angemessener Qualität arbeitet</font>

  433
  00:23:47.797 --> 00:23:49.615 
  <font color="#ffffff">und ob es am gegebenen Standort</font>
  <font color="#ffffff">nötig ist.</font>

  434
  00:23:50.257 --> 00:23:52.876 
  <font color="#ffffff">Erfüllt ein Spital diese Kriterien,</font>

  435
  00:23:53.517 --> 00:23:57.214 
  <font color="#ffffff">wird es auf einer</font>
  <font color="#ffffff">kantonalen Spitalliste aufgeführt.</font>

  436
  00:23:57.855 --> 00:24:02.506 
  <font color="#ffffff">Darin wird festgelegt,</font>

  437
  00:24:03.148 --> 00:24:04.866 
  <font color="#ffffff">welche stationären Behandlungen</font>
  <font color="#ffffff">das Spital anbieten darf.</font>

  438
  00:24:05.508 --> 00:24:06.985 
  <font color="#ffffff">Nur diese Spitäler</font>

  439
  00:24:07.629 --> 00:24:09.665 
  <font color="#ffffff">können zulasten der obligatorischen</font>
  <font color="#ffffff">Krankenpflegeversicherung OKP</font>

  440
  00:24:10.306 --> 00:24:12.526 
  <font color="#ffffff">und des Kantons abrechnen.</font>

  441
  00:24:13.167 --> 00:24:17.196 
  <font color="#ffffff">Bei hochspezialisierter Medizin, wie</font>
  <font color="#ffffff">etwa bei einer Organtransplantation,</font>

  442
  00:24:17.837 --> 00:24:20.946 
  <font color="#ffffff">verteilen die Kantone</font>
  <font color="#ffffff">gemeinsam Leistungsaufträge</font>

  443
  00:24:21.593 --> 00:24:23.985 
  <font color="#ffffff">auf spezialisierte Krankenhäuser.</font>

  444
  00:24:24.626 --> 00:24:26.635 
  <font color="#ffffff">Ausserdem sind die Kantone</font>
  <font color="#ffffff">dazu verpflichtet,</font>

  445
  00:24:27.277 --> 00:24:31.466 
  <font color="#ffffff">die kantonale Spitalplanung</font>
  <font color="#ffffff">untereinander zu koordinieren.</font>

  446
  00:24:32.107 --> 00:24:35.906 
  <font color="#ffffff">Das Ziel: die Qualität</font>
  <font color="#ffffff">der medizinischen Versorgung sichern</font>

  447
  00:24:36.548 --> 00:24:40.156 
  <font color="#ffffff">und Überversorgung vermeiden.</font>

  448
  00:24:40.798 --> 00:24:42.665 
  <font color="#00ffff">Überversorgung ist das Stichwort,</font>
  <font color="#00ffff">Lukas Engelberger.</font>

  449
  00:24:43.306 --> 00:24:45.946 
  <font color="#00ffff">Könnte man mehr Spitäler schliessen,</font>
  <font color="#00ffff">um Kosten zu sparen?</font>

  450
  00:24:46.588 --> 00:24:51.216 
  <font color="#ffffff">Ich sagte es bereits vorher.</font>

  451
  00:24:51.857 --> 00:24:55.376 
  <font color="#ffffff">Es ist kein Ziel, möglichst</font>
  <font color="#ffffff">viele Spitäler zu schliessen.</font>

  452
  00:24:56.020 --> 00:24:59.565 
  <font color="#00ffff">Ist dann das Ziel,</font>
  <font color="#00ffff">möglichst viele Spitäler zu haben?</font>

  453
  00:25:00.207 --> 00:25:02.425 
  <font color="#ffffff">Ich möchte es positiv formulieren.</font>

  454
  00:25:03.067 --> 00:25:05.697 
  <font color="#ffffff">Das Ziel ist, die Spitäler</font>
  <font color="#ffffff">am richtigen Ort zu haben,</font>

  455
  00:25:06.338 --> 00:25:11.067 
  <font color="#ffffff">mit dem Leistungsangebot, das</font>
  <font color="#ffffff">nachgefragt wird, das es braucht,</font>

  456
  00:25:11.708 --> 00:25:16.462 
  <font color="#ffffff">die das auch in hoher Qualität und</font>
  <font color="#ffffff">effizient erbracht werden können.</font>

  457
  00:25:17.103 --> 00:25:21.606 
  <font color="#ffffff">D.h., dass eine grössere Anzahl</font>
  <font color="#ffffff">Spitäler dezentral</font>

  458
  00:25:22.247 --> 00:25:25.308 
  <font color="#ffffff">für die Grundversorgung richtig sind</font>
  <font color="#ffffff">und zur Schweiz passen.</font>

  459
  00:25:25.949 --> 00:25:29.816 
  <font color="#ffffff">Jene,</font>
  <font color="#ffffff">die grosse Installationen brauchen,</font>

  460
  00:25:30.457 --> 00:25:35.645 
  <font color="#ffffff">24 Std. Vorhalteleistung,</font>
  <font color="#ffffff">hochspezialisierte Fachkräfte etc. -</font>

  461
  00:25:36.287 --> 00:25:39.785 
  <font color="#ffffff">diese Leistungen muss man bündeln.</font>
  <font color="#ffffff">Das passiert auch.</font>

  462
  00:25:40.428 --> 00:25:43.916 
  <font color="#ffffff">Die Leistungsaufträge</font>
  <font color="#ffffff">werden kompakter vergeben.</font>

  463
  00:25:44.557 --> 00:25:47.466 
  <font color="#ffffff">Die ganz komplexen</font>
  <font color="#ffffff">sind bereits schweizweit verteilt.</font>

  464
  00:25:48.108 --> 00:25:52.445 
  <font color="#ffffff">Dann ist es so, dass die Kantone da</font>
  <font color="#ffffff">besser werden können und müssen.</font>

  465
  00:25:53.086 --> 00:25:59.315 
  <font color="#ffffff">Wir haben die Verpflichtung</font>
  <font color="#ffffff">zur regionalen Absprache.</font>

  466
  00:25:59.957 --> 00:26:02.147 
  <font color="#00ffff">Frau Balmer nickt.</font>

  467
  00:26:02.788 --> 00:26:04.766 
  <font color="#ffffff">Auf diesem Weg können</font>
  <font color="#ffffff">und müssen wir uns verbessern.</font>

  468
  00:26:05.407 --> 00:26:08.176 
  <font color="#ffffff">Es besteht ein gewisser</font>
  <font color="#ffffff">Interessenskonflikt,</font>

  469
  00:26:08.817 --> 00:26:11.045 
  <font color="#ffffff">wenn man als Kanton</font>
  <font color="#ffffff">ein Spital besitzt</font>

  470
  00:26:11.687 --> 00:26:15.286 
  <font color="#ffffff">oder finanziell unterstützt</font>

  471
  00:26:15.927 --> 00:26:17.705 
  <font color="#ffffff">und gleichzeitig</font>
  <font color="#ffffff">die Planung für den Kanton macht.</font>

  472
  00:26:18.357 --> 00:26:20.099 
  <font color="#ffffff">Darum habe ich</font>
  <font color="#ffffff">die Motion mitunterschrieben.</font>

  473
  00:26:20.740 --> 00:26:22.746 
  <font color="#ffffff">Man sollte mind. darüber nachdenken,</font>

  474
  00:26:23.387 --> 00:26:25.558 
  <font color="#ffffff">ob man das System</font>
  <font color="#ffffff">nicht verbessern kann.</font>

  475
  00:26:26.199 --> 00:26:27.955 
  <font color="#ffffff">Meine Erfahrung</font>
  <font color="#ffffff">in der Politik zeigt,</font>

  476
  00:26:28.597 --> 00:26:31.905 
  <font color="#ffffff">dass ein gewisser Druck hilft,</font>
  <font color="#ffffff">Lösungen zu finden.</font>

  477
  00:26:32.547 --> 00:26:36.846 
  <font color="#00ffff">Alle haben unterschrieben ausser</font>
  <font color="#00ffff">die Vertreter/-innen der SVP -</font>

  478
  00:26:37.487 --> 00:26:38.746 
  <font color="#00ffff">on the record.</font>

  479
  00:26:39.387 --> 00:26:42.844 
  <font color="#00ffff">Off the record:</font>

  480
  00:26:43.485 --> 00:26:45.156 
  <font color="#00ffff">Auch wenn ich mit</font>
  <font color="#00ffff">Gesundheitsdirektor/-innen rede -</font>

  481
  00:26:45.797 --> 00:26:47.855 
  <font color="#00ffff">ich habe mit zweien gesprochen -</font>

  482
  00:26:48.497 --> 00:26:52.796 
  <font color="#00ffff">sie sagten mir,</font>
  <font color="#00ffff">ich solle das einreichen.</font>

  483
  00:26:53.439 --> 00:26:55.728 
  <font color="#ffffff">Ich habe mit Gesundheitsökonomen</font>
  <font color="#ffffff">gesprochen.</font>

  484
  00:26:56.369 --> 00:26:59.826 
  <font color="#ffffff">Ich habe mit Menschen gesprochen.</font>
  <font color="#ffffff">Es muss in diese Richtung gehen.</font>

  485
  00:27:00.467 --> 00:27:02.285 
  <font color="#ffffff">Wir haben zu viele 24-Std.-Betriebe.</font>

  486
  00:27:02.926 --> 00:27:05.265 
  <font color="#ffffff">Wir haben eine super Luftrettung</font>
  <font color="#ffffff">in unserem Land.</font>

  487
  00:27:05.906 --> 00:27:09.465 
  <font color="#ffffff">Wir haben eine super Ambulanz.</font>

  488
  00:27:10.107 --> 00:27:12.505 
  <font color="#ffffff">Wenn heute jemand</font>
  <font color="#ffffff">einen Herzinfarkt hat,</font>

  489
  00:27:13.147 --> 00:27:14.426 
  <font color="#ffffff">ist er innerhalb von Minuten</font>
  <font color="#ffffff">hervorragend betreut</font>

  490
  00:27:15.067 --> 00:27:16.423 
  <font color="#ffffff">durch eine von diesen beiden.</font>

  491
  00:27:17.061 --> 00:27:18.495 
  <font color="#ffffff">Vielleicht kann man</font>
  <font color="#ffffff">10 Min. länger fahren.</font>

  492
  00:27:19.136 --> 00:27:20.846 
  <font color="#ffffff">Mit weniger 24-Std.-Betrieben</font>
  <font color="#ffffff">findet man auch für das Personal</font>

  493
  00:27:21.488 --> 00:27:22.837 
  <font color="#ffffff">eine bessere Lösung,</font>

  494
  00:27:23.480 --> 00:27:25.067 
  <font color="#ffffff">weil nicht mehr drei Schichten</font>
  <font color="#ffffff">abgedeckt werden müssen.</font>

  495
  00:27:25.708 --> 00:27:26.976 
  <font color="#ffffff">Das ist wichtig.</font>

  496
  00:27:27.617 --> 00:27:29.025 
  <font color="#ffffff">Wenn eine Nachtschicht wegfällt ...</font>

  497
  00:27:29.667 --> 00:27:31.396 
  <font color="#ffffff">Wir haben ein Personalproblem,</font>
  <font color="#ffffff">auch ein Ärzt/-innen-Problem.</font>

  498
  00:27:32.036 --> 00:27:33.605 
  <font color="#ffffff">Wir müssen in Richtung</font>
  <font color="#ffffff">Ambulantisierung gehen.</font>

  499
  00:27:34.253 --> 00:27:35.583 
  <font color="#ffffff">(Wasserfallen)</font>
  <font color="#ffffff">Ein Verdienst dieser Motion ist,</font>

  500
  00:27:36.225 --> 00:27:37.605 
  <font color="#ffffff">dass sie Druck aufbauen kann.</font>

  501
  00:27:38.246 --> 00:27:39.665 
  <font color="#ffffff">Dass die Kantone</font>
  <font color="#ffffff">ihre Hausaufgaben machen.</font>

  502
  00:27:40.306 --> 00:27:43.515 
  <font color="#ffffff">Ob sie im System lange</font>
  <font color="#ffffff">überleben kann, auch politisch,</font>

  503
  00:27:44.156 --> 00:27:48.535 
  <font color="#ffffff">und etwas bewirken kann,</font>
  <font color="#ffffff">da habe ich meine Zweifel.</font>

  504
  00:27:49.176 --> 00:27:52.606 
  <font color="#ffffff">Ich muss</font>
  <font color="#ffffff">auf das Grundproblem zurückkommen.</font>

  505
  00:27:53.247 --> 00:27:55.235 
  <font color="#ffffff">Solange wir in einem gewissen</font>
  <font color="#ffffff">Bereich der Medizin</font>

  506
  00:27:55.876 --> 00:27:57.585 
  <font color="#ffffff">Big Business</font>
  <font color="#ffffff">mit der Gesundheit haben,</font>

  507
  00:27:58.226 --> 00:27:59.955 
  <font color="#ffffff">aber die anderen Bereiche</font>
  <font color="#ffffff">wie Hausarztmedizin, Kinderarzt,</font>

  508
  00:28:00.596 --> 00:28:02.015 
  <font color="#ffffff">Psychiatrie, Personal,</font>

  509
  00:28:02.656 --> 00:28:04.865 
  <font color="#ffffff">die kostenintensiv sind und</font>
  <font color="#ffffff">wo nicht viel Geld verdient wird -</font>

  510
  00:28:05.507 --> 00:28:07.936 
  <font color="#ffffff">das gibt ein Auseinanderbrechen.</font>

  511
  00:28:08.577 --> 00:28:10.621 
  <font color="#ffffff">Hier grosse Kostensteigerung</font>
  <font color="#ffffff">und hier ein Manko.</font>

  512
  00:28:11.267 --> 00:28:13.105 
  <font color="#ffffff">Darum müssen wir</font>
  <font color="#ffffff">Richtung Qualität gehen.</font>

  513
  00:28:14.347 --> 00:28:16.316 
  <font color="#ffffff">Wie bekommt man Qualität?</font>

  514
  00:28:16.959 --> 00:28:19.496 
  <font color="#ffffff">Wenn man weniger Häuser hat,</font>
  <font color="#ffffff">aber dort viele Fälle.</font>

  515
  00:28:20.137 --> 00:28:21.947 
  <font color="#ffffff">(Wasserfallen) Wir müssen machen,</font>
  <font color="#ffffff">was der Bevölkerung dient,</font>

  516
  00:28:22.589 --> 00:28:23.995 
  <font color="#ffffff">von dort aus müssen wir denken.</font>

  517
  00:28:24.636 --> 00:28:26.816 
  <font color="#ffffff">Es braucht eine Grundversorgung</font>
  <font color="#ffffff">in der ganzen Schweiz, Notfall...</font>

  518
  00:28:27.460 --> 00:28:29.075 
  <font color="#ffffff">(Hässig) Grundversorgung</font>
  <font color="#ffffff">ist ein gutes Hausarztprinzip.</font>

  519
  00:28:29.716 --> 00:28:31.645 
  <font color="#ffffff">Wir müssen unbedingt</font>
  <font color="#ffffff">die Hausärzte stärken,</font>

  520
  00:28:32.286 --> 00:28:33.865 
  <font color="#ffffff">wir müssen unbedingt</font>
  <font color="#ffffff">die Kinderärztinnen stärken.</font>

  521
  00:28:34.506 --> 00:28:36.115 
  <font color="#ffffff">Wir brauchen</font>
  <font color="#ffffff">eine gute Grundversorgung</font>

  522
  00:28:36.756 --> 00:28:40.233 
  <font color="#ffffff">im Münstertal,</font>
  <font color="#ffffff">im Kanton Schaffhausen, überall.</font>

  523
  00:28:40.875 --> 00:28:42.625 
  <font color="#ffffff">(Engelberger) Aber dafür</font>
  <font color="#ffffff">braucht es Ihre Motion nicht.</font>

  524
  00:28:43.267 --> 00:28:45.096 
  <font color="#ffffff">Ihre Motion hilft dem nicht.</font>
  <font color="#ffffff">- (Hässig) Doch, den Kosten.</font>

  525
  00:28:45.737 --> 00:28:47.705 
  <font color="#ffffff">Und darüber reden wir.</font>

  526
  00:28:48.346 --> 00:28:52.012 
  <font color="#ffffff">* Sie sprechen durcheinander. *</font>

  527
  00:28:52.653 --> 00:28:55.127 
  <font color="#ffffff">(Wasserfallen) ... ein MRI machst,</font>
  <font color="#ffffff">eine Blutentnahme machst -</font>

  528
  00:28:55.769 --> 00:28:57.966 
  <font color="#ffffff">solange du</font>
  <font color="#ffffff">mit der Menge verdienst ...</font>

  529
  00:28:58.607 --> 00:29:02.766 
  <font color="#00ffff">Die Fronten</font>
  <font color="#00ffff">sind relativ undurchsichtig.</font>

  530
  00:29:03.407 --> 00:29:07.937 
  <font color="#ffffff">(Balmer) Bei einem Herzinfarkt zählt</font>
  <font color="#ffffff">jede Minute. - Sagt die Ärztin.</font>

  531
  00:29:08.580 --> 00:29:11.875 
  <font color="#ffffff">Da haben wir das System der First</font>
  <font color="#ffffff">Responder, das man pushen sollte.</font>

  532
  00:29:12.517 --> 00:29:15.005 
  <font color="#ffffff">Dafür braucht es nicht in jedem Tal</font>
  <font color="#ffffff">ein Spital, einverstanden.</font>

  533
  00:29:15.646 --> 00:29:18.996 
  <font color="#ffffff">Die Tendenz</font>
  <font color="#ffffff">zu mehr ambulanten Leistungen</font>

  534
  00:29:19.649 --> 00:29:22.755 
  <font color="#ffffff">sollte eigentlich zu mehr ambulanten</font>
  <font color="#ffffff">Gesundheitszentren führen,</font>

  535
  00:29:23.396 --> 00:29:25.186 
  <font color="#ffffff">die bei Bedarf, einer Pandemie,</font>

  536
  00:29:25.826 --> 00:29:28.365 
  <font color="#ffffff">relativ rasch stationär</font>
  <font color="#ffffff">Patienten aufnehmen könnten.</font>

  537
  00:29:29.006 --> 00:29:30.465 
  <font color="#ffffff">Ich bin nicht</font>
  <font color="#ffffff">für den Abbau von Spitälern.</font>

  538
  00:29:31.106 --> 00:29:33.705 
  <font color="#00ffff">Ich habe eine Grafik gefunden,</font>
  <font color="#00ffff">die mich erstaunt hat.</font>

  539
  00:29:34.345 --> 00:29:36.717 
  <font color="#00ffff">Es gibt immer weniger Spitäler.</font>

  540
  00:29:37.358 --> 00:29:42.665 
  <font color="#00ffff">Die Zahl der allgemeinen Spitäler</font>
  <font color="#00ffff">hat sich von 191, 1998,</font>

  541
  00:29:43.310 --> 00:29:47.377 
  <font color="#00ffff">auf noch 101, 2022, fast halbiert.</font>
  <font color="#00ffff">Da geht also etwas.</font>

  542
  00:29:48.018 --> 00:29:51.390 
  <font color="#ffffff">(Wasserfallen) Die Frage ist,</font>
  <font color="#ffffff">ob die richtigen geschlossen werden.</font>

  543
  00:29:52.031 --> 00:29:55.814 
  <font color="#ffffff">Ich wohne in der Stadt Bern, wo es</font>
  <font color="#ffffff">mehrere kardiologische Zentren gibt.</font>

  544
  00:29:56.456 --> 00:29:58.234 
  <font color="#ffffff">Braucht es das?</font>

  545
  00:29:58.876 --> 00:30:00.525 
  <font color="#ffffff">(Hässig) Es gibt 16 kardiologische</font>
  <font color="#ffffff">Zentren in der Schweiz.</font>

  546
  00:30:01.166 --> 00:30:04.017 
  <font color="#ffffff">Jetzt will der Kanton St. Gallen</font>
  <font color="#ffffff">ein 17. machen.</font>

  547
  00:30:04.658 --> 00:30:07.217 
  <font color="#ffffff">Das ist doch seltsam. Wir haben</font>
  <font color="#ffffff">16 Herzzentren in der Schweiz.</font>

  548
  00:30:07.857 --> 00:30:11.067 
  <font color="#ffffff">Jetzt will das Kantonsspital St.</font>
  <font color="#ffffff">Gallen ein 17. Herzzentrum machen.</font>

  549
  00:30:11.708 --> 00:30:14.445 
  <font color="#ffffff">Es gibt aber im Kanton Thurgau</font>
  <font color="#ffffff">ein Herzzentrum,</font>

  550
  00:30:15.086 --> 00:30:18.104 
  <font color="#ffffff">es gibt welche in Zürich, in Basel,</font>
  <font color="#ffffff">16 in unserer kleinen Schweiz.</font>

  551
  00:30:18.746 --> 00:30:22.005 
  <font color="#ffffff">Das treibt die Kosten hinauf.</font>
  <font color="#ffffff">Wir müssen ehrlich zu uns sein.</font>

  552
  00:30:22.648 --> 00:30:26.165 
  <font color="#ffffff">Wir müssen den Menschen sagen,</font>
  <font color="#ffffff">dass wir bessere Qualität haben,</font>

  553
  00:30:26.806 --> 00:30:29.196 
  <font color="#ffffff">wenn jene Menschen ... Du kannst das</font>
  <font color="#ffffff">wohl bestätigen, Bettina.</font>

  554
  00:30:29.838 --> 00:30:31.604 
  <font color="#ffffff">Wenn du mehr Operationen machst</font>
  <font color="#ffffff">vom gleichen,</font>

  555
  00:30:32.246 --> 00:30:35.222 
  <font color="#ffffff">bist du viel besser darin,</font>
  <font color="#ffffff">ist die Qualität doch viel besser,</font>

  556
  00:30:35.863 --> 00:30:38.245 
  <font color="#ffffff">als wenn jemand in ein Spital geht,</font>
  <font color="#ffffff">das diesen Eingriff selten macht.</font>

  557
  00:30:38.886 --> 00:30:41.076 
  <font color="#ffffff">* Sie sprechen durcheinander. *</font>

  558
  00:30:41.719 --> 00:30:43.439 
  <font color="#ffffff">(Engelberger) Wir müssen</font>
  <font color="#ffffff">diese Zahlen mal entgegennehmen.</font>

  559
  00:30:44.080 --> 00:30:49.784 
  <font color="#ffffff">Man sieht, dass es eine</font>
  <font color="#ffffff">sehr starke Konvergenzbewegung gibt</font>

  560
  00:30:50.427 --> 00:30:52.515 
  <font color="#ffffff">in den letzten 20 Jahren.</font>

  561
  00:30:53.156 --> 00:30:56.386 
  <font color="#ffffff">Diese Entwicklung</font>
  <font color="#ffffff">wird so weitergehen.</font>

  562
  00:30:57.028 --> 00:31:00.395 
  <font color="#ffffff">Es ist nie ein geradliniger Prozess.</font>

  563
  00:31:01.037 --> 00:31:03.356 
  <font color="#ffffff">Man könnte Entscheide</font>
  <font color="#ffffff">von einzelnen Kantonen anführen,</font>

  564
  00:31:03.996 --> 00:31:05.945 
  <font color="#ffffff">die ich nicht zu kommentieren habe.</font>

  565
  00:31:06.586 --> 00:31:09.985 
  <font color="#ffffff">Der grosse Trend ist offensichtlich</font>
  <font color="#ffffff">und geht in diese Richtung.</font>

  566
  00:31:10.628 --> 00:31:16.105 
  <font color="#ffffff">Ich nehme gerne mit -</font>
  <font color="#ffffff">nicht erst seit diesen Wochen:</font>

  567
  00:31:16.750 --> 00:31:18.665 
  <font color="#ffffff">Wir müssen in der GDK</font>

  568
  00:31:19.308 --> 00:31:22.815 
  <font color="#ffffff">unsere Methoden der interkantonalen</font>
  <font color="#ffffff">Zusammenarbeit verbessern,</font>

  569
  00:31:23.456 --> 00:31:27.664 
  <font color="#ffffff">damit wir zu regional</font>
  <font color="#ffffff">breiteren Planungsräumen kommen.</font>

  570
  00:31:28.306 --> 00:31:29.709 
  <font color="#00ffff">Ich spüre aus der Diskussion</font>
  <font color="#00ffff">eine Frage heraus:</font>

  571
  00:31:30.351 --> 00:31:32.036 
  <font color="#00ffff">Braucht es so viele</font>
  <font color="#00ffff">klassische Spitäler?</font>

  572
  00:31:32.677 --> 00:31:35.826 
  <font color="#00ffff">Wäre es nicht auch klug, umzubauen</font>

  573
  00:31:36.467 --> 00:31:38.977 
  <font color="#00ffff">und mehr ambulante Zentren</font>
  <font color="#00ffff">zu machen?</font>

  574
  00:31:39.618 --> 00:31:41.964 
  <font color="#ffffff">Das passiert ja laufend. Sonst wäre</font>
  <font color="#ffffff">es nicht von 200 auf 100 gesunken.</font>

  575
  00:31:42.606 --> 00:31:45.655 
  <font color="#ffffff">(Hässig) Ich bin schon überrascht,</font>
  <font color="#ffffff">Herr Engelberger, wenn Sie sagen,</font>

  576
  00:31:46.297 --> 00:31:48.015 
  <font color="#ffffff">wir müssten weitermachen</font>

  577
  00:31:48.656 --> 00:31:51.442 
  <font color="#ffffff">oder Sie möchten Ihre Kolleg/-innen</font>
  <font color="#ffffff">in den Kantonen nicht kommentieren.</font>

  578
  00:31:52.083 --> 00:31:53.717 
  <font color="#ffffff">Eigentlich: doch!</font>

  579
  00:31:54.357 --> 00:31:56.865 
  <font color="#ffffff">Eigentlich möchte ich gerne,</font>
  <font color="#ffffff">dass Sie Stellung nehmen würden</font>

  580
  00:31:57.506 --> 00:32:01.245 
  <font color="#ffffff">zu St. Gallen, Bündnerland,</font>
  <font color="#ffffff">Glarus, Thurgau, Appenzell.</font>

  581
  00:32:01.886 --> 00:32:04.405 
  <font color="#ffffff">Wieso will der Kanton Bern nicht mit</font>
  <font color="#ffffff">dem Kanton Jura zusammenarbeiten?</font>

  582
  00:32:05.046 --> 00:32:06.515 
  <font color="#ffffff">Wieso schafft man es nicht?</font>

  583
  00:32:07.156 --> 00:32:08.595 
  <font color="#ffffff">Und was ist so schlecht daran,</font>

  584
  00:32:09.236 --> 00:32:11.675 
  <font color="#ffffff">wenn es die Kantone nach</font>
  <font color="#ffffff">einer gewissen Zeit nicht schaffen,</font>

  585
  00:32:12.316 --> 00:32:14.285 
  <font color="#ffffff">der Bund</font>
  <font color="#ffffff">wenigstens die Kompetenz hat?</font>

  586
  00:32:14.926 --> 00:32:17.026 
  <font color="#ffffff">Ich möchte dem Bund</font>
  <font color="#ffffff">nur eine Kompetenz geben, fertig.</font>

  587
  00:32:17.668 --> 00:32:19.624 
  <font color="#ffffff">(Wasserfallen) Wir müssen uns selbst</font>
  <font color="#ffffff">auch an der Nase nehmen.</font>

  588
  00:32:20.266 --> 00:32:23.996 
  <font color="#ffffff">Beim HSM-Konkordat</font>
  <font color="#ffffff">haben wir auch auf nationaler Ebene</font>

  589
  00:32:24.637 --> 00:32:27.445 
  <font color="#ffffff">Motionen aus Kantonen,</font>
  <font color="#ffffff">die teils leer ausgegangen sind,</font>

  590
  00:32:28.086 --> 00:32:29.746 
  <font color="#ffffff">die das rückgängig machen möchten.</font>

  591
  00:32:30.387 --> 00:32:32.596 
  <font color="#ffffff">Das müssen wir</font>
  <font color="#ffffff">den Fachpersonen überlassen.</font>

  592
  00:32:33.237 --> 00:32:35.249 
  <font color="#ffffff">Sie müssen entscheiden, in</font>
  <font color="#ffffff">welchen Spitälern was gemacht wird</font>

  593
  00:32:35.886 --> 00:32:39.014 
  <font color="#ffffff">in der hochspezialisierten Medizin,</font>
  <font color="#ffffff">sodass die Qualität stimmt.</font>

  594
  00:32:39.656 --> 00:32:42.395 
  <font color="#ffffff">Damit genug Fälle</font>
  <font color="#ffffff">gemacht werden können</font>

  595
  00:32:43.037 --> 00:32:44.841 
  <font color="#ffffff">und dass es</font>
  <font color="#ffffff">den Patient/-innen dient,</font>

  596
  00:32:45.482 --> 00:32:46.996 
  <font color="#ffffff">dass das richtige Personal dort ist.</font>

  597
  00:32:47.638 --> 00:32:49.265 
  <font color="#00ffff">Ich brauche in dieser Diskussion</font>
  <font color="#00ffff">einen Boxenstopp</font>

  598
  00:32:49.906 --> 00:32:51.164 
  <font color="#00ffff">beim Politologen Lukas Golder.</font>

  599
  00:32:51.805 --> 00:32:56.395 
  <font color="#00ffff">Eine Spitalschliessung ist immer</font>
  <font color="#00ffff">ein heisses Eisen für die Kantone</font>

  600
  00:32:57.035 --> 00:33:01.785 
  <font color="#00ffff">und für einzelne Regierungsräte.</font>

  601
  00:33:02.426 --> 00:33:05.575 
  <font color="#00ffff">Was braucht es,</font>
  <font color="#00ffff">damit die Bevölkerung sagt,</font>

  602
  00:33:06.216 --> 00:33:08.894 
  <font color="#00ffff">es sei okay, sie sei einverstanden</font>
  <font color="#00ffff">mit einer Spitalschliessung?</font>

  603
  00:33:09.535 --> 00:33:12.724 
  <font color="#008000">Die Bevölkerung ist dann</font>
  <font color="#008000">praktisch flächendeckend dagegen,</font>

  604
  00:33:13.366 --> 00:33:17.784 
  <font color="#008000">wenn sie das Gefühl hat,</font>
  <font color="#008000">die Versorgung werde schlechter.</font>

  605
  00:33:18.426 --> 00:33:21.046 
  <font color="#008000">Wenn man überzeugen kann,</font>
  <font color="#008000">dass die Versorgung besser wird -</font>

  606
  00:33:21.687 --> 00:33:24.885 
  <font color="#008000">und diese Diskussion</font>
  <font color="#008000">ist noch zu führen.</font>

  607
  00:33:25.526 --> 00:33:27.904 
  <font color="#008000">Mit der Idee, dass man</font>
  <font color="#008000">stärker zentral mitreden kann,</font>

  608
  00:33:28.546 --> 00:33:32.084 
  <font color="#008000">stärker zentral entscheidet</font>
  <font color="#008000">und die Versorgung stärker steuert.</font>

  609
  00:33:32.726 --> 00:33:35.035 
  <font color="#008000">Wenn das gelingt,</font>
  <font color="#008000">egal, auf welcher Basis,</font>

  610
  00:33:35.677 --> 00:33:38.706 
  <font color="#008000">haben wir eine bessere, qualitativ</font>
  <font color="#008000">hochwertigere Versorgung</font>

  611
  00:33:39.349 --> 00:33:41.265 
  <font color="#008000">und wir werden</font>
  <font color="#008000">noch weniger Spitäler haben.</font>

  612
  00:33:41.906 --> 00:33:43.954 
  <font color="#008000">Denn das braucht es in dieser Zahl</font>
  <font color="#008000">im internationalen Vergleich nicht.</font>

  613
  00:33:44.595 --> 00:33:47.364 
  <font color="#008000">Aber es tut weh, und die Diskussion</font>
  <font color="#008000">ist schwierig zu führen.</font>

  614
  00:33:48.006 --> 00:33:50.905 
  <font color="#008000">Die Bevölkerung hat sofort Angst,</font>
  <font color="#008000">dass die Versorgung leidet.</font>

  615
  00:33:51.547 --> 00:33:54.005 
  <font color="#00ffff">Es braucht eine gewisse Steuerung,</font>
  <font color="#00ffff">aber Sie legen sich nicht fest</font>

  616
  00:33:54.646 --> 00:33:57.115 
  <font color="#00ffff">und sagen, es sollte besser</font>
  <font color="#00ffff">beim Bund sein als bei den Kantonen.</font>

  617
  00:33:57.756 --> 00:33:59.630 
  <font color="#008000">Vor über zehn Jahren</font>
  <font color="#008000">wurden im stationären Bereich</font>

  618
  00:34:00.271 --> 00:34:03.234 
  <font color="#008000">die Fallpauschalen eingeführt.</font>

  619
  00:34:03.877 --> 00:34:05.966 
  <font color="#008000">Man hatte sofort Angst,</font>
  <font color="#008000">jetzt käme ein grosser Knall,</font>

  620
  00:34:06.607 --> 00:34:09.623 
  <font color="#008000">es passiere auf einen Schlag.</font>

  621
  00:34:10.275 --> 00:34:11.634 
  <font color="#008000">Was ist passiert?</font>
  <font color="#008000">Die Kantone haben investiert.</font>

  622
  00:34:12.275 --> 00:34:15.675 
  <font color="#008000">Sie haben z.T.</font>
  <font color="#008000">riesige Paläste gebaut,</font>

  623
  00:34:16.315 --> 00:34:17.924 
  <font color="#008000">die jetzt fast nicht</font>
  <font color="#008000">refinanziert werden können.</font>

  624
  00:34:18.565 --> 00:34:19.994 
  <font color="#008000">Das zeigt, dass erst jetzt</font>
  <font color="#008000">der Druck so hoch ist,</font>

  625
  00:34:20.635 --> 00:34:22.454 
  <font color="#008000">in den Kantonen Zürich,</font>
  <font color="#008000">Aargau, Bern z.B.,</font>

  626
  00:34:23.094 --> 00:34:25.304 
  <font color="#008000">dass wir eine Bereinigung</font>
  <font color="#008000">der Spitallandschaft erleben werden.</font>

  627
  00:34:25.947 --> 00:34:29.284 
  <font color="#008000">Mit den vor über zehn Jahren</font>
  <font color="#008000">eingeführten zentralen Instrumenten</font>

  628
  00:34:29.926 --> 00:34:32.795 
  <font color="#008000">der Fallpauschalen.</font>

  629
  00:34:33.436 --> 00:34:34.905 
  <font color="#008000">Das zeigt, dass der Weg</font>
  <font color="#008000">in Richtung Zentralisierung</font>

  630
  00:34:35.545 --> 00:34:37.414 
  <font color="#008000">und die Instrumente langsam wirken,</font>
  <font color="#008000">typisch schweizerisch.</font>

  631
  00:34:38.054 --> 00:34:41.184 
  <font color="#008000">Man ist vorsichtig</font>
  <font color="#008000">und investiert lieber einmal mehr.</font>

  632
  00:34:41.824 --> 00:34:44.234 
  <font color="#008000">Aber die Instrumente kommen und</font>
  <font color="#008000">wir werden zentralisiert steuern.</font>

  633
  00:34:44.876 --> 00:34:46.925 
  <font color="#008000">Zum Thema Covid: Als die Kantone</font>
  <font color="#008000">Verantwortung übernehmen wollten,</font>

  634
  00:34:47.567 --> 00:34:49.237 
  <font color="#008000">ging das Vertrauen der Bevölkerung</font>
  <font color="#008000">in die Lösung und Führung</font>

  635
  00:34:49.879 --> 00:34:51.255 
  <font color="#008000">während der Pandemie zurück.</font>

  636
  00:34:51.896 --> 00:34:53.512 
  <font color="#008000">Man hat gespürt, dass sie sich</font>
  <font color="#008000">nicht immer einig sind.</font>

  637
  00:34:54.152 --> 00:34:55.692 
  <font color="#008000">Das war eine Kritik</font>
  <font color="#008000">in der Evaluation.</font>

  638
  00:34:56.333 --> 00:34:58.554 
  <font color="#008000">In dieser Zeit wurde man</font>
  <font color="#008000">plötzlich unsicher, was gilt.</font>

  639
  00:34:59.195 --> 00:35:01.746 
  <font color="#008000">Man sieht an diesem Beispiel,</font>
  <font color="#008000">aber auch bei der Digitalisierung,</font>

  640
  00:35:02.387 --> 00:35:04.233 
  <font color="#008000">dass die Zentralisierung</font>
  <font color="#008000">ein wichtiger Baustein ist,</font>

  641
  00:35:04.875 --> 00:35:06.935 
  <font color="#008000">damit die Politik diese Steuerung</font>
  <font color="#008000">wieder gewinnen kann.</font>

  642
  00:35:07.576 --> 00:35:10.037 
  <font color="#00ffff">Konkret zur Idee von Patrick Hässig:</font>

  643
  00:35:10.678 --> 00:35:14.954 
  <font color="#00ffff">Welche politische Chance</font>
  <font color="#00ffff">geben Sie dieser Idee?</font>

  644
  00:35:15.596 --> 00:35:17.094 
  <font color="#008000">Es wird eine lange Diskussion.</font>

  645
  00:35:17.736 --> 00:35:21.454 
  <font color="#008000">Viele grössere Reformen</font>
  <font color="#008000">brauchten über zehn Jahre,</font>

  646
  00:35:22.095 --> 00:35:23.586 
  <font color="#008000">bis sie durchgekommen sind.</font>

  647
  00:35:24.230 --> 00:35:26.184 
  <font color="#008000">Z.T. sagte das Volk</font>
  <font color="#008000">extrem klar Nein.</font>

  648
  00:35:26.826 --> 00:35:28.774 
  <font color="#008000">Das höchste Nein, das wir je hatten,</font>
  <font color="#008000">war bei Managed Care.</font>

  649
  00:35:29.415 --> 00:35:31.734 
  <font color="#008000">Man wollte überhaupt nicht, dass</font>
  <font color="#008000">irgendjemand beginnt zu managen</font>

  650
  00:35:32.378 --> 00:35:34.239 
  <font color="#008000">und integriert zu versorgen,</font>
  <font color="#008000">obwohl Expert/-innen sagen,</font>

  651
  00:35:34.880 --> 00:35:36.444 
  <font color="#008000">das wäre ein guter Weg.</font>

  652
  00:35:37.085 --> 00:35:38.754 
  <font color="#008000">Man wollte das nicht,</font>
  <font color="#008000">es wurde sehr stark verworfen.</font>

  653
  00:35:39.396 --> 00:35:41.785 
  <font color="#008000">Das zeigt,</font>
  <font color="#008000">dass Reformen extrem schwierig sind.</font>

  654
  00:35:42.426 --> 00:35:45.215 
  <font color="#008000">Aber ich sehe den Weg</font>
  <font color="#008000">in Richtung Zentralisierung.</font>

  655
  00:35:45.856 --> 00:35:48.574 
  <font color="#008000">Das braucht wie bei der Spitzenmedi-</font>
  <font color="#008000">zin etwas mehr koordinierte Hand.</font>

  656
  00:35:49.215 --> 00:35:53.316 
  <font color="#008000">Bei der koordinierten Hand ist es</font>
  <font color="#008000">gut, wie bei der Diskussion zur EU,</font>

  657
  00:35:53.958 --> 00:35:55.813 
  <font color="#008000">wenn man sagen kann, die dort oben</font>
  <font color="#008000">hätten das entschieden.</font>

  658
  00:35:56.455 --> 00:35:58.694 
  <font color="#008000">Dafür ist es besser zu vertreten,</font>
  <font color="#008000">wenn man in einem Kanton</font>

  659
  00:35:59.336 --> 00:36:01.454 
  <font color="#008000">schmerzhafte Reformschritte</font>
  <font color="#008000">vertreten muss.</font>

  660
  00:36:02.096 --> 00:36:05.444 
  <font color="#00ffff">Patrick Hässig, d.h. also, die Idee</font>
  <font color="#00ffff">braucht noch ein wenig Zeit.</font>

  661
  00:36:06.085 --> 00:36:08.864 
  <font color="#ffffff">Ja, sicher, diese Zeit</font>
  <font color="#ffffff">dürfen wir uns auch geben.</font>

  662
  00:36:09.506 --> 00:36:11.594 
  <font color="#ffffff">Ich wollte es</font>
  <font color="#ffffff">einfach mal ansprechen.</font>

  663
  00:36:12.236 --> 00:36:15.584 
  <font color="#ffffff">Durch die Abstimmung hindurch,</font>
  <font color="#ffffff">durch die Thematik mit den Menschen,</font>

  664
  00:36:16.226 --> 00:36:18.142 
  <font color="#ffffff">mit denen ich rede -</font>
  <font color="#ffffff">ich arbeite im Gesundheitswesen ...</font>

  665
  00:36:18.783 --> 00:36:21.126 
  <font color="#ffffff">Es muss etwas passieren - dort,</font>
  <font color="#ffffff">wo man wirklich Kosten sparen kann.</font>

  666
  00:36:21.767 --> 00:36:24.414 
  <font color="#ffffff">Wir alle</font>
  <font color="#ffffff">wollen weniger Prämie bezahlen.</font>

  667
  00:36:25.055 --> 00:36:28.014 
  <font color="#ffffff">Es ist kein Spitalschliessungs-</font>
  <font color="#ffffff">vorstoss, das ist mir sehr wichtig.</font>

  668
  00:36:28.655 --> 00:36:30.674 
  <font color="#ffffff">Ich möchte nicht per se</font>
  <font color="#ffffff">Spitäler schliessen.</font>

  669
  00:36:31.316 --> 00:36:32.754 
  <font color="#ffffff">Aber ich möchte,</font>
  <font color="#ffffff">dass man sich überlegt,</font>

  670
  00:36:33.396 --> 00:36:34.904 
  <font color="#ffffff">wo es welches Spital</font>
  <font color="#ffffff">mit welchem Angebot braucht.</font>

  671
  00:36:35.545 --> 00:36:37.305 
  <font color="#ffffff">Und wie können wir es stemmen</font>
  <font color="#ffffff">mit dem Personal, das wir haben?</font>

  672
  00:36:37.945 --> 00:36:40.684 
  <font color="#ffffff">Wir haben echt zu wenig Personal,</font>

  673
  00:36:41.326 --> 00:36:44.724 
  <font color="#ffffff">also können wir uns nicht</font>
  <font color="#ffffff">276 Spitäler leisten in der Schweiz.</font>

  674
  00:36:45.365 --> 00:36:45.365 
  <font color="#ffffff">Wir müssen uns etwas überlegen.</font>

  675
  00:36:46.005 --> 00:36:50.264 
  <font color="#ffffff">Ich möchte das Spital im Münstertal</font>
  <font color="#ffffff">nicht schliessen.</font>

  676
  00:36:50.905 --> 00:36:53.964 
  <font color="#ffffff">Denn bei Schlechtwetter kommt die</font>
  <font color="#ffffff">Rega nicht mehr über den Ofenpass.</font>

  677
  00:36:54.606 --> 00:36:56.906 
  <font color="#00ffff">Das haben Sie vorhin schon gesagt.</font>
  <font color="#00ffff">Hier machen wir einen Punkt.</font>

  678
  00:36:57.547 --> 00:36:59.965 
  <font color="#00ffff">So viel zum GLP-Vorschlag</font>
  <font color="#00ffff">von Patrick Hässig.</font>

  679
  00:37:00.607 --> 00:37:02.644 
  <font color="#00ffff">Der nächste Vorschlag,</font>
  <font color="#00ffff">den wir heute Abend diskutieren,</font>

  680
  00:37:03.286 --> 00:37:05.874 
  <font color="#00ffff">kommt von der SP,</font>
  <font color="#00ffff">von den Sozialdemokraten.</font>

  681
  00:37:06.516 --> 00:37:09.034 
  <font color="#00ffff">Sie wollen es noch einmal versuchen</font>
  <font color="#00ffff">mit einer Einheitskasse,</font>

  682
  00:37:09.676 --> 00:37:12.053 
  <font color="#00ffff">mit einer öffentlichen Krankenkasse,</font>
  <font color="#00ffff">maximal eine pro Kanton.</font>

  683
  00:37:12.695 --> 00:37:16.775 
  <font color="#00ffff">Diese Idee ist alles andere als neu.</font>

  684
  00:37:17.422 --> 00:37:20.884 
  <font color="#00ffff">In der Vergangenheit</font>
  <font color="#00ffff">hatte sie es wirklich nicht leicht.</font>

  685
  00:37:23.297 --> 00:37:27.594 
  <font color="#ffffff">1994: Die Abstimmung</font>
  <font color="#ffffff">über die SP-Initiative</font>

  686
  00:37:28.235 --> 00:37:30.834 
  <font color="#ffffff">für eine gesunde Krankenversicherung</font>

  687
  00:37:31.474 --> 00:37:34.154 
  <font color="#ffffff">bringt die Einheitskrankenkasse</font>
  <font color="#ffffff">zum ersten Mal auf das Tapet.</font>

  688
  00:37:34.795 --> 00:37:38.195 
  <font color="#ffffff">Mit ihrer Gegenkampagne setzen sich</font>
  <font color="#ffffff">allerdings die Bürgerlichen durch:</font>

  689
  00:37:38.836 --> 00:37:42.285 
  <font color="#ffffff">Die Vorlage wird mit</font>
  <font color="#ffffff">einem wuchtigen Nein abgeschmettert.</font>

  690
  00:37:42.926 --> 00:37:45.764 
  <font color="#ffffff">Mit der Gesundheits-Initiative</font>
  <font color="#ffffff">starten die Genossinnen und Genossen</font>

  691
  00:37:46.406 --> 00:37:48.564 
  <font color="#ffffff">2003 einen neuen Versuch.</font>

  692
  00:37:49.205 --> 00:37:52.634 
  <font color="#ffffff">Die Prämien sollen sinken - v.a.</font>
  <font color="#ffffff">für Familien mit tiefen Einkommen.</font>

  693
  00:37:53.275 --> 00:37:55.634 
  <font color="#ffffff">Die Bürgerlichen</font>
  <font color="#ffffff">befürchten hohe Gesundheitssteuern</font>

  694
  00:37:56.275 --> 00:38:00.634 
  <font color="#ffffff">und stellen sich erneut gegen die</font>
  <font color="#ffffff">Forderung nach einer Einheitskasse.</font>

  695
  00:38:01.275 --> 00:38:04.754 
  <font color="#ffffff">Auch das Stimmvolk</font>
  <font color="#ffffff">sagt mit knapp 73 % Nein.</font>

  696
  00:38:05.396 --> 00:38:08.734 
  <font color="#ffffff">2007: schon wieder</font>
  <font color="#ffffff">enttäuschte Gesichter bei der SP.</font>

  697
  00:38:09.375 --> 00:38:11.554 
  <font color="#ffff00">(Originalton) Wuchtiges Nein.</font>

  698
  00:38:12.195 --> 00:38:15.214 
  <font color="#ffff00">Die Einheitskassen-Initiative</font>
  <font color="#ffff00">wird mit 71 % abgelehnt.</font>

  699
  00:38:15.855 --> 00:38:19.874 
  <font color="#ffffff">Nur fünf Jahre später</font>
  <font color="#ffffff">lancieren SP und Grüne</font>

  700
  00:38:20.516 --> 00:38:23.178 
  <font color="#ffffff">die Volksinitiative</font>
  <font color="#ffffff">für eine öffentliche Krankenkasse.</font>

  701
  00:38:23.819 --> 00:38:25.684 
  <font color="#ffffff">Auch diesmal</font>

  702
  00:38:26.325 --> 00:38:28.404 
  <font color="#ffffff">gelingt der Systemwechsel</font>
  <font color="#ffffff">im Gesundheitswesen nicht.</font>

  703
  00:38:29.045 --> 00:38:31.024 
  <font color="#ffffff">2014 stimmt die Schweiz ab:</font>

  704
  00:38:32.526 --> 00:38:35.044 
  <font color="#008000">Sowohl Volk als auch Stände</font>
  <font color="#008000">wollen die 61 privaten Krankenkassen</font>

  705
  00:38:35.685 --> 00:38:38.244 
  <font color="#008000">in der Schweiz nicht durch</font>
  <font color="#008000">eine öffentlich-rechtliche ersetzen.</font>

  706
  00:38:38.886 --> 00:38:43.973 
  <font color="#ffffff">Zehn Jahre später: Nach dem Nein</font>
  <font color="#ffffff">zur Prämienentlastungs-Initiative</font>

  707
  00:38:44.615 --> 00:38:47.584 
  <font color="#ffffff">will die SP der Einheitskasse</font>
  <font color="#ffffff">nochmals eine Chance geben.</font>

  708
  00:38:48.225 --> 00:38:49.664 
  <font color="#ffffff">Gut möglich, dass die Schweiz</font>

  709
  00:38:50.305 --> 00:38:52.034 
  <font color="#ffffff">bald ein fünftes Mal</font>
  <font color="#ffffff">darüber abstimmen wird.</font>

  710
  00:38:55.307 --> 00:38:59.163 
  <font color="#00ffff">Wir fragen uns natürlich, wie</font>
  <font color="#00ffff">das fünfte Mal herauskommen könnte.</font>

  711
  00:38:59.805 --> 00:39:02.644 
  <font color="#00ffff">Laut einer Umfrage von Deloitte -</font>
  <font color="#00ffff">und das ist spannend -</font>

  712
  00:39:03.285 --> 00:39:05.644 
  <font color="#00ffff">sieht es gar nicht so schlecht aus</font>
  <font color="#00ffff">für diese SP-Idee:</font>

  713
  00:39:06.285 --> 00:39:08.116 
  <font color="#00ffff">65 % der Befragten würden</font>
  <font color="#00ffff">für eine Einheitskasse stimmen.</font>

  714
  00:39:08.757 --> 00:39:10.066 
  <font color="#00ffff">Wir hatten viermal ein Nein,</font>

  715
  00:39:10.708 --> 00:39:14.919 
  <font color="#00ffff">jetzt plötzlich ein solcher Wert</font>
  <font color="#00ffff">bei einer Umfrage.</font>

  716
  00:39:15.557 --> 00:39:19.903 
  <font color="#00ffff">Ist das nicht ein Zeichen dafür,</font>
  <font color="#00ffff">dass die Bevölkerung müde ist,</font>

  717
  00:39:20.545 --> 00:39:23.274 
  <font color="#00ffff">dass die Prämien</font>
  <font color="#00ffff">stärker und stärker steigen?</font>

  718
  00:39:23.918 --> 00:39:27.484 
  <font color="#ffffff">Ich muss klar sagen:</font>
  <font color="#ffffff">Nein zur Einheitskasse.</font>

  719
  00:39:28.125 --> 00:39:35.133 
  <font color="#ffffff">Ich glaube nicht, dass diese Umfrage</font>
  <font color="#ffffff">das ist, was man an der Urne sieht.</font>

  720
  00:39:35.775 --> 00:39:37.291 
  <font color="#ffffff">Das habe ich auch</font>
  <font color="#ffffff">bei der 10-%-Initiative gesehen.</font>

  721
  00:39:37.933 --> 00:39:39.874 
  <font color="#ffffff">Es hat am Anfang</font>
  <font color="#ffffff">auch gut ausgesehen.</font>

  722
  00:39:40.515 --> 00:39:42.854 
  <font color="#ffffff">Wenn man darüber nachdenkt, merkt</font>
  <font color="#ffffff">man, was wirklich dahinter steckt,</font>

  723
  00:39:43.495 --> 00:39:45.104 
  <font color="#ffffff">und entscheidet sich doch anders.</font>

  724
  00:39:45.745 --> 00:39:47.280 
  <font color="#00ffff">Offensichtlich</font>
  <font color="#00ffff">sagen viele Menschen in diesem Land,</font>

  725
  00:39:47.921 --> 00:39:50.125 
  <font color="#00ffff">es müsse etwas gehen.</font>

  726
  00:39:50.765 --> 00:39:52.683 
  <font color="#00ffff">Vielleicht auch</font>
  <font color="#00ffff">in Richtung Einheitskasse.</font>

  727
  00:39:53.324 --> 00:39:54.783 
  <font color="#ffffff">(Balmer) Ja, im ersten Moment</font>
  <font color="#ffffff">klingt es sympathisch.</font>

  728
  00:39:55.425 --> 00:39:58.394 
  <font color="#ffffff">Aber wenn man es genau anschaut,</font>
  <font color="#ffffff">vergibt man eine Wahlfreiheit.</font>

  729
  00:39:59.035 --> 00:40:01.324 
  <font color="#ffffff">Man kann</font>
  <font color="#ffffff">keine Krankenkasse mehr wählen,</font>

  730
  00:40:01.965 --> 00:40:04.775 
  <font color="#ffffff">die am besten zur eigenen Gesundheit</font>
  <font color="#ffffff">oder Krankheit passt.</font>

  731
  00:40:05.416 --> 00:40:08.009 
  <font color="#ffffff">Man sagt Ja zu einem Staatsbetrieb,</font>

  732
  00:40:08.651 --> 00:40:11.683 
  <font color="#ffffff">der sekundär vielleicht langsam,</font>
  <font color="#ffffff">träge, bürokratisch wird.</font>

  733
  00:40:12.324 --> 00:40:14.483 
  <font color="#ffffff">Bis jetzt</font>
  <font color="#ffffff">hat die Bevölkerung das erkannt,</font>

  734
  00:40:15.124 --> 00:40:16.794 
  <font color="#ffffff">wenn es um die Sache ging.</font>

  735
  00:40:17.434 --> 00:40:19.436 
  <font color="#ffffff">Ich glaube,</font>
  <font color="#ffffff">auch diese Umfrage wird sich ändern,</font>

  736
  00:40:20.078 --> 00:40:22.804 
  <font color="#ffffff">wenn es hart auf hart kommt.</font>

  737
  00:40:23.445 --> 00:40:27.061 
  <font color="#00ffff">Eine öffentliche Kasse pro Kanton,</font>
  <font color="#00ffff">da wären wir total auch bei 26.</font>

  738
  00:40:27.703 --> 00:40:29.853 
  <font color="#00ffff">Jetzt haben wir knapp 40.</font>

  739
  00:40:30.498 --> 00:40:33.668 
  <font color="#00ffff">Das bräuchte auch eine Verwaltung</font>
  <font color="#00ffff">und eine Struktur, die kostet.</font>

  740
  00:40:34.309 --> 00:40:36.844 
  <font color="#ffffff">Ja, aber die Frage ist am Schluss,</font>

  741
  00:40:37.485 --> 00:40:39.964 
  <font color="#ffffff">welches System für die Patient/-</font>
  <font color="#ffffff">innen am besten funktioniert,</font>

  742
  00:40:40.605 --> 00:40:42.205 
  <font color="#ffffff">für die Prämienzahlenden.</font>

  743
  00:40:42.846 --> 00:40:45.003 
  <font color="#ffffff">Man kann der SP nicht vorwerfen,</font>
  <font color="#ffffff">sie habe keinen langen Atem.</font>

  744
  00:40:45.644 --> 00:40:48.214 
  <font color="#ffffff">Ich bin überzeugt, dass wir beim</font>
  <font color="#ffffff">nächsten Mal Erfolg haben werden.</font>

  745
  00:40:48.855 --> 00:40:51.884 
  <font color="#ffffff">Wenn ich mit den Menschen rede,</font>
  <font color="#ffffff">wenn ich mit Ärzt/-innen rede,</font>

  746
  00:40:52.525 --> 00:40:54.864 
  <font color="#ffffff">in letzter Zeit</font>
  <font color="#ffffff">war ich oft unterwegs</font>

  747
  00:40:55.505 --> 00:40:57.434 
  <font color="#ffffff">für die Prämienentlastungs-</font>
  <font color="#ffffff">Initiative, dann sieht niemand ein,</font>

  748
  00:40:58.075 --> 00:41:00.133 
  <font color="#ffffff">wieso so viele Kassen</font>
  <font color="#ffffff">dasselbe anbieten sollen.</font>

  749
  00:41:00.774 --> 00:41:03.743 
  <font color="#ffffff">Auch die Ankündigung von gestern,</font>

  750
  00:41:04.384 --> 00:41:07.175 
  <font color="#ffffff">dass sich die Kassen</font>
  <font color="#ffffff">gegenseitig zerstritten haben</font>

  751
  00:41:07.817 --> 00:41:10.044 
  <font color="#ffffff">und dass die Spaltung</font>
  <font color="#ffffff">Reformen blockiert hat ...</font>

  752
  00:41:10.685 --> 00:41:12.184 
  <font color="#ffffff">Dass sie näher zusammenrücken,</font>

  753
  00:41:12.825 --> 00:41:15.674 
  <font color="#ffffff">ist schon eine erste Wirkung</font>
  <font color="#ffffff">der Ankündigung dieser Initiative.</font>

  754
  00:41:16.315 --> 00:41:17.788 
  <font color="#ffffff">So kann es nicht weitergehen.</font>

  755
  00:41:18.424 --> 00:41:19.778 
  <font color="#ffffff">Wir brauchen Kassen,</font>

  756
  00:41:20.420 --> 00:41:22.213 
  <font color="#ffffff">die die Interessen der Menschen</font>
  <font color="#ffffff">in den Vordergrund stellen.</font>

  757
  00:41:22.854 --> 00:41:24.393 
  <font color="#ffffff">Und nicht die CEO-Löhne,</font>
  <font color="#ffffff">nicht ihre Werbebudgets.</font>

  758
  00:41:25.035 --> 00:41:27.154 
  <font color="#ffffff">Wir haben einen Pseudowettbewerb,</font>
  <font color="#ffffff">der keinen Mehrwert bringt.</font>

  759
  00:41:27.795 --> 00:41:29.624 
  <font color="#ffffff">Wir haben z.B. reine Wechselkosten.</font>

  760
  00:41:30.265 --> 00:41:32.245 
  <font color="#ffffff">Wenn die Menschen</font>
  <font color="#ffffff">Ende Jahr die Kasse wechseln,</font>

  761
  00:41:32.887 --> 00:41:35.665 
  <font color="#ffffff">verursacht das viele Kosten</font>
  <font color="#ffffff">für keinen Benefit.</font>

  762
  00:41:36.306 --> 00:41:39.738 
  <font color="#ffffff">Wir müssen</font>
  <font color="#ffffff">mehr Gerechtigkeit herstellen.</font>

  763
  00:41:40.379 --> 00:41:43.814 
  <font color="#ffffff">Das Wichtigste ist die Prävention.</font>

  764
  00:41:44.456 --> 00:41:46.154 
  <font color="#ffffff">Die Kassen im heutigen System</font>
  <font color="#ffffff">haben kein Interesse</font>

  765
  00:41:46.800 --> 00:41:48.353 
  <font color="#ffffff">und zu wenig Möglichkeiten,</font>
  <font color="#ffffff">dort zu investieren,</font>

  766
  00:41:48.995 --> 00:41:50.954 
  <font color="#ffffff">wo man Krankheiten vermeiden könnte.</font>

  767
  00:41:51.595 --> 00:41:53.383 
  <font color="#ffffff">Dort haben wir riesiges Potenzial,</font>

  768
  00:41:54.026 --> 00:41:57.323 
  <font color="#ffffff">um Kosten einzusparen</font>
  <font color="#ffffff">und die Qualität zu erhöhen.</font>

  769
  00:41:57.964 --> 00:41:59.361 
  <font color="#00ffff">Grundsätzlich eine radikale Idee,</font>

  770
  00:42:00.002 --> 00:42:02.694 
  <font color="#00ffff">eine Kasse pro Kanton -</font>
  <font color="#00ffff">wäre das eine Lösung?</font>

  771
  00:42:03.334 --> 00:42:05.264 
  <font color="#ffffff">Wir kennen</font>
  <font color="#ffffff">noch keinen genauen Vorschlag.</font>

  772
  00:42:05.905 --> 00:42:09.059 
  <font color="#ffffff">Ich kann keine Position der GDK</font>
  <font color="#ffffff">vertreten.</font>

  773
  00:42:09.695 --> 00:42:10.653 
  <font color="#ffffff">Persönlich bin ich sehr skeptisch.</font>

  774
  00:42:11.294 --> 00:42:14.795 
  <font color="#ffffff">Ich sehe durchaus einen</font>
  <font color="#ffffff">gewissen Spielraum für Wettbewerb.</font>

  775
  00:42:15.439 --> 00:42:18.538 
  <font color="#ffffff">Gerade in den Bereichen,</font>
  <font color="#ffffff">die Sie erwähnt haben,</font>

  776
  00:42:19.181 --> 00:42:22.773 
  <font color="#ffffff">nämlich bei der Prävention,</font>
  <font color="#ffffff">beim gesunden Lifestyle.</font>

  777
  00:42:23.419 --> 00:42:27.793 
  <font color="#ffffff">Es gibt einige Angebote von Kassen,</font>
  <font color="#ffffff">die mit digitalen Mitteln arbeiten,</font>

  778
  00:42:28.434 --> 00:42:32.233 
  <font color="#ffffff">die das lustvoll angehen.</font>

  779
  00:42:32.875 --> 00:42:35.574 
  <font color="#00ffff">Sie animieren die Leute,</font>
  <font color="#00ffff">gesünder zu leben.</font>

  780
  00:42:36.217 --> 00:42:37.764 
  <font color="#ffffff">Ja, genau.</font>

  781
  00:42:38.409 --> 00:42:41.493 
  <font color="#ffffff">Kassen, die in einem gewissen Wett-</font>
  <font color="#ffffff">bewerb stehen, haben einen Anreiz,</font>

  782
  00:42:42.138 --> 00:42:44.894 
  <font color="#ffffff">etwas Innovatives zu machen,</font>
  <font color="#ffffff">zu experimentieren.</font>

  783
  00:42:45.536 --> 00:42:50.943 
  <font color="#ffffff">Eine Kasse in der Wettbewerbslogik,</font>
  <font color="#ffffff">die zwar limitiert ist,</font>

  784
  00:42:51.584 --> 00:42:56.884 
  <font color="#ffffff">muss sich bemühen, damit sich</font>
  <font color="#ffffff">die Menschen dort wohlfühlen.</font>

  785
  00:42:57.525 --> 00:43:01.584 
  <font color="#ffffff">Es gibt sehr grosse Unterschiede</font>
  <font color="#ffffff">bei der Zufriedenheit.</font>

  786
  00:43:02.225 --> 00:43:03.963 
  <font color="#ffffff">Gewisse Kassen sind beliebt,</font>
  <font color="#ffffff">andere nicht -</font>

  787
  00:43:04.605 --> 00:43:06.203 
  <font color="#ffffff">bei ihren Versicherten,</font>
  <font color="#ffffff">bei den Ärzt/-innen etc.</font>

  788
  00:43:06.844 --> 00:43:09.083 
  <font color="#ffffff">Dieser Anreiz sorgt dafür,</font>

  789
  00:43:09.725 --> 00:43:13.383 
  <font color="#ffffff">dass das System alles in allem</font>
  <font color="#ffffff">ziemlich effizient läuft.</font>

  790
  00:43:15.566 --> 00:43:18.153 
  <font color="#ffffff">Wenn man das nun ändert,</font>

  791
  00:43:18.795 --> 00:43:24.733 
  <font color="#ffffff">haben wir einen neuen,</font>
  <font color="#ffffff">mächtigen Akteur in diesem System.</font>

  792
  00:43:25.374 --> 00:43:27.683 
  <font color="#ffffff">Er dominiert alle anderen.</font>

  793
  00:43:28.325 --> 00:43:30.803 
  <font color="#ffffff">Die Leistungserbringer</font>
  <font color="#ffffff">sind diesem ausgeliefert.</font>

  794
  00:43:31.445 --> 00:43:33.114 
  <font color="#ffffff">Wir Kantone im Wesentlichen auch.</font>

  795
  00:43:33.755 --> 00:43:36.243 
  <font color="#ffffff">Das ist ein weiteres Beispiel</font>
  <font color="#ffffff">für eine sog. Expertokratie,</font>

  796
  00:43:36.885 --> 00:43:39.283 
  <font color="#ffffff">weil die Verwaltungsräte</font>
  <font color="#ffffff">in der Einheitskasse</font>

  797
  00:43:39.924 --> 00:43:41.503 
  <font color="#ffffff">nicht vom Volk gewählt sind.</font>

  798
  00:43:42.144 --> 00:43:43.553 
  <font color="#ffffff">(Wasserfallen) Ich weiss nicht,</font>

  799
  00:43:44.194 --> 00:43:45.563 
  <font color="#ffffff">ob ich lieber in der Macht</font>
  <font color="#ffffff">der Krankenkasse bin.</font>

  800
  00:43:46.204 --> 00:43:48.663 
  <font color="#ffffff">Sie sind der Krankenkasse</font>
  <font color="#ffffff">nicht ausgeliefert,</font>

  801
  00:43:49.304 --> 00:43:50.933 
  <font color="#ffffff">weil Sie sie wechseln können.</font>

  802
  00:43:51.575 --> 00:43:52.973 
  <font color="#ffffff">Der Einheitskasse</font>
  <font color="#ffffff">sind Sie ausgeliefert,</font>

  803
  00:43:53.615 --> 00:43:56.133 
  <font color="#ffffff">weil Sie nicht wechseln können,</font>
  <font color="#ffffff">sonst wäre sie keine Einheitskasse.</font>

  804
  00:43:56.774 --> 00:43:58.503 
  <font color="#00ffff">Sie haben den Wettbewerb</font>
  <font color="#00ffff">angesprochen.</font>

  805
  00:43:59.144 --> 00:44:00.633 
  <font color="#00ffff">Einen gewissen Wettbewerb</font>

  806
  00:44:01.274 --> 00:44:02.873 
  <font color="#00ffff">würde es aber bei</font>
  <font color="#00ffff">der Zusatzversicherung geben.</font>

  807
  00:44:03.515 --> 00:44:06.655 
  <font color="#ffffff">Erstens dort und da bin ich gleicher</font>
  <font color="#ffffff">Meinung wie Lukas Engelberger.</font>

  808
  00:44:07.297 --> 00:44:09.773 
  <font color="#ffffff">Ein gewisser Wettbewerb besteht aber</font>
  <font color="#ffffff">auch in der Grundversicherung.</font>

  809
  00:44:10.415 --> 00:44:11.793 
  <font color="#ffffff">Nicht bei der Leistung.</font>

  810
  00:44:12.435 --> 00:44:14.995 
  <font color="#ffffff">Alle Grundversicherungen</font>
  <font color="#ffffff">haben dieselben Leistungen.</font>

  811
  00:44:15.637 --> 00:44:17.883 
  <font color="#ffffff">Darum kann man diskutieren,</font>
  <font color="#ffffff">ob Einheitskassen sinnvoll sind.</font>

  812
  00:44:18.524 --> 00:44:21.977 
  <font color="#ffffff">Die GLP war viermal dagegen.</font>
  <font color="#ffffff">Wir machen uns aber Gedanken.</font>

  813
  00:44:22.619 --> 00:44:24.323 
  <font color="#ffffff">Die Welt ist eine andere.</font>
  <font color="#ffffff">Es ist zehn Jahre her.</font>

  814
  00:44:24.965 --> 00:44:26.473 
  <font color="#ffffff">Was ergibt</font>
  <font color="#ffffff">in der jetzigen Situation Sinn?</font>

  815
  00:44:27.115 --> 00:44:28.784 
  <font color="#ffffff">In einer Grundversicherung</font>

  816
  00:44:29.426 --> 00:44:31.563 
  <font color="#ffffff">kann man aber auch andere</font>
  <font color="#ffffff">Serviceleistungen bekommen.</font>

  817
  00:44:32.204 --> 00:44:35.073 
  <font color="#ffffff">Dort sagen wir,</font>
  <font color="#ffffff">dass die Bevölkerung wählen darf,</font>

  818
  00:44:35.714 --> 00:44:39.134 
  <font color="#ffffff">welchen Service sie gerne hätte.</font>

  819
  00:44:39.775 --> 00:44:41.313 
  <font color="#ffffff">Welche Leistungsabrechnungen.</font>

  820
  00:44:41.954 --> 00:44:45.983 
  <font color="#ffffff">Meine Eltern entscheiden sich jedes</font>
  <font color="#ffffff">Jahr für eine teurere Krankenkasse,</font>

  821
  00:44:46.625 --> 00:44:50.288 
  <font color="#ffffff">weil sie wissen, dass sie relativ</font>
  <font color="#ffffff">schnell entschädigt werden.</font>

  822
  00:44:50.930 --> 00:44:52.752 
  <font color="#ffffff">Die Rechnungen werden bezahlt,</font>

  823
  00:44:53.394 --> 00:44:55.873 
  <font color="#ffffff">sie haben wenig zu tun und es geht</font>
  <font color="#ffffff">schnell, bis es erledigt ist.</font>

  824
  00:44:56.514 --> 00:44:59.363 
  <font color="#ffffff">Sie möchten zu keiner anderen.</font>

  825
  00:45:00.004 --> 00:45:01.733 
  <font color="#ffffff">(Wasserfallen) Das ist aber</font>
  <font color="#ffffff">nicht die Realität.</font>

  826
  00:45:02.375 --> 00:45:07.234 
  <font color="#ffffff">Die meisten schauen doch, wo sie</font>
  <font color="#ffffff">weniger bezahlen, wenn sie wechseln.</font>

  827
  00:45:07.874 --> 00:45:09.513 
  <font color="#ffffff">(Hässig) Nicht alle.</font>

  828
  00:45:10.155 --> 00:45:12.035 
  <font color="#ffffff">Bekomme ich</font>
  <font color="#ffffff">am Telefon rasch Auskunft.</font>

  829
  00:45:12.676 --> 00:45:15.926 
  <font color="#ffffff">Am Ende schmerzt eine hohe Prämie.</font>

  830
  00:45:16.567 --> 00:45:20.774 
  <font color="#ffffff">Man muss schauen,</font>
  <font color="#ffffff">wo man optimieren kann.</font>

  831
  00:45:21.416 --> 00:45:23.382 
  <font color="#ffffff">Ich sehe keinen Vorteil</font>
  <font color="#ffffff">von diesem Wettbewerb.</font>

  832
  00:45:24.024 --> 00:45:28.323 
  <font color="#ffffff">Er verursacht Kosten,</font>
  <font color="#ffffff">die wir am Ende alle tragen müssen.</font>

  833
  00:45:28.964 --> 00:45:33.913 
  <font color="#ffffff">Wie sich die Kassen in den</font>
  <font color="#ffffff">letzten Jahren verhalten haben ...</font>

  834
  00:45:34.554 --> 00:45:36.083 
  <font color="#ffffff">(Hässig) Das ist unanständig.</font>

  835
  00:45:36.725 --> 00:45:38.573 
  <font color="#ffffff">Und die Löhne sind auch unanständig,</font>
  <font color="#ffffff">da sind wir uns einig.</font>

  836
  00:45:39.215 --> 00:45:41.005 
  <font color="#ffffff">(Wasserfallen) Ein Verband</font>
  <font color="#ffffff">hat uns erklärt,</font>

  837
  00:45:41.646 --> 00:45:43.573 
  <font color="#ffffff">warum er gegen das Referenzpreis-</font>
  <font color="#ffffff">system bei den Medikamenten ist.</font>

  838
  00:45:44.214 --> 00:45:46.483 
  <font color="#ffffff">Der andere Verband sagte,</font>
  <font color="#ffffff">warum es das beste sei.</font>

  839
  00:45:47.124 --> 00:45:49.543 
  <font color="#ffffff">Der eine hat Tardoc-Tarife</font>
  <font color="#ffffff">vorangetrieben,</font>

  840
  00:45:50.184 --> 00:45:53.103 
  <font color="#ffffff">der andere die Pauschale.</font>
  <font color="#ffffff">Es war ein Hin und Her.</font>

  841
  00:45:53.744 --> 00:45:55.213 
  <font color="#ffffff">Und am Ende sind die Patientinnen</font>
  <font color="#ffffff">und Patienten die Leidtragenden.</font>

  842
  00:45:55.855 --> 00:45:57.362 
  <font color="#ffffff">Das muss aufhören.</font>

  843
  00:45:58.004 --> 00:46:00.092 
  <font color="#ffffff">Sie könnne sich auf einen Zusatz-</font>
  <font color="#ffffff">versicherungsbereich konzentrieren.</font>

  844
  00:46:00.734 --> 00:46:02.233 
  <font color="#ffffff">Ich sehe keinen Vorteil</font>
  <font color="#ffffff">für die Menschen</font>

  845
  00:46:02.874 --> 00:46:04.223 
  <font color="#ffffff">von diesem Pseudowettbewerb.</font>

  846
  00:46:04.864 --> 00:46:08.214 
  <font color="#ffffff">Ich glaube auch nicht, dass es</font>
  <font color="#ffffff">die Realität der meisten ist ...</font>

  847
  00:46:08.856 --> 00:46:10.423 
  <font color="#00ffff">Frau Wasserfallen sagt,</font>
  <font color="#00ffff">alles werde zu teuer.</font>

  848
  00:46:11.064 --> 00:46:12.663 
  <font color="#ffffff">Das glaube ich nicht, im Gegenteil.</font>

  849
  00:46:13.304 --> 00:46:14.890 
  <font color="#ffffff">Weil man in Konkurrenz steht,</font>
  <font color="#ffffff">ist man bemüht,</font>

  850
  00:46:15.531 --> 00:46:17.382 
  <font color="#ffffff">es besser zu machen als der andere.</font>

  851
  00:46:18.024 --> 00:46:20.713 
  <font color="#ffffff">Vielleicht auch etwas anzubieten,</font>
  <font color="#ffffff">das einen tieferen Preis hat.</font>

  852
  00:46:21.354 --> 00:46:23.023 
  <font color="#ffffff">Ich glaube auch nicht,</font>

  853
  00:46:23.664 --> 00:46:27.533 
  <font color="#ffffff">dass die Krankenkassen</font>
  <font color="#ffffff">nur alles schlecht gemacht haben.</font>

  854
  00:46:28.174 --> 00:46:29.663 
  <font color="#ffffff">Offensichtlich</font>
  <font color="#ffffff">haben sie es geschafft,</font>

  855
  00:46:30.306 --> 00:46:31.903 
  <font color="#ffffff">zu einem Verband zu fusionieren.</font>

  856
  00:46:32.545 --> 00:46:37.083 
  <font color="#ffffff">Immerhin haben sie realisiert,</font>
  <font color="#ffffff">dass es so nicht weitergehen kann.</font>

  857
  00:46:37.726 --> 00:46:39.693 
  <font color="#ffffff">Das ist ein Schritt</font>
  <font color="#ffffff">in die richtige Richtung.</font>

  858
  00:46:40.334 --> 00:46:41.933 
  <font color="#ffffff">Das ist ein schwieriges Thema.</font>

  859
  00:46:42.574 --> 00:46:45.073 
  <font color="#ffffff">Aber dass der Wettbewerb</font>
  <font color="#ffffff">unter den Krankenkassen</font>

  860
  00:46:45.715 --> 00:46:47.233 
  <font color="#ffffff">nicht auch den Patienten hilft ...</font>

  861
  00:46:47.875 --> 00:46:49.365 
  <font color="#ffffff">Und ich spreche</font>
  <font color="#ffffff">nicht nur vom Wettbewerb,</font>

  862
  00:46:50.006 --> 00:46:52.612 
  <font color="#ffffff">sondern auch von Wahlfreiheit.</font>
  <font color="#ffffff">Das ist mir viel wichtiger.</font>

  863
  00:46:53.253 --> 00:46:55.604 
  <font color="#ffffff">Dass es verschiedene Angebote gibt,</font>
  <font color="#ffffff">dass man auswählen kann,</font>

  864
  00:46:56.245 --> 00:46:57.893 
  <font color="#ffffff">was am besten zu einem passt.</font>

  865
  00:46:58.534 --> 00:47:02.453 
  <font color="#ffffff">Dass ein Patient die Krankenkasse</font>
  <font color="#ffffff">hat, die das anbietet,</font>

  866
  00:47:03.094 --> 00:47:07.462 
  <font color="#ffffff">was er braucht.</font>
  <font color="#ffffff">Das sind wichtige Entscheide.</font>

  867
  00:47:08.103 --> 00:47:11.019 
  <font color="#00ffff">Wir hatten viermal ein Nein</font>
  <font color="#00ffff">zu einer Einheitskasse an der Urne.</font>

  868
  00:47:11.661 --> 00:47:13.393 
  <font color="#00ffff">Jetzt kommt die Idee</font>
  <font color="#00ffff">noch einmal auf.</font>

  869
  00:47:14.034 --> 00:47:15.634 
  <font color="#00ffff">Das bringt mich zu Lukas Golder.</font>

  870
  00:47:16.275 --> 00:47:18.302 
  <font color="#00ffff">Wie bewerten Sie das?</font>

  871
  00:47:18.944 --> 00:47:21.963 
  <font color="#00ffff">Hat eine Einheitskasse jetzt</font>
  <font color="#00ffff">plötzlich Chancen?</font>

  872
  00:47:22.604 --> 00:47:24.889 
  <font color="#008000">Die Krankenkassen</font>
  <font color="#008000">sind in der Kritik.</font>

  873
  00:47:25.530 --> 00:47:28.322 
  <font color="#008000">Man hat den Eindruck, dass sie ein</font>
  <font color="#008000">Faktor für den Prämienanstieg sind.</font>

  874
  00:47:28.963 --> 00:47:30.695 
  <font color="#008000">Sie stellen auch die Rechnungen.</font>

  875
  00:47:31.336 --> 00:47:33.064 
  <font color="#008000">In Wahrheit ist es komplexer.</font>

  876
  00:47:33.705 --> 00:47:38.383 
  <font color="#008000">Als 2012 die Initiative</font>
  <font color="#008000">diskutiert wurde,</font>

  877
  00:47:39.024 --> 00:47:41.753 
  <font color="#008000">hatten viele das Gefühl,</font>
  <font color="#008000">die Prämien würden sinken.</font>

  878
  00:47:42.394 --> 00:47:43.862 
  <font color="#008000">Am Ende war es nicht mehrheitsfähig.</font>

  879
  00:47:44.504 --> 00:47:48.254 
  <font color="#008000">Da hat man den Einheitskassen</font>
  <font color="#008000">nicht mehr geglaubt.</font>

  880
  00:47:48.895 --> 00:47:51.692 
  <font color="#008000">Man gibt den Krankenkassen ein paar</font>
  <font color="#008000">Jahre Zeit, um sich zu erklären.</font>

  881
  00:47:52.334 --> 00:47:55.563 
  <font color="#008000">Vielleicht im bisherigen System.</font>

  882
  00:47:56.204 --> 00:47:57.915 
  <font color="#008000">Das wird wahrscheinlich</font>
  <font color="#008000">auch dieses Mal abgelehnt.</font>

  883
  00:47:58.556 --> 00:48:00.022 
  <font color="#008000">Wenn man sich anschaut,</font>
  <font color="#008000">was angenommen wurde -</font>

  884
  00:48:00.663 --> 00:48:02.683 
  <font color="#008000">es gibt zig Initiativen.</font>

  885
  00:48:03.325 --> 00:48:05.082 
  <font color="#008000">Drei Bundesratsparteien versuchten</font>
  <font color="#008000">in den letzten 15 Jahren,</font>

  886
  00:48:05.724 --> 00:48:08.822 
  <font color="#008000">mit Initiativen etwas zu bewegen.</font>
  <font color="#008000">Sie sind alle gescheitert.</font>

  887
  00:48:09.464 --> 00:48:11.733 
  <font color="#008000">Durchgekommen ist</font>
  <font color="#008000">der Ausbau der Leistungen.</font>

  888
  00:48:12.375 --> 00:48:13.843 
  <font color="#008000">Da glauben die Leute,</font>
  <font color="#008000">es gäbe mehr Versorgung.</font>

  889
  00:48:14.485 --> 00:48:16.137 
  <font color="#008000">Sei es bei der Komplementärmedizin,</font>
  <font color="#008000">der Hausarztmedizin</font>

  890
  00:48:16.774 --> 00:48:18.554 
  <font color="#008000">und indirekt</font>
  <font color="#008000">bei der Pflege-Initiative.</font>

  891
  00:48:19.196 --> 00:48:22.912 
  <font color="#008000">Das sind leistungsorientierte</font>
  <font color="#008000">Anliegen. Diese haben Chancen.</font>

  892
  00:48:23.554 --> 00:48:26.313 
  <font color="#008000">Die anderen waren meist chancenlos.</font>
  <font color="#008000">Neun von zehn hatten keine Chance.</font>

  893
  00:48:26.954 --> 00:48:28.983 
  <font color="#00ffff">Ein typischer Initiativ-Verlauf ist,</font>

  894
  00:48:29.624 --> 00:48:33.723 
  <font color="#00ffff">dass es relativ hoch beginnt,</font>
  <font color="#00ffff">dann aber ins Minus fällt.</font>

  895
  00:48:34.365 --> 00:48:38.122 
  <font color="#00ffff">Da sind wir bei einer Umfrage</font>
  <font color="#00ffff">bei 65 %.</font>

  896
  00:48:38.763 --> 00:48:42.074 
  <font color="#00ffff">Heisst das auch, dass</font>
  <font color="#00ffff">ein solcher Wert noch sinken würde?</font>

  897
  00:48:42.716 --> 00:48:44.422 
  <font color="#008000">Das ist</font>
  <font color="#008000">bei den meisten Initiativen so.</font>

  898
  00:48:45.064 --> 00:48:47.503 
  <font color="#008000">Zuerst spricht man</font>
  <font color="#008000">eher über das Problem.</font>

  899
  00:48:48.144 --> 00:48:50.109 
  <font color="#008000">Das ist hier eindeutig die Prämie.</font>
  <font color="#008000">Die ärgert die Leute eindeutig.</font>

  900
  00:48:50.751 --> 00:48:52.043 
  <font color="#008000">Das zeigt auch das Sorgenbarometer.</font>

  901
  00:48:52.684 --> 00:48:54.952 
  <font color="#008000">Am Ende spricht</font>
  <font color="#008000">man über die Risiken,</font>

  902
  00:48:55.594 --> 00:48:56.741 
  <font color="#008000">die eine Entscheidung</font>
  <font color="#008000">mit sich bringen könnte.</font>

  903
  00:48:57.383 --> 00:48:59.182 
  <font color="#008000">Die Risiken stehen bereits im Raum.</font>

  904
  00:48:59.824 --> 00:49:03.053 
  <font color="#008000">Fairerweise muss man sagen, dass wir</font>
  <font color="#008000">das Anliegen noch nicht kennen.</font>

  905
  00:49:03.694 --> 00:49:05.963 
  <font color="#008000">Die Initiative könnte so formuliert</font>
  <font color="#008000">sein, dass sie überzeugend sagt,</font>

  906
  00:49:06.604 --> 00:49:09.732 
  <font color="#008000">die Leistungen werden eher besser,</font>
  <font color="#008000">der Service oder die Prävention.</font>

  907
  00:49:10.373 --> 00:49:13.332 
  <font color="#008000">Man schaut die Leute</font>
  <font color="#008000">ganzheitlich an.</font>

  908
  00:49:13.973 --> 00:49:15.962 
  <font color="#008000">Solche Elemente</font>
  <font color="#008000">könnten in der Initiative kommen.</font>

  909
  00:49:16.603 --> 00:49:18.682 
  <font color="#00ffff">Die Menschen sind Prämien-müde.</font>
  <font color="#00ffff">Das könnte allenfalls helfen.</font>

  910
  00:49:19.324 --> 00:49:22.573 
  <font color="#008000">Wenn man grundsätzlich über</font>
  <font color="#008000">das Gesundheitswesen spricht,</font>

  911
  00:49:23.213 --> 00:49:25.333 
  <font color="#008000">muss man über Prävention reden.</font>

  912
  00:49:25.975 --> 00:49:28.722 
  <font color="#008000">Viele haben Leiden,</font>
  <font color="#008000">mit denen sie länger krank sind,</font>

  913
  00:49:29.364 --> 00:49:30.752 
  <font color="#008000">mehr Krankheiten entwickeln.</font>

  914
  00:49:31.393 --> 00:49:33.722 
  <font color="#008000">Wenn man den Leuten</font>
  <font color="#008000">früher zeigen könnte,</font>

  915
  00:49:34.363 --> 00:49:35.854 
  <font color="#008000">was mit der Ernährung möglich ist,</font>

  916
  00:49:36.496 --> 00:49:40.482 
  <font color="#008000">könnte man viel sparen, v.a. im</font>
  <font color="#008000">Alter, wo es richtig teuer wird.</font>

  917
  00:49:41.124 --> 00:49:43.514 
  <font color="#00ffff">Es kommt darauf an, wie Sie es aus-</font>
  <font color="#00ffff">formulieren, Flavia Wasserfallen.</font>

  918
  00:49:44.155 --> 00:49:46.892 
  <font color="#00ffff">Haben Sie konkrete Ideen?</font>
  <font color="#ffffff">- Ja, wir sind daran.</font>

  919
  00:49:47.534 --> 00:49:52.293 
  <font color="#ffffff">Wir wollen die Unterschiede zwischen</font>
  <font color="#ffffff">den Kantonen berücksichtigen.</font>

  920
  00:49:52.935 --> 00:49:54.462 
  <font color="#ffffff">Mit kantonalen Prämien.</font>

  921
  00:49:55.104 --> 00:49:57.783 
  <font color="#ffffff">Die Grundversicherung,</font>
  <font color="#ffffff">die für alle gleich ist,</font>

  922
  00:49:58.424 --> 00:50:00.132 
  <font color="#ffffff">soll eine</font>
  <font color="#ffffff">öffentliche Kasse anbieten.</font>

  923
  00:50:00.774 --> 00:50:03.482 
  <font color="#ffffff">Wir werden die Initiative</font>
  <font color="#ffffff">nächstes Jahr lancieren.</font>

  924
  00:50:04.123 --> 00:50:07.784 
  <font color="#ffffff">In der Ausgestaltung</font>
  <font color="#ffffff">sind wir noch nicht ganz fertig.</font>

  925
  00:50:08.425 --> 00:50:10.862 
  <font color="#ffffff">Es ist aber</font>
  <font color="#ffffff">eine wichtige Diskussion,</font>

  926
  00:50:11.509 --> 00:50:13.702 
  <font color="#ffffff">die jetzt schon</font>
  <font color="#ffffff">eine Wirkung erzielt.</font>

  927
  00:50:14.344 --> 00:50:16.223 
  <font color="#ffffff">Nach zehn Jahren kann man sie</font>
  <font color="#ffffff">der Stimmbevölkerung vorlegen.</font>

  928
  00:50:16.864 --> 00:50:19.861 
  <font color="#ffffff">Im Bundeshaus sagen mir Kolleginnen</font>
  <font color="#ffffff">und Kollegen aus allen Parteien,</font>

  929
  00:50:20.504 --> 00:50:22.722 
  <font color="#ffffff">dass wir mit diesem Anliegen</font>
  <font color="#ffffff">eine grosse Chance hätten.</font>

  930
  00:50:23.363 --> 00:50:24.972 
  <font color="#ffffff">Die Vorteile ...</font>

  931
  00:50:25.614 --> 00:50:29.862 
  <font color="#ffffff">Vorhin wurde gesagt,</font>
  <font color="#ffffff">es gebe eine Machtakkumulation.</font>

  932
  00:50:30.504 --> 00:50:32.663 
  <font color="#ffffff">Ich bin lieber in einem System,</font>
  <font color="#ffffff">das der Staat steuern kann</font>

  933
  00:50:33.304 --> 00:50:35.771 
  <font color="#ffffff">und der Service für die Menschen</font>
  <font color="#ffffff">ins Zentrum stellt,</font>

  934
  00:50:36.415 --> 00:50:38.064 
  <font color="#ffffff">als profitorientierte Unternehmen,</font>

  935
  00:50:38.705 --> 00:50:40.732 
  <font color="#ffffff">die mit der Zusatzversicherung</font>
  <font color="#ffffff">das im Fokus haben.</font>

  936
  00:50:41.373 --> 00:50:44.072 
  <font color="#ffffff">In der Vergangenheit</font>
  <font color="#ffffff">haben sie mit unanständigen Löhnen</font>

  937
  00:50:44.713 --> 00:50:46.303 
  <font color="#ffffff">und unanständigem Verhalten</font>
  <font color="#ffffff">bewiesen,</font>

  938
  00:50:46.944 --> 00:50:48.702 
  <font color="#ffffff">dass es nicht immer so ist,</font>
  <font color="#ffffff">wie es sein müsste.</font>

  939
  00:50:49.344 --> 00:50:50.872 
  <font color="#ffffff">Ich freue mich auf diese Diskussion</font>

  940
  00:50:51.514 --> 00:50:54.702 
  <font color="#ffffff">und dass sie bereits jetzt</font>
  <font color="#ffffff">ihre Wirkung zeigt.</font>

  941
  00:50:55.343 --> 00:50:57.016 
  <font color="#00ffff">Zwei Vorschläge</font>
  <font color="#00ffff">wurden bereits diskutiert.</font>

  942
  00:50:57.658 --> 00:50:59.622 
  <font color="#00ffff">Derjenige der GLP und der SP.</font>
  <font color="#00ffff">Kommen wir zum nächsten.</font>

  943
  00:51:00.264 --> 00:51:03.582 
  <font color="#00ffff">Die FDP ist mit einer</font>
  <font color="#00ffff">Budgetkrankenkasse am Start.</font>

  944
  00:51:04.224 --> 00:51:07.713 
  <font color="#00ffff">Die Idee dahinter ist,</font>
  <font color="#00ffff">den Mittelstand zu entlasten.</font>

  945
  00:51:08.352 --> 00:51:10.133 
  <font color="#00ffff">Er müsste weniger Prämien bezahlen,</font>

  946
  00:51:10.773 --> 00:51:13.211 
  <font color="#00ffff">hätte aber nicht mehr</font>
  <font color="#00ffff">die gleichen Leistungen im Katalog.</font>

  947
  00:51:13.853 --> 00:51:15.791 
  <font color="#00ffff">FDP-Präsident Thierry Burkart</font>
  <font color="#00ffff">sagt Folgendes:</font>

  948
  00:51:27.355 --> 00:51:30.872 
  <font color="#00ffff">Bettina Balmer,</font>
  <font color="#00ffff">ist das attraktiv für die Leute?</font>

  949
  00:51:31.513 --> 00:51:34.162 
  <font color="#ffffff">Mir gefällt das Wort Budgetkasse</font>
  <font color="#ffffff">nicht so gut.</font>

  950
  00:51:34.809 --> 00:51:39.192 
  <font color="#ffffff">Es ist ein Grundrecht</font>
  <font color="#ffffff">und ein solidarischer Gedanke,</font>

  951
  00:51:39.834 --> 00:51:42.134 
  <font color="#ffffff">dass man den Leuten hilft,</font>
  <font color="#ffffff">wenn sie krank sind.</font>

  952
  00:51:42.775 --> 00:51:47.611 
  <font color="#ffffff">Auch in meinem beruflichen</font>
  <font color="#ffffff">Hintergrund ist das wichtig.</font>

  953
  00:51:48.253 --> 00:51:52.032 
  <font color="#ffffff">Es stimmt aber, dass man auch hier</font>
  <font color="#ffffff">mehr wählen können sollte.</font>

  954
  00:51:52.673 --> 00:51:56.272 
  <font color="#ffffff">Warum muss ich Homöopathie</font>
  <font color="#ffffff">in meiner Grundversicherung haben?</font>

  955
  00:51:56.913 --> 00:52:00.573 
  <font color="#ffffff">Ist es auch möglich, wenn ich</font>
  <font color="#ffffff">eine Grundversicherung abschliesse,</font>

  956
  00:52:01.215 --> 00:52:03.402 
  <font color="#ffffff">in der ich mich</font>
  <font color="#ffffff">für Telemedizin entscheide,</font>

  957
  00:52:04.044 --> 00:52:05.673 
  <font color="#ffffff">diese günstiger haben kann?</font>

  958
  00:52:06.315 --> 00:52:08.002 
  <font color="#00ffff">Die Homöopathie kommt</font>
  <font color="#00ffff">in der Diskussion immer wieder.</font>

  959
  00:52:08.643 --> 00:52:11.682 
  <font color="#00ffff">Das alleine bringt aber</font>
  <font color="#00ffff">nicht viel in die Kasse.</font>

  960
  00:52:12.323 --> 00:52:15.388 
  <font color="#00ffff">Welche Leistungen</font>
  <font color="#00ffff">würden sonst noch gestrichen?</font>

  961
  00:52:16.029 --> 00:52:18.532 
  <font color="#ffffff">Ich möchte nicht streichen,</font>
  <font color="#ffffff">sondern richtige Anreize setzen.</font>

  962
  00:52:19.173 --> 00:52:22.191 
  <font color="#ffffff">Z.B. die integrierte Versorgung.</font>
  <font color="#ffffff">Davon haben wir heute schon gehört.</font>

  963
  00:52:22.833 --> 00:52:26.081 
  <font color="#ffffff">Wenn man mit dem Gesundheitspersonen</font>
  <font color="#ffffff">zusammenarbeitet,</font>

  964
  00:52:26.723 --> 00:52:28.532 
  <font color="#ffffff">gibt das eine eine bessere Qualität.</font>

  965
  00:52:29.173 --> 00:52:31.521 
  <font color="#ffffff">Man könnte die Leute auch</font>
  <font color="#ffffff">dazu bewegen, dass sie das machen</font>

  966
  00:52:32.162 --> 00:52:34.940 
  <font color="#ffffff">und darum</font>
  <font color="#ffffff">eine günstigere Kasse anbieten.</font>

  967
  00:52:35.581 --> 00:52:37.640 
  <font color="#00ffff">Eigenverantwortung als Stichwort.</font>

  968
  00:52:38.281 --> 00:52:40.421 
  <font color="#00ffff">Wäre eine Budgetkrankenkasse</font>
  <font color="#00ffff">ein Anreiz,</font>

  969
  00:52:41.063 --> 00:52:44.768 
  <font color="#00ffff">dass viele Menschen nicht wegen</font>
  <font color="#00ffff">jedem Wehwehchen zum Arzt gehen?</font>

  970
  00:52:45.409 --> 00:52:48.732 
  <font color="#ffffff">(Wasserfallen) Das tun sie heute</font>
  <font color="#ffffff">schon nicht. Das ist Humbug.</font>

  971
  00:52:49.373 --> 00:52:51.444 
  <font color="#ffffff">Sorry, aber alle Vorschläge ...</font>

  972
  00:52:52.085 --> 00:52:55.637 
  <font color="#ffffff">Höhere Franchise, höheren</font>
  <font color="#ffffff">Selbstbehalt, Budgetvariante ...</font>

  973
  00:52:56.279 --> 00:52:58.111 
  <font color="#ffffff">Das sind alles Vorschläge ...</font>

  974
  00:52:58.753 --> 00:53:01.041 
  <font color="#ffffff">Das Problem im System</font>
  <font color="#ffffff">wie zu hohe Medikamentenpreise,</font>

  975
  00:53:01.682 --> 00:53:04.425 
  <font color="#ffffff">zu tiefe Qualität,</font>
  <font color="#ffffff">zu wenig Koordination und Planung,</font>

  976
  00:53:05.066 --> 00:53:07.082 
  <font color="#ffffff">trägt man wieder</font>
  <font color="#ffffff">auf den Menschen aus.</font>

  977
  00:53:07.723 --> 00:53:10.032 
  <font color="#ffffff">Man nimmt ihnen etwas weg.</font>
  <font color="#ffffff">Das ist aber nicht die Idee.</font>

  978
  00:53:10.676 --> 00:53:13.622 
  <font color="#ffffff">Das solidarisch finanzierte System</font>
  <font color="#ffffff">bricht auseinander.</font>

  979
  00:53:14.263 --> 00:53:19.342 
  <font color="#ffffff">Wer es sich leisten kann, krank zu</font>
  <font color="#ffffff">werden, dass sie weniger zahlen</font>

  980
  00:53:19.983 --> 00:53:24.044 
  <font color="#ffffff">und für eine Zeit lang</font>
  <font color="#ffffff">weniger Leistung beziehen ...</font>

  981
  00:53:24.685 --> 00:53:28.782 
  <font color="#ffffff">Wenn diese Solidarität</font>
  <font color="#ffffff">auseinandergebrochen wird,</font>

  982
  00:53:29.423 --> 00:53:31.432 
  <font color="#ffffff">gibt das den chronisch Kranken,</font>
  <font color="#ffffff">der älteren Bevölkerung ein Problem.</font>

  983
  00:53:32.073 --> 00:53:36.861 
  <font color="#ffffff">Ich halte nichts von der Idee,</font>

  984
  00:53:37.503 --> 00:53:39.842 
  <font color="#ffffff">dass man den Patientinnen</font>
  <font color="#ffffff">noch mehr Kosten auferlegt</font>

  985
  00:53:40.484 --> 00:53:41.962 
  <font color="#ffffff">und noch mehr von den Leistungen</font>
  <font color="#ffffff">wegnimmt.</font>

  986
  00:53:42.603 --> 00:53:44.452 
  <font color="#ffffff">Wir wissen, dass wir</font>
  <font color="#ffffff">Steuerungselemente haben</font>

  987
  00:53:45.093 --> 00:53:47.699 
  <font color="#ffffff">für Effizienzsteigerung</font>
  <font color="#ffffff">und Kostensenkung.</font>

  988
  00:53:48.341 --> 00:53:50.691 
  <font color="#ffffff">Wir müssen</font>
  <font color="#ffffff">keine leeren Versprechungen machen.</font>

  989
  00:53:51.333 --> 00:53:52.875 
  <font color="#ffffff">Wir können die Kosten nicht senken.</font>

  990
  00:53:53.517 --> 00:53:55.001 
  <font color="#ffffff">Aber wir können</font>
  <font color="#ffffff">das Wachstum dämpfen.</font>

  991
  00:53:55.643 --> 00:53:58.702 
  <font color="#ffffff">* Sie sprechen durcheinander. *</font>

  992
  00:53:59.343 --> 00:54:03.582 
  <font color="#ffffff">Wenn man einen Anreiz für eine</font>
  <font color="#ffffff">integrierte Versorgung macht,</font>

  993
  00:54:04.223 --> 00:54:05.942 
  <font color="#ffffff">nimmt man niemandem irgendetwas weg.</font>

  994
  00:54:06.583 --> 00:54:08.712 
  <font color="#ffffff">Im Gegenteil.</font>
  <font color="#ffffff">Er steigert die Qualität.</font>

  995
  00:54:09.353 --> 00:54:11.583 
  <font color="#ffffff">Wenn man Anreize schafft,</font>

  996
  00:54:12.225 --> 00:54:15.545 
  <font color="#ffffff">dass man z.B.</font>
  <font color="#ffffff">auch eine günstigere Prämie bekommt,</font>

  997
  00:54:16.186 --> 00:54:20.122 
  <font color="#ffffff">wenn man ein EPD hat.</font>

  998
  00:54:20.763 --> 00:54:22.123 
  <font color="#00ffff">EPD ist das elektronische</font>
  <font color="#00ffff">Patientendossier,</font>

  999
  00:54:22.764 --> 00:54:24.073 
  <font color="#00ffff">das heute</font>
  <font color="#00ffff">noch nicht wirklich funktioniert.</font>

  1000
  00:54:24.714 --> 00:54:26.151 
  <font color="#ffffff">(Engelberger) Doch, es gibt es.</font>

  1001
  00:54:26.793 --> 00:54:30.033 
  <font color="#00ffff">Ich habe tatsächlich eines,</font>
  <font color="#00ffff">aber es ist noch nichts drauf.</font>

  1002
  00:54:30.675 --> 00:54:33.632 
  <font color="#ffffff">Dann sollten Sie Ihren</font>
  <font color="#ffffff">Organspendeausweis hochladen.</font>

  1003
  00:54:34.273 --> 00:54:36.032 
  <font color="#ffffff">* Sie sprechen durcheinander. *</font>

  1004
  00:54:36.673 --> 00:54:39.462 
  <font color="#ffffff">(Engelberger) Ich möchte</font>
  <font color="#ffffff">noch etwas zur Initiative sagen.</font>

  1005
  00:54:40.103 --> 00:54:41.688 
  <font color="#ffffff">(Balmer) Ich möchte</font>
  <font color="#ffffff">noch kurz abschliessend.</font>

  1006
  00:54:42.330 --> 00:54:44.041 
  <font color="#ffffff">Es kommt darauf an, wo man ansetzt.</font>

  1007
  00:54:44.683 --> 00:54:48.363 
  <font color="#ffffff">Es darf nicht so herauskommen,</font>
  <font color="#ffffff">wie du es erklärt hast.</font>

  1008
  00:54:49.004 --> 00:54:51.299 
  <font color="#ffffff">Da wäre ich auch dagegen.</font>

  1009
  00:54:51.941 --> 00:54:56.553 
  <font color="#ffffff">(Engelberger) Es ist</font>
  <font color="#ffffff">noch gar nicht ausgestaltet.</font>

  1010
  00:54:57.195 --> 00:54:59.173 
  <font color="#ffffff">Bis jetzt ist es ein Marketing-Gag.</font>

  1011
  00:54:59.815 --> 00:55:02.861 
  <font color="#ffffff">Es werden beispielhaft</font>
  <font color="#ffffff">Elemente genannt,</font>

  1012
  00:55:03.503 --> 00:55:05.201 
  <font color="#ffffff">die ich auch sinnvoll finde.</font>

  1013
  00:55:05.843 --> 00:55:08.681 
  <font color="#ffffff">Die ein Anreiz sein könnten</font>
  <font color="#ffffff">für mehr Eigenverantwortung.</font>

  1014
  00:55:09.323 --> 00:55:12.802 
  <font color="#ffffff">Wir müssen auch über</font>
  <font color="#ffffff">die Höhe der Mindestfranchise reden.</font>

  1015
  00:55:13.443 --> 00:55:17.665 
  <font color="#ffffff">Wir müssen über stärkere Anreize für</font>
  <font color="#ffffff">die integrierte Versorgung reden.</font>

  1016
  00:55:18.307 --> 00:55:21.701 
  <font color="#ffffff">Für die Hausarztmodelle,</font>
  <font color="#ffffff">für die Telemedizinmodelle.</font>

  1017
  00:55:22.343 --> 00:55:26.804 
  <font color="#ffffff">Denkbar sind auch Verzichtsoptionen,</font>
  <font color="#ffffff">ohne die Solidarität auszuhöhlen.</font>

  1018
  00:55:27.445 --> 00:55:31.934 
  <font color="#ffffff">Das sind aber Einzelelemente,</font>

  1019
  00:55:32.575 --> 00:55:36.331 
  <font color="#ffffff">die zum grossen Teil</font>
  <font color="#ffffff">heute bereits gemacht werden</font>

  1020
  00:55:36.972 --> 00:55:38.441 
  <font color="#ffffff">oder heute schon möglich wären.</font>

  1021
  00:55:39.082 --> 00:55:42.433 
  <font color="#ffffff">Darum ist das</font>
  <font color="#ffffff">nicht der grosse Reformwurf.</font>

  1022
  00:55:43.075 --> 00:55:45.302 
  <font color="#ffffff">(Hässig) Das gibt es ja alle schon,</font>
  <font color="#ffffff">die Wahlfreiheit der Franchise.</font>

  1023
  00:55:45.943 --> 00:55:48.630 
  <font color="#ffffff">Es gibt das HMO-System,</font>
  <font color="#ffffff">das Hausarztmodell, Telemedizin,</font>

  1024
  00:55:49.271 --> 00:55:53.501 
  <font color="#ffffff">das kann man alles wählen</font>
  <font color="#ffffff">und viele Prozente pro Monat sparen.</font>

  1025
  00:55:54.143 --> 00:55:57.951 
  <font color="#ffffff">Wenn ich aber</font>
  <font color="#ffffff">die Vorschläge genauer anschauen,</font>

  1026
  00:55:58.592 --> 00:56:06.892 
  <font color="#ffffff">sie sind noch nicht ausgereift,</font>

  1027
  00:56:07.534 --> 00:56:09.002 
  <font color="#ffffff">da heisst es,</font>
  <font color="#ffffff">"Streichung der Psychotherapien"</font>

  1028
  00:56:09.643 --> 00:56:11.573 
  <font color="#ffffff">oder "bei jedem medizinischen Fall</font>
  <font color="#ffffff">Fr. 600 Franchise Selbstbehalt",</font>

  1029
  00:56:12.214 --> 00:56:13.991 
  <font color="#ffffff">dann ist das gefährlich.</font>
  <font color="#ffffff">Wir sind gegen Leistungskürzungen.</font>

  1030
  00:56:14.633 --> 00:56:16.556 
  <font color="#ffffff">Die Tendenz von psychisch erkrankten</font>
  <font color="#ffffff">Menschen in der Schweiz</font>

  1031
  00:56:17.192 --> 00:56:20.285 
  <font color="#ffffff">ist steigend.</font>

  1032
  00:56:20.923 --> 00:56:22.412 
  <font color="#ffffff">Diesen muss man helfen,</font>
  <font color="#ffffff">v.a. Jugendlichen.</font>

  1033
  00:56:23.052 --> 00:56:24.962 
  <font color="#ffffff">Wenn man dort ansetzt</font>
  <font color="#ffffff">und etwas nicht mehr bezahlt ...</font>

  1034
  00:56:25.603 --> 00:56:30.336 
  <font color="#ffffff">Fr. 600 sind für eine Familie</font>
  <font color="#ffffff">2'400 Fr. pro Jahr Selbstbehalt.</font>

  1035
  00:56:30.977 --> 00:56:35.601 
  <font color="#ffffff">Da bestraft man jene,</font>
  <font color="#ffffff">die weniger Prämien bezahlen möchten</font>

  1036
  00:56:36.242 --> 00:56:37.632 
  <font color="#ffffff">und dieses Modell wählen.</font>

  1037
  00:56:38.273 --> 00:56:40.752 
  <font color="#ffffff">Wenn sie aber etwas haben,</font>
  <font color="#ffffff">zahlen sie es selber.</font>

  1038
  00:56:41.393 --> 00:56:44.381 
  <font color="#ffffff">Das geht in Richtung</font>
  <font color="#ffffff">Amerikanisierung, das ist heikel.</font>

  1039
  00:56:45.022 --> 00:56:48.331 
  <font color="#00ffff">Sie sagen, man kann bis zu 25 %</font>
  <font color="#00ffff">sparen mit einem Modell.</font>

  1040
  00:56:48.972 --> 00:56:52.411 
  <font color="#00ffff">Woher kommt diese Zahl?</font>

  1041
  00:56:53.052 --> 00:56:54.471 
  <font color="#ffffff">Es geht um die Ausgestaltung</font>
  <font color="#ffffff">im Detail.</font>

  1042
  00:56:55.113 --> 00:56:58.644 
  <font color="#ffffff">In der Politik sind es oft die</font>
  <font color="#ffffff">Details, die den Unterschied machen.</font>

  1043
  00:56:59.285 --> 00:57:03.241 
  <font color="#ffffff">Ich habe die Berechnungen</font>
  <font color="#ffffff">nicht gemacht.</font>

  1044
  00:57:03.882 --> 00:57:05.398 
  <font color="#ffffff">Dazu kann ich nichts sagen.</font>

  1045
  00:57:06.039 --> 00:57:07.131 
  <font color="#00ffff">25 % klingen gut</font>

  1046
  00:57:07.779 --> 00:57:09.521 
  <font color="#00ffff">und könnten die Entlastung</font>
  <font color="#00ffff">für kleine Budgets bringen.</font>

  1047
  00:57:10.162 --> 00:57:14.031 
  <font color="#ffffff">Das halte ich für abenteuerlich.</font>

  1048
  00:57:14.673 --> 00:57:18.602 
  <font color="#ffffff">Wenn wir es schaffen,</font>
  <font color="#ffffff">mit irgendwelchen Massnahmen</font>

  1049
  00:57:19.243 --> 00:57:20.991 
  <font color="#ffffff">eine Nullwachstum zu erreichen,</font>
  <font color="#ffffff">sind wir supergut.</font>

  1050
  00:57:21.634 --> 00:57:28.841 
  <font color="#ffffff">Wir dürfen keine Illusionen</font>
  <font color="#ffffff">ins Land setzen.</font>

  1051
  00:57:29.485 --> 00:57:31.572 
  <font color="#ffffff">Wir haben einen dramatischen ...</font>

  1052
  00:57:32.213 --> 00:57:33.722 
  <font color="#ffffff">Das klingt so negativ,</font>
  <font color="#ffffff">so meine ich es nicht.</font>

  1053
  00:57:34.363 --> 00:57:35.755 
  <font color="#ffffff">Wir haben einen Demographieschub,</font>

  1054
  00:57:36.396 --> 00:57:37.876 
  <font color="#ffffff">sehr viel mehr Menschen</font>
  <font color="#ffffff">werden älter.</font>

  1055
  00:57:38.516 --> 00:57:41.841 
  <font color="#ffffff">1995 waren wir vier</font>
  <font color="#ffffff">im erwerbsfähigen Alter</font>

  1056
  00:57:42.483 --> 00:57:44.566 
  <font color="#ffffff">auf jemanden über 65.</font>

  1057
  00:57:45.207 --> 00:57:51.192 
  <font color="#ffffff">Jetzt sind wir drei</font>
  <font color="#ffffff">auf jemanden über 65.</font>

  1058
  00:57:51.833 --> 00:57:53.373 
  <font color="#ffffff">2060 sind wir zwei</font>
  <font color="#ffffff">auf jemanden über 65.</font>

  1059
  00:57:54.015 --> 00:57:55.766 
  <font color="#ffffff">Über 65 - das zeigt jede Statistik -</font>

  1060
  00:57:56.407 --> 00:58:02.792 
  <font color="#ffffff">brauchen wir mehr Dienstleistungen</font>
  <font color="#ffffff">des Gesundheitswesens,</font>

  1061
  00:58:03.435 --> 00:58:05.291 
  <font color="#ffffff">das Krankheitsrisiko steigt.</font>

  1062
  00:58:05.933 --> 00:58:07.621 
  <font color="#ffffff">Somit wird die Kostenlast</font>
  <font color="#ffffff">weiter steigen.</font>

  1063
  00:58:08.263 --> 00:58:09.681 
  <font color="#ffffff">Unser Anspruch muss sein,</font>
  <font color="#ffffff">dass sie flacher steigt.</font>

  1064
  00:58:10.323 --> 00:58:11.701 
  <font color="#ffffff">Ich formuliere es</font>
  <font color="#ffffff">bewusst scheinbar bescheiden,</font>

  1065
  00:58:12.342 --> 00:58:14.281 
  <font color="#ffffff">denn mit einem Versprechen</font>
  <font color="#ffffff">zu kommen,</font>

  1066
  00:58:14.922 --> 00:58:18.652 
  <font color="#ffffff">es einen Viertel günstiger</font>
  <font color="#ffffff">zu machen, halte ich für unseriös.</font>

  1067
  00:58:19.293 --> 00:58:22.511 
  <font color="#ffffff">(Wasserfallen) Wir haben</font>
  <font color="#ffffff">die Parteivorschläge diskutiert.</font>

  1068
  00:58:23.153 --> 00:58:26.731 
  <font color="#ffffff">Es ist legitim, dass man Visionen</font>
  <font color="#ffffff">und Ideen umstellt.</font>

  1069
  00:58:27.373 --> 00:58:29.643 
  <font color="#ffffff">Ich möchte daran erinnern,</font>

  1070
  00:58:30.284 --> 00:58:33.141 
  <font color="#ffffff">dass wir im Moment</font>
  <font color="#ffffff">das Kostendämpfungspaket 2</font>

  1071
  00:58:33.782 --> 00:58:37.211 
  <font color="#ffffff">im Parlament behandeln.</font>

  1072
  00:58:37.852 --> 00:58:39.891 
  <font color="#ffffff">Wir haben Vorschläge ...</font>

  1073
  00:58:40.532 --> 00:58:42.021 
  <font color="#00ffff">Man weiss nicht, was da herauskommt.</font>

  1074
  00:58:42.662 --> 00:58:44.442 
  <font color="#ffffff">Wir haben die Möglichkeit,</font>
  <font color="#ffffff">der Penalty liegt auf dem Punkt.</font>

  1075
  00:58:45.084 --> 00:58:46.981 
  <font color="#ffffff">Wir könnten die Medikamentenpreise</font>
  <font color="#ffffff">senken um 400 Mio. pro Jahr.</font>

  1076
  00:58:47.622 --> 00:58:49.607 
  <font color="#ffffff">Wir haben die Möglichkeit, die</font>
  <font color="#ffffff">koordinierte Versorgung zu stärken,</font>

  1077
  00:58:50.248 --> 00:58:51.611 
  <font color="#ffffff">indem wir den Leistungserbringer</font>
  <font color="#ffffff">einführen.</font>

  1078
  00:58:52.256 --> 00:58:53.951 
  <font color="#ffffff">Auch mit dem Selbstbehalt</font>
  <font color="#ffffff">geben wir Möglichkeiten,</font>

  1079
  00:58:54.592 --> 00:58:56.211 
  <font color="#ffffff">chronisch Kranke</font>
  <font color="#ffffff">in die Modelle zu bringen.</font>

  1080
  00:58:56.853 --> 00:58:58.751 
  <font color="#ffffff">Diesen Job müssen wir machen.</font>

  1081
  00:58:59.392 --> 00:59:01.171 
  <font color="#ffffff">Ich appelliere an die FDP</font>
  <font color="#ffffff">und an die Mitte,</font>

  1082
  00:59:01.813 --> 00:59:03.321 
  <font color="#ffffff">das wieder zusammen anzugehen.</font>

  1083
  00:59:03.963 --> 00:59:05.841 
  <font color="#ffffff">Es wäre eine verpasste Chance</font>
  <font color="#ffffff">und eine Arbeitsverweigerung.</font>

  1084
  00:59:06.482 --> 00:59:07.981 
  <font color="#ffffff">Wir dürfen Visionen einbringen,</font>

  1085
  00:59:08.622 --> 00:59:12.041 
  <font color="#ffffff">aber wir müssen konkret die</font>
  <font color="#ffffff">Massnahmen ins Trockene bringen.</font>

  1086
  00:59:12.682 --> 00:59:15.681 
  <font color="#00ffff">Kann man sagen, Lukas Golder,</font>

  1087
  00:59:16.322 --> 00:59:20.823 
  <font color="#00ffff">wie viel Sparpotenzial</font>
  <font color="#00ffff">eine solche Budgetkasse hätte?</font>

  1088
  00:59:21.465 --> 00:59:24.192 
  <font color="#008000">Ich glaube,</font>
  <font color="#008000">praktisch kein Sparpotenzial.</font>

  1089
  00:59:24.834 --> 00:59:26.681 
  <font color="#008000">Das hat mit uns selber zu tun.</font>
  <font color="#008000">Oder mit unseren Eltern.</font>

  1090
  00:59:27.322 --> 00:59:30.651 
  <font color="#008000">Wenn sie krank werden, würden wir</font>
  <font color="#008000">nie Leistungen reduzieren</font>

  1091
  00:59:31.292 --> 00:59:34.321 
  <font color="#008000">oder den Selbstbehalt erhöhen.</font>

  1092
  00:59:34.963 --> 00:59:37.043 
  <font color="#008000">Wo die hohen Kosten entstehen,</font>
  <font color="#008000">im Alter,</font>

  1093
  00:59:37.686 --> 00:59:40.140 
  <font color="#008000">werden solche Anreize</font>
  <font color="#008000">nicht funktionieren.</font>

  1094
  00:59:40.782 --> 00:59:43.611 
  <font color="#008000">Bei den jüngeren ist es so,</font>
  <font color="#008000">dass die Risiken überwiegen.</font>

  1095
  00:59:44.252 --> 00:59:48.801 
  <font color="#008000">Wenn wir die Bevölkerung fragen,</font>
  <font color="#008000">was sie wollen,</font>

  1096
  00:59:49.442 --> 00:59:52.112 
  <font color="#008000">dann sagen sie, etwas Ausgewogenes,</font>
  <font color="#008000">etwas zwischen Staat und Markt.</font>

  1097
  00:59:52.752 --> 00:59:55.052 
  <font color="#008000">Sie wollen aber</font>
  <font color="#008000">auch die Solidarität.</font>

  1098
  00:59:55.693 --> 00:59:58.660 
  <font color="#008000">Die Eltern mit Kindern, die</font>
  <font color="#008000">eine hohe Prämienlast haben -</font>

  1099
  00:59:59.302 --> 01:00:02.510 
  <font color="#008000">selbst jene, die Nein gesagt haben</font>
  <font color="#008000">zu Prämienentlastungs-Initiative,</font>

  1100
  01:00:03.152 --> 01:00:06.051 
  <font color="#008000">sagen, dort müsse man etwas machen.</font>

  1101
  01:00:06.693 --> 01:00:09.931 
  <font color="#008000">Es gibt die Bereitschaft</font>
  <font color="#008000">zur Solidarität.</font>

  1102
  01:00:10.573 --> 01:00:13.301 
  <font color="#008000">Das ist mit dem Budget-Ansatz</font>
  <font color="#008000">nicht möglich.</font>

  1103
  01:00:13.943 --> 01:00:15.580 
  <font color="#00ffff">Ich höre aber heraus, dass</font>
  <font color="#00ffff">die Menschen nicht bereit sind,</font>

  1104
  01:00:16.221 --> 01:00:17.594 
  <font color="#00ffff">auf Leistungen zu verzichten.</font>

  1105
  01:00:18.236 --> 01:00:19.671 
  <font color="#008000">Drei von vier Bundesratsparteien</font>

  1106
  01:00:20.312 --> 01:00:22.231 
  <font color="#008000">haben bereits eine Initiative</font>
  <font color="#008000">lanciert in den letzten 15 Jahren.</font>

  1107
  01:00:22.872 --> 01:00:24.361 
  <font color="#008000">Auch die SVP hat versucht,</font>
  <font color="#008000">beim Katalog zu reduzieren.</font>

  1108
  01:00:25.002 --> 01:00:26.451 
  <font color="#008000">Das kam</font>
  <font color="#008000">nicht einmal durchs Parlament.</font>

  1109
  01:00:27.092 --> 01:00:28.241 
  <font color="#008000">Man hat</font>
  <font color="#008000">einen Gegenvorschlag lanciert.</font>

  1110
  01:00:28.883 --> 01:00:30.149 
  <font color="#008000">Dieser kam zur Abstimmung.</font>

  1111
  01:00:30.791 --> 01:00:32.642 
  <font color="#008000">Er wurde von der Bevölkerung</font>
  <font color="#008000">sang- und klanglos abgelehnt.</font>

  1112
  01:00:33.283 --> 01:00:35.131 
  <font color="#008000">Das zeigt, dass wir in diesem Punkt</font>
  <font color="#008000">sehr kritisch reagiert.</font>

  1113
  01:00:35.772 --> 01:00:37.491 
  <font color="#008000">Wenn man den Eindruck hat,</font>

  1114
  01:00:38.132 --> 01:00:39.631 
  <font color="#008000">etwas in der Solidarität</font>
  <font color="#008000">ist nicht korrekt,</font>

  1115
  01:00:40.272 --> 01:00:41.741 
  <font color="#008000">reagieren die Leute sehr kritisch.</font>

  1116
  01:00:42.382 --> 01:00:43.841 
  <font color="#008000">Man hat den Eindruck,</font>
  <font color="#008000">die Leistungen werden gekürzt.</font>

  1117
  01:00:44.482 --> 01:00:45.932 
  <font color="#008000">Das funktioniert in der Regel nicht.</font>

  1118
  01:00:46.574 --> 01:00:48.553 
  <font color="#00ffff">Was geben Sie der Budgetkasse</font>
  <font color="#00ffff">für eine Chance?</font>

  1119
  01:00:49.195 --> 01:00:50.752 
  <font color="#008000">Wir könnten darüber sprechen,</font>

  1120
  01:00:51.394 --> 01:00:53.680 
  <font color="#008000">was integrierte Versorgung</font>
  <font color="#008000">eigentlich ist.</font>

  1121
  01:00:54.322 --> 01:00:56.713 
  <font color="#008000">Ich habe Managed Care erwähnt,</font>
  <font color="#008000">das wurde klar abgelehnt.</font>

  1122
  01:00:57.355 --> 01:00:59.388 
  <font color="#008000">Wenn man aber</font>
  <font color="#008000">bei integrierter Versorgung</font>

  1123
  01:01:00.024 --> 01:01:03.011 
  <font color="#008000">das Zusammenspiel</font>
  <font color="#008000">von verschiedenen Akteuren versteht,</font>

  1124
  01:01:03.652 --> 01:01:05.121 
  <font color="#008000">wo alle zusammenstehen müssen,</font>

  1125
  01:01:05.762 --> 01:01:05.762 
  <font color="#008000">der Mangel an Ärzten,</font>
  <font color="#008000">die überforderte Pflege,</font>

  1126
  01:01:06.402 --> 01:01:09.277 
  <font color="#008000">wenn man dort zusammen spielt</font>
  <font color="#008000">und genau hinschaut,</font>

  1127
  01:01:09.919 --> 01:01:12.871 
  <font color="#008000">die Daten digital verfügbar macht,</font>
  <font color="#008000">können wir Kosten sparen.</font>

  1128
  01:01:13.512 --> 01:01:16.170 
  <font color="#008000">Dann ist die Idee Budget</font>
  <font color="#008000">plötzlich integriert,</font>

  1129
  01:01:16.812 --> 01:01:18.581 
  <font color="#008000">dann wird es spannend.</font>

  1130
  01:01:19.222 --> 01:01:21.931 
  <font color="#00ffff">Gewonnen ist es damit</font>
  <font color="#00ffff">aber noch nicht.</font>

  1131
  01:01:22.572 --> 01:01:26.000 
  <font color="#00ffff">Es gibt noch viele Hürden.</font>

  1132
  01:01:26.641 --> 01:01:29.662 
  <font color="#ffffff">Ich möchte auf das Thema</font>
  <font color="#ffffff">Kostendämpfungspaket 2 zurückkommen</font>

  1133
  01:01:30.303 --> 01:01:31.971 
  <font color="#ffffff">und integrierte Versorgung.</font>

  1134
  01:01:32.612 --> 01:01:34.461 
  <font color="#ffffff">Natürlich sind wir</font>
  <font color="#ffffff">für integrierte Versorgung.</font>

  1135
  01:01:35.104 --> 01:01:36.821 
  <font color="#ffffff">Aber integrierte Versorgung</font>

  1136
  01:01:37.462 --> 01:01:40.041 
  <font color="#ffffff">durch einen zusätzlichen Leistungs-</font>
  <font color="#ffffff">erbringer ist der falsche Weg.</font>

  1137
  01:01:40.682 --> 01:01:42.690 
  <font color="#ffffff">Das ist Aufbau der Bürokratie,</font>
  <font color="#ffffff">eine zusätzliche Hürde,</font>

  1138
  01:01:43.332 --> 01:01:46.513 
  <font color="#ffffff">zusätzliche Regulierungen,</font>
  <font color="#ffffff">das ist keine Kostendämpfung,</font>

  1139
  01:01:47.154 --> 01:01:49.801 
  <font color="#ffffff">sondern Kostenausbau</font>
  <font color="#ffffff">und nicht das Ziel.</font>

  1140
  01:01:50.443 --> 01:01:52.291 
  <font color="#ffffff">Alle Leistungserbringer</font>
  <font color="#ffffff">im Gesundheitswesen sagen,</font>

  1141
  01:01:52.932 --> 01:01:54.731 
  <font color="#ffffff">dass es so sei.</font>

  1142
  01:01:55.372 --> 01:01:58.821 
  <font color="#00ffff">Wir haben über ein paar Ideen</font>
  <font color="#00ffff">der Parteien gesprochen.</font>

  1143
  01:01:59.463 --> 01:02:01.370 
  <font color="#00ffff">Von den Grünliberalen,</font>
  <font color="#00ffff">der SP und der FDP.</font>

  1144
  01:02:02.014 --> 01:02:06.180 
  <font color="#00ffff">Diese Woche gibt es aber</font>
  <font color="#00ffff">andere News zum Tarifsystem.</font>

  1145
  01:02:06.821 --> 01:02:09.912 
  <font color="#00ffff">Der Bundesrat</font>
  <font color="#00ffff">stand lange auf der Bremse,</font>

  1146
  01:02:10.554 --> 01:02:12.372 
  <font color="#00ffff">um neue Tarife einzuführen.</font>

  1147
  01:02:13.014 --> 01:02:14.681 
  <font color="#00ffff">Dafür wurde er</font>
  <font color="#00ffff">immer wieder stark kritisiert.</font>

  1148
  01:02:15.322 --> 01:02:18.890 
  <font color="#00ffff">Jetzt machte er Nägel mit Köpfen.</font>

  1149
  01:02:19.531 --> 01:02:23.463 
  <font color="#ffff00">Der Bundesrat hat heute beschlossen,</font>
  <font color="#ffff00">das Tarifsystem Tardoc</font>

  1150
  01:02:24.105 --> 01:02:29.311 
  <font color="#ffff00">und einen Teil der ambulanten Fall-</font>
  <font color="#ffff00">pauschalen gleichzeitig einzuführen.</font>

  1151
  01:02:29.951 --> 01:02:32.921 
  <font color="#00ffff">Tardoc und Fallpauschalen -</font>
  <font color="#00ffff">eine komplexe Geschichte.</font>

  1152
  01:02:33.562 --> 01:02:39.680 
  <font color="#00ffff">Wenn es komplex wird,</font>
  <font color="#00ffff">kommt unsere Erklärtruppe zum Zug.</font>

  1153
  01:02:41.765 --> 01:02:44.383 
  <font color="#ffffff">Ambulant erbrachte</font>
  <font color="#ffffff">ärztliche Leistungen -</font>

  1154
  01:02:45.025 --> 01:02:47.161 
  <font color="#ffffff">in Arztpraxen oder Spitälern:</font>

  1155
  01:02:47.802 --> 01:02:50.261 
  <font color="#ffffff">Jede Behandlung,</font>
  <font color="#ffffff">wie etwa das Blutdruckmessen,</font>

  1156
  01:02:50.902 --> 01:02:53.962 
  <font color="#ffffff">wird nach dem Tarifsystem Tarmed</font>
  <font color="#ffffff">abgerechnet.</font>

  1157
  01:02:54.603 --> 01:02:58.690 
  <font color="#ffffff">Im Tarifsystem ist festgelegt,</font>
  <font color="#ffffff">wie teuer welche Behandlung ist.</font>

  1158
  01:02:59.332 --> 01:03:04.669 
  <font color="#ffffff">Die Tarifstruktur Tarmed wurde 2004</font>
  <font color="#ffffff">eingeführt und ist veraltet.</font>

  1159
  01:03:05.311 --> 01:03:08.930 
  <font color="#ffffff">Die im Tarmed festgelegten Tarife</font>
  <font color="#ffffff">entsprechen teilweise nicht mehr</font>

  1160
  01:03:09.571 --> 01:03:12.940 
  <font color="#ffffff">den tatsächlichen Kosten</font>
  <font color="#ffffff">der Behandlungen.</font>

  1161
  01:03:13.582 --> 01:03:15.820 
  <font color="#ffffff">Der Krankenkassenverband Curafutura</font>

  1162
  01:03:16.466 --> 01:03:19.120 
  <font color="#ffffff">und der Verband</font>
  <font color="#ffffff">der Schweizer Ärzt/-innen FMH</font>

  1163
  01:03:19.762 --> 01:03:24.841 
  <font color="#ffffff">haben deshalb das aktualisierte</font>
  <font color="#ffffff">Tarifsystem Tardoc ausgearbeitet.</font>

  1164
  01:03:25.482 --> 01:03:28.161 
  <font color="#ffffff">Der konkurrierende</font>
  <font color="#ffffff">Krankenkassenverband Santesuisse</font>

  1165
  01:03:28.804 --> 01:03:30.440 
  <font color="#ffffff">und der Spitalverband H+ möchten</font>
  <font color="#ffffff">zusätzlich Fallpauschalen einführen,</font>

  1166
  01:03:31.082 --> 01:03:34.210 
  <font color="#ffffff">also fixe Preise,</font>
  <font color="#ffffff">für grössere ambulante Behandlungen</font>

  1167
  01:03:34.852 --> 01:03:39.531 
  <font color="#ffffff">wie etwa eine Darmspiegelung.</font>

  1168
  01:03:40.171 --> 01:03:44.230 
  <font color="#ffffff">Der Bundesrat hat nun entschieden:</font>
  <font color="#ffffff">Die neue Tarifstruktur Tardoc</font>

  1169
  01:03:44.872 --> 01:03:47.040 
  <font color="#ffffff">und die Pauschalen</font>
  <font color="#ffffff">für ambulante Behandlungen</font>

  1170
  01:03:47.681 --> 01:03:52.331 
  <font color="#ffffff">sollen gleichzeitig per</font>
  <font color="#ffffff">1. Januar 2026 eingeführt werden.</font>

  1171
  01:03:52.973 --> 01:03:56.590 
  <font color="#ffffff">Er verlangt allerdings bei beiden</font>
  <font color="#ffffff">Tarifstrukturen Nachbesserungen.</font>

  1172
  01:03:57.232 --> 01:03:59.291 
  <font color="#ffffff">Bevor die neuen Tarifsysteme</font>
  <font color="#ffffff">eingeführt werden können,</font>

  1173
  01:03:59.932 --> 01:04:03.330 
  <font color="#ffffff">müssen sie zudem</font>
  <font color="#ffffff">von den Tarifpartnern -</font>

  1174
  01:04:03.971 --> 01:04:05.629 
  <font color="#ffffff">u.a. den Krankenkassen,</font>
  <font color="#ffffff">Spitälern und Ärzten -</font>

  1175
  01:04:06.270 --> 01:04:08.870 
  <font color="#ffffff">miteinander koordiniert werden.</font>

  1176
  01:04:09.511 --> 01:04:11.732 
  <font color="#ffffff">Können sie sich nicht einigen, wird</font>
  <font color="#ffffff">der Bundesrat die Regeln festlegen.</font>

  1177
  01:04:12.374 --> 01:04:16.181 
  <font color="#00ffff">Der Bundesrat verlangt,</font>
  <font color="#00ffff">dass man nachbessert.</font>

  1178
  01:04:16.822 --> 01:04:18.922 
  <font color="#00ffff">Patrick Hässig, heisst das nicht,</font>

  1179
  01:04:19.564 --> 01:04:23.020 
  <font color="#00ffff">dass in diesem System noch nicht</font>
  <font color="#00ffff">alles so ist, wie es sollte?</font>

  1180
  01:04:23.662 --> 01:04:26.610 
  <font color="#ffffff">Die beiden Krankenkassenverbände</font>
  <font color="#ffffff">haben sich in den letzten Monaten</font>

  1181
  01:04:27.252 --> 01:04:30.601 
  <font color="#ffffff">und Jahren mit gewissen</font>
  <font color="#ffffff">Uneinigkeiten gekämpft.</font>

  1182
  01:04:31.242 --> 01:04:33.360 
  <font color="#ffffff">Es ist richtig,</font>

  1183
  01:04:34.002 --> 01:04:36.756 
  <font color="#ffffff">dass der Bundesrat und Elisabeth</font>
  <font color="#ffffff">Baume-Schneider gesagt haben,</font>

  1184
  01:04:37.397 --> 01:04:40.232 
  <font color="#ffffff">wenn man sich nicht findet,</font>
  <font color="#ffffff">sagen wir, wie es geht.</font>

  1185
  01:04:40.871 --> 01:04:42.470 
  <font color="#ffffff">So ist auch meine Idee bei der</font>
  <font color="#ffffff">Spitalplanung, Klammer geschlossen.</font>

  1186
  01:04:43.111 --> 01:04:44.660 
  <font color="#ffffff">Es geht in diese Richtung.</font>

  1187
  01:04:45.302 --> 01:04:46.620 
  <font color="#ffffff">Jetzt haben sie Zeit, das zu machen.</font>

  1188
  01:04:47.261 --> 01:04:48.660 
  <font color="#ffffff">Ich habe gehofft,</font>

  1189
  01:04:49.302 --> 01:04:51.093 
  <font color="#ffffff">dass Tardoc unabhängig von der</font>
  <font color="#ffffff">Pauschale eingeführt worden wäre.</font>

  1190
  01:04:51.734 --> 01:04:52.900 
  <font color="#ffffff">Das hätte den Hausärzten</font>
  <font color="#ffffff">etwas gebracht.</font>

  1191
  01:04:53.542 --> 01:04:56.486 
  <font color="#ffffff">Wir brauchen dringend mehr moti-</font>
  <font color="#ffffff">vierte Hausärztinnen, Kinderärzte.</font>

  1192
  01:04:57.127 --> 01:04:59.320 
  <font color="#ffffff">Sie hätten von Tardoc profitiert.</font>

  1193
  01:04:59.961 --> 01:05:02.260 
  <font color="#ffffff">Diesen Mut hatte man leider nicht.</font>
  <font color="#ffffff">Jetzt geht es wieder zurück.</font>

  1194
  01:05:02.902 --> 01:05:06.590 
  <font color="#ffffff">Spätestens per 1. Januar 2026 haben</font>
  <font color="#ffffff">wir eine Lösung - welche auch immer.</font>

  1195
  01:05:07.232 --> 01:05:10.911 
  <font color="#00ffff">Was ist bei der Feinplanung wichtig,</font>
  <font color="#00ffff">Bettina Balmer?</font>

  1196
  01:05:11.552 --> 01:05:15.700 
  <font color="#ffffff">Der Umsetzungsvertrag, der</font>
  <font color="#ffffff">bis zum 1.11. zustande kommen muss,</font>

  1197
  01:05:16.341 --> 01:05:18.100 
  <font color="#ffffff">ist das grosse Thema.</font>

  1198
  01:05:18.747 --> 01:05:22.041 
  <font color="#ffffff">Ich bin froh,</font>
  <font color="#ffffff">dass Tarmed bald Geschichte ist.</font>

  1199
  01:05:22.683 --> 01:05:26.079 
  <font color="#ffffff">Bei den Kinderspitälern ist bei den</font>
  <font color="#ffffff">ambulanten Leistungen mit Tarmed</font>

  1200
  01:05:26.721 --> 01:05:31.240 
  <font color="#ffffff">der Deckungsgrad im Moment</font>
  <font color="#ffffff">bei 72 % der Leistungen.</font>

  1201
  01:05:31.881 --> 01:05:34.330 
  <font color="#ffffff">Als Freisinnig-Liberale</font>
  <font color="#ffffff">schmerzt mich das.</font>

  1202
  01:05:34.972 --> 01:05:38.400 
  <font color="#ffffff">Leistung muss sich lohnen.</font>
  <font color="#ffffff">Das ist überhaupt nicht der Fall.</font>

  1203
  01:05:39.041 --> 01:05:41.940 
  <font color="#ffffff">Abgesehen davon</font>
  <font color="#ffffff">ist es medizinische Steinzeit.</font>

  1204
  01:05:42.582 --> 01:05:44.351 
  <font color="#ffffff">Der Tarif ist von 2004.</font>

  1205
  01:05:44.993 --> 01:05:47.190 
  <font color="#ffffff">Wir machen Behandlungen heute</font>
  <font color="#ffffff">komplett anders.</font>

  1206
  01:05:47.831 --> 01:05:49.410 
  <font color="#ffffff">Es ist nicht mehr dasselbe.</font>

  1207
  01:05:50.051 --> 01:05:51.870 
  <font color="#ffffff">Früher hat man einem Patienten</font>
  <font color="#ffffff">mit einem Leistenbruch</font>

  1208
  01:05:52.511 --> 01:05:55.650 
  <font color="#ffffff">fünf Tage im Spital gelassen.</font>
  <font color="#ffffff">Heute ist es eine Sache von 4-5 Std.</font>

  1209
  01:05:56.292 --> 01:05:58.107 
  <font color="#ffffff">Es ist überfällig,</font>
  <font color="#ffffff">dass etwas passiert.</font>

  1210
  01:05:58.749 --> 01:06:00.330 
  <font color="#ffffff">Darum bin ich froh</font>
  <font color="#ffffff">um diesen Schritt.</font>

  1211
  01:06:00.972 --> 01:06:02.810 
  <font color="#ffffff">Ich hoffe auch, dass man</font>
  <font color="#ffffff">bei den Verhandlungen</font>

  1212
  01:06:03.452 --> 01:06:06.990 
  <font color="#ffffff">mit den verschiedenen Partnern</font>
  <font color="#ffffff">kompromissbereit ist</font>

  1213
  01:06:07.631 --> 01:06:12.055 
  <font color="#ffffff">und dabei nicht vergisst, dass man</font>
  <font color="#ffffff">die Grundversorgung stärken muss.</font>

  1214
  01:06:12.696 --> 01:06:15.330 
  <font color="#00ffff">Von den Kantonen hat man noch nicht</font>
  <font color="#00ffff">viel gehört in der Öffentlichkeit.</font>

  1215
  01:06:15.971 --> 01:06:17.652 
  <font color="#00ffff">Wo stehen Sie?</font>

  1216
  01:06:18.304 --> 01:06:20.272 
  <font color="#ffffff">Wir unterstützen voll</font>
  <font color="#ffffff">die Linie des Bundesrates.</font>

  1217
  01:06:20.914 --> 01:06:25.190 
  <font color="#ffffff">Auch in Kombination</font>
  <font color="#ffffff">mit einem Teil der Pauschalen.</font>

  1218
  01:06:25.831 --> 01:06:28.770 
  <font color="#ffffff">Das muss man aber auch begründen.</font>

  1219
  01:06:29.411 --> 01:06:32.120 
  <font color="#ffffff">Sie sind von mir aus gesehen</font>
  <font color="#ffffff">sehr wichtig,</font>

  1220
  01:06:32.761 --> 01:06:36.530 
  <font color="#ffffff">weil sie Fehlanreize ausschalten:</font>

  1221
  01:06:37.172 --> 01:06:40.465 
  <font color="#ffffff">Heute werden Teil Dinge</font>
  <font color="#ffffff">stationär mit Übernachtung gemacht,</font>

  1222
  01:06:41.106 --> 01:06:43.650 
  <font color="#ffffff">weil die Spitäler sehen,</font>
  <font color="#ffffff">dass sie drauf zahlen müssen,</font>

  1223
  01:06:44.291 --> 01:06:47.480 
  <font color="#ffffff">wenn sie es ambulant machen würden.</font>

  1224
  01:06:48.138 --> 01:06:52.020 
  <font color="#ffffff">Kein Spital wird das offiziell</font>
  <font color="#ffffff">vor den Medien bestätigen.</font>

  1225
  01:06:52.661 --> 01:06:55.310 
  <font color="#00ffff">Ich sehe nickende Köpfe.</font>

  1226
  01:06:55.951 --> 01:06:58.170 
  <font color="#ffffff">Aber wenn die Kameras und Mikrofone</font>
  <font color="#ffffff">aus sind,</font>

  1227
  01:06:58.811 --> 01:07:02.941 
  <font color="#ffffff">wird mir angezeigt,</font>
  <font color="#ffffff">dass das Teil der Realität ist.</font>

  1228
  01:07:03.582 --> 01:07:05.780 
  <font color="#ffffff">Das kann nicht sein.</font>

  1229
  01:07:06.422 --> 01:07:07.890 
  <font color="#ffffff">Dass man etwas ambulant</font>
  <font color="#ffffff">machen könnte, günstiger,</font>

  1230
  01:07:08.531 --> 01:07:10.210 
  <font color="#ffffff">es aber stationär macht,</font>

  1231
  01:07:10.852 --> 01:07:12.662 
  <font color="#ffffff">weil es nur so wirtschaftlich</font>
  <font color="#ffffff">tragbar ist für das Spital.</font>

  1232
  01:07:13.304 --> 01:07:14.700 
  <font color="#ffffff">Das muss man ausschalten.</font>

  1233
  01:07:15.342 --> 01:07:16.859 
  <font color="#ffffff">Das ist ein Schritt.</font>

  1234
  01:07:17.501 --> 01:07:19.280 
  <font color="#ffffff">Bei den Pauschalen</font>
  <font color="#ffffff">gibt es den gleichen Preis,</font>

  1235
  01:07:19.921 --> 01:07:22.950 
  <font color="#ffffff">egal, ob stationär oder ambulant.</font>

  1236
  01:07:23.591 --> 01:07:26.202 
  <font color="#ffffff">Ein weiterer Schritt,</font>
  <font color="#ffffff">wenn ich vorgreifen darf,</font>

  1237
  01:07:26.844 --> 01:07:29.202 
  <font color="#ffffff">ist die einheitliche Finanzierung,</font>
  <font color="#ffffff">die Sie bereits erwähnt haben.</font>

  1238
  01:07:29.844 --> 01:07:32.819 
  <font color="#ffffff">Das kommt wahrscheinlich</font>
  <font color="#ffffff">diesen Herbst an die Urne.</font>

  1239
  01:07:33.462 --> 01:07:36.329 
  <font color="#ffffff">Das würde bedeuten, dass die Kantone</font>
  <font color="#ffffff">das Ambulante mitzahlen,</font>

  1240
  01:07:36.974 --> 01:07:39.400 
  <font color="#ffffff">und das nicht nur auf die Kasse</font>
  <font color="#ffffff">schlägt.</font>

  1241
  01:07:40.041 --> 01:07:44.110 
  <font color="#ffffff">In der Kombination</font>
  <font color="#ffffff">kommen wir dann in eine Richtung,</font>

  1242
  01:07:44.750 --> 01:07:47.061 
  <font color="#ffffff">wo wir in der ambulanten Medizin,</font>
  <font color="#ffffff">wo die Musik spielt,</font>

  1243
  01:07:47.702 --> 01:07:49.999 
  <font color="#ffffff">besser steuern und das</font>
  <font color="#ffffff">Kostenwachstum dämmen können.</font>

  1244
  01:07:51.556 --> 01:07:53.790 
  <font color="#00ffff">Jetzt müssen alle</font>
  <font color="#00ffff">an einem Strick ziehen.</font>

  1245
  01:07:54.431 --> 01:07:55.820 
  <font color="#00ffff">Glauben Sie an einen Durchbruch?</font>

  1246
  01:07:56.461 --> 01:07:57.780 
  <font color="#ffffff">Ja, es muss gelingen.</font>

  1247
  01:07:58.423 --> 01:07:59.690 
  <font color="#ffffff">Mit dem Entscheid des Bundesrats</font>

  1248
  01:08:00.331 --> 01:08:02.620 
  <font color="#ffffff">konnte Elisabeth Baume-Schneider</font>
  <font color="#ffffff">den Gordischen Knoten etwas lösen.</font>

  1249
  01:08:03.261 --> 01:08:05.235 
  <font color="#ffffff">Natürlich ist noch Arbeit</font>
  <font color="#ffffff">zu erledigen.</font>

  1250
  01:08:05.877 --> 01:08:09.224 
  <font color="#ffffff">Hier auch der Appell an die OAAT,</font>
  <font color="#ffffff">die Tariforganisation,</font>

  1251
  01:08:09.866 --> 01:08:14.830 
  <font color="#ffffff">aber auch an die Kassen, dass sie</font>
  <font color="#ffffff">sich zusammen an den Tisch setzen</font>

  1252
  01:08:15.472 --> 01:08:17.091 
  <font color="#ffffff">und das hinbekommen.</font>

  1253
  01:08:17.729 --> 01:08:20.180 
  <font color="#ffffff">Warum es Pauschalen braucht, hat</font>
  <font color="#ffffff">Lukas Engelberger sehr gut erklärt.</font>

  1254
  01:08:20.822 --> 01:08:23.618 
  <font color="#ffffff">Dass man die zwei Logiken</font>
  <font color="#ffffff">zusammenführt, ist zentral,</font>

  1255
  01:08:24.261 --> 01:08:26.259 
  <font color="#ffffff">damit wir danach</font>
  <font color="#ffffff">sachgerechte Tarife,</font>

  1256
  01:08:26.899 --> 01:08:29.099 
  <font color="#ffffff">ein sachgerechtes System haben,</font>
  <font color="#ffffff">das kostendeckend ist.</font>

  1257
  01:08:29.740 --> 01:08:32.819 
  <font color="#ffffff">Auch bei Tardoc gibt es ein Kapitel</font>
  <font color="#ffffff">für die Hausarztmedizin.</font>

  1258
  01:08:33.461 --> 01:08:37.050 
  <font color="#ffffff">Es ist zentral, dass dort neu Leis-</font>
  <font color="#ffffff">tungen abgerechnet werden können,</font>

  1259
  01:08:37.691 --> 01:08:44.408 
  <font color="#ffffff">die heute nicht möglich sind.</font>
  <font color="#ffffff">Dieser Bereich muss gestärkt werden.</font>

  1260
  01:08:45.051 --> 01:08:47.929 
  <font color="#ffffff">Das ist zentral</font>
  <font color="#ffffff">für die Patient/-innen.</font>

  1261
  01:08:48.571 --> 01:08:50.285 
  <font color="#ffffff">Das ist ein wichtiger Schritt.</font>

  1262
  01:08:50.926 --> 01:08:52.569 
  <font color="#ffffff">Es war eine Leidensgeschichte,</font>

  1263
  01:08:53.212 --> 01:08:55.399 
  <font color="#ffffff">nicht zuletzt, weil die Kranken-</font>
  <font color="#ffffff">kassenwelt so zerstritten war.</font>

  1264
  01:08:56.041 --> 01:08:59.009 
  <font color="#00ffff">Darüber will ich mit Lukas Golder</font>
  <font color="#00ffff">noch einmal reden.</font>

  1265
  01:08:59.649 --> 01:09:01.488 
  <font color="#00ffff">Gestern gab es diesen Knall.</font>

  1266
  01:09:02.130 --> 01:09:06.698 
  <font color="#00ffff">Man hat genug von diesem Streit</font>
  <font color="#00ffff">zwischen Santesuisse und Curafutura.</font>

  1267
  01:09:07.341 --> 01:09:10.899 
  <font color="#00ffff">Die grossen Krankenkassen wollen</font>
  <font color="#00ffff">einen eigenen Verband gründen.</font>

  1268
  01:09:11.541 --> 01:09:16.124 
  <font color="#00ffff">Was erwarten Sie? Gibt es</font>
  <font color="#00ffff">tatsächlich grosse Veränderungen?</font>

  1269
  01:09:16.761 --> 01:09:19.249 
  <font color="#008000">Das ist ein sehr wichtiger Player</font>
  <font color="#008000">am Tisch.</font>

  1270
  01:09:19.890 --> 01:09:22.649 
  <font color="#008000">Wenn sich die Krankenkassen einig</font>
  <font color="#008000">sind, können Sie etwas bewegen.</font>

  1271
  01:09:23.291 --> 01:09:25.991 
  <font color="#008000">Die Bevölkerung hat das Gefühl,</font>
  <font color="#008000">sie seien schuld am Kostenwachstum,</font>

  1272
  01:09:26.631 --> 01:09:28.350 
  <font color="#008000">aber sie haben eigentlich</font>
  <font color="#008000">eine andere Rolle.</font>

  1273
  01:09:28.991 --> 01:09:31.069 
  <font color="#008000">Sie dürfen im obligatorischen Teil</font>
  <font color="#008000">kein Geld verdienen.</font>

  1274
  01:09:31.711 --> 01:09:34.288 
  <font color="#008000">Sie müssten erklären, was sie für</font>
  <font color="#008000">die Menschen, die sie versichern,</font>

  1275
  01:09:34.930 --> 01:09:38.203 
  <font color="#008000">tun.</font>

  1276
  01:09:38.844 --> 01:09:42.022 
  <font color="#00ffff">D.h. nicht per se, dass man sich</font>
  <font color="#00ffff">immer einig ist im neuen Verband.</font>

  1277
  01:09:42.662 --> 01:09:44.212 
  <font color="#008000">Nein, das nicht.</font>

  1278
  01:09:44.854 --> 01:09:47.640 
  <font color="#008000">Aber diese 13 grossen Kassen</font>
  <font color="#008000">versichern ca. 1 Mio. Menschen.</font>

  1279
  01:09:48.281 --> 01:09:50.600 
  <font color="#008000">Sie haben alle Typen:</font>
  <font color="#008000">ältere, kränkere, gesündere,</font>

  1280
  01:09:51.241 --> 01:09:54.102 
  <font color="#008000">besser gebildete, besser situierte</font>
  <font color="#008000">und ärmere Menschen bei sich.</font>

  1281
  01:09:54.743 --> 01:09:57.006 
  <font color="#008000">Das hilft, so hoffe ich,</font>

  1282
  01:09:57.648 --> 01:09:59.709 
  <font color="#008000">dass man eine Service-public-</font>
  <font color="#008000">Orientierung spürt.</font>

  1283
  01:10:00.350 --> 01:10:02.641 
  <font color="#008000">Und dass sie die Interessen</font>

  1284
  01:10:03.282 --> 01:10:06.161 
  <font color="#008000">der Patient/-innen und</font>
  <font color="#008000">der Konsument/-innen hineinbringen.</font>

  1285
  01:10:06.802 --> 01:10:11.251 
  <font color="#008000">Sie sind in diesem System -</font>
  <font color="#008000">Expertokratie - untervertreten.</font>

  1286
  01:10:11.892 --> 01:10:16.730 
  <font color="#008000">Sie investieren stark,</font>
  <font color="#008000">haben viele Angestellte,</font>

  1287
  01:10:17.371 --> 01:10:19.189 
  <font color="#008000">die Kantone sind extrem wichtig,</font>

  1288
  01:10:19.836 --> 01:10:22.290 
  <font color="#008000">die Pharmaindustrie</font>
  <font color="#008000">vertritt ihre Interessen sehr gut.</font>

  1289
  01:10:22.931 --> 01:10:24.970 
  <font color="#008000">Dort kommen sie ein wenig zu kurz.</font>

  1290
  01:10:25.611 --> 01:10:27.109 
  <font color="#008000">Wenn man diesen Verband</font>
  <font color="#008000">am Service public orientiert</font>

  1291
  01:10:27.750 --> 01:10:29.328 
  <font color="#008000">in einer Balance</font>
  <font color="#008000">zwischen Markt und Staat,</font>

  1292
  01:10:29.969 --> 01:10:31.469 
  <font color="#008000">kann Bewegung entstehen.</font>

  1293
  01:10:32.111 --> 01:10:34.100 
  <font color="#008000">Mit den Tarifentscheiden,</font>
  <font color="#008000">die sehr wichtig sein können,</font>

  1294
  01:10:34.741 --> 01:10:36.210 
  <font color="#008000">die sehr positiv sein können,</font>

  1295
  01:10:36.852 --> 01:10:38.462 
  <font color="#008000">kann man heute einen</font>
  <font color="#008000">gewissen Optimismus ausstrahlen.</font>

  1296
  01:10:39.103 --> 01:10:40.940 
  <font color="#00ffff">Ich möchte eine Gesamtschau machen.</font>

  1297
  01:10:41.582 --> 01:10:44.401 
  <font color="#00ffff">Es gibt den Tardoc</font>
  <font color="#00ffff">mit den Fallpauschalen.</font>

  1298
  01:10:45.043 --> 01:10:48.130 
  <font color="#00ffff">Wir haben andere Beispiele gehört,</font>
  <font color="#00ffff">wo sich etwas tut,</font>

  1299
  01:10:48.772 --> 01:10:51.149 
  <font color="#00ffff">vielleicht auch noch im Hintergrund.</font>

  1300
  01:10:51.791 --> 01:10:54.771 
  <font color="#00ffff">Wie schätzen Sie es ein? Geht jetzt</font>
  <font color="#00ffff">etwas im Gesundheitswesen?</font>

  1301
  01:10:55.412 --> 01:10:57.810 
  <font color="#00ffff">Nach so vielen Jahren,</font>
  <font color="#00ffff">in denen nicht viel passiert ist.</font>

  1302
  01:10:58.451 --> 01:11:00.570 
  <font color="#008000">Es ist gar nicht schlecht, dass</font>
  <font color="#008000">diese Initiativen abgelehnt wurden.</font>

  1303
  01:11:01.211 --> 01:11:02.879 
  <font color="#008000">Es wäre noch einmal</font>
  <font color="#008000">eine Beschäftigung all jener,</font>

  1304
  01:11:03.526 --> 01:11:05.258 
  <font color="#008000">die schauen müssen,</font>
  <font color="#008000">dass etwas passiert.</font>

  1305
  01:11:05.903 --> 01:11:08.088 
  <font color="#008000">Es wäre</font>
  <font color="#008000">keine kohärente Richtung gewesen.</font>

  1306
  01:11:08.711 --> 01:11:10.141 
  <font color="#008000">Jetzt haben wir eine neue Situation.</font>

  1307
  01:11:10.781 --> 01:11:13.769 
  <font color="#008000">Nun kommen viele</font>
  <font color="#008000">langfristige Projekte zum Laufen.</font>

  1308
  01:11:14.411 --> 01:11:16.879 
  <font color="#008000">Die Tarife galten über zehn Jahre,</font>
  <font color="#008000">nun beginnt es zu wirken.</font>

  1309
  01:11:17.521 --> 01:11:19.591 
  <font color="#008000">Nun kann man versuchen,</font>
  <font color="#008000">an einen Tisch zu kommen.</font>

  1310
  01:11:20.232 --> 01:11:24.614 
  <font color="#008000">Dort sind auch neue Leute,</font>
  <font color="#008000">von den Verbänden, die Bundesrätin.</font>

  1311
  01:11:25.256 --> 01:11:28.800 
  <font color="#008000">Vielleicht kommen diese</font>
  <font color="#008000">besser miteinander zugange.</font>

  1312
  01:11:29.442 --> 01:11:31.449 
  <font color="#008000">Dann kann Bewegung entstehen.</font>

  1313
  01:11:32.091 --> 01:11:35.410 
  <font color="#008000">Bei den Themen, die heute genannt</font>
  <font color="#008000">wurden, gibt es z.T. Einigkeit.</font>

  1314
  01:11:36.051 --> 01:11:38.779 
  <font color="#008000">Nun kann man sie platzieren.</font>
  <font color="#008000">Ich bin optimistisch.</font>

  1315
  01:11:39.420 --> 01:11:41.620 
  <font color="#00ffff">Lukas Golder ist optimistisch.</font>
  <font color="#00ffff">Ich möchte es von Ihnen wissen.</font>

  1316
  01:11:42.261 --> 01:11:44.379 
  <font color="#00ffff">Wer ist optimistisch in der Runde,</font>

  1317
  01:11:45.024 --> 01:11:47.845 
  <font color="#00ffff">dass jetzt etwas passiert</font>
  <font color="#00ffff">im Gesundheitswesen?</font>

  1318
  01:11:48.487 --> 01:11:51.092 
  <font color="#ffffff">(Wasserfallen)</font>
  <font color="#ffffff">Wir können, es liegt an uns.</font>

  1319
  01:11:51.734 --> 01:11:53.743 
  <font color="#00ffff">Die Politik macht es letztlich.</font>

  1320
  01:11:54.384 --> 01:11:57.029 
  <font color="#00ffff">Hier machen wir einen Punkt</font>
  <font color="#00ffff">hinter das Politische heute Abend.</font>

  1321
  01:11:57.670 --> 01:12:00.155 
  <font color="#00ffff">Wir bleiben noch bei der Gesundheit.</font>

  1322
  01:12:00.803 --> 01:12:04.229 
  <font color="#00ffff">Mich interessiert, wie Sie zu sich</font>
  <font color="#00ffff">schauen, zu Ihrer Gesundheit,</font>

  1323
  01:12:04.870 --> 01:12:06.429 
  <font color="#00ffff">wie Sie fit bleiben.</font>

  1324
  01:12:07.070 --> 01:12:09.320 
  <font color="#00ffff">Ich selbst mache es ab und zu so:</font>
  <font color="#00ffff">Ich gehe wandern.</font>

  1325
  01:12:09.961 --> 01:12:11.761 
  <font color="#00ffff">Ich bin sehr gerne in der Natur.</font>

  1326
  01:12:12.402 --> 01:12:15.399 
  <font color="#00ffff">Das ist ein Bild vom letzten Sommer</font>
  <font color="#00ffff">vom Niederhorn im Berner Oberland.</font>

  1327
  01:12:16.040 --> 01:12:18.949 
  <font color="#00ffff">Mir ist sogar</font>
  <font color="#00ffff">diese Steingeiss begegnet.</font>

  1328
  01:12:19.590 --> 01:12:21.539 
  <font color="#00ffff">Flavia Wasserfallen, ich war</font>
  <font color="#00ffff">bei Ihnen auf den sozialen Medien</font>

  1329
  01:12:22.181 --> 01:12:25.149 
  <font color="#00ffff">und habe das eine oder andere</font>
  <font color="#00ffff">solche Foto gefunden -</font>

  1330
  01:12:25.794 --> 01:12:27.660 
  <font color="#00ffff">vielleicht ohne Steingeiss.</font>

  1331
  01:12:28.300 --> 01:12:32.049 
  <font color="#ffffff">Im Moment fläze ich eher</font>
  <font color="#ffffff">auf dem Sofa und schaue Fussball,</font>

  1332
  01:12:32.690 --> 01:12:34.779 
  <font color="#ffffff">statt dass ich mich selbst bewege.</font>

  1333
  01:12:35.421 --> 01:12:39.859 
  <font color="#ffffff">Aber sonst spiele ich selbst gerne</font>
  <font color="#ffffff">Fussball, ich mache Yoga, fahre Velo</font>

  1334
  01:12:40.500 --> 01:12:42.609 
  <font color="#ffffff">und bewege mich gerne</font>
  <font color="#ffffff">mit der Familie in der Natur.</font>

  1335
  01:12:43.251 --> 01:12:44.640 
  <font color="#ffffff">Das tut sehr gut.</font>

  1336
  01:12:45.281 --> 01:12:47.119 
  <font color="#ffffff">Man kann auch den Kopf durchlüften</font>
  <font color="#ffffff">nach all diesen Diskussionen,</font>

  1337
  01:12:47.760 --> 01:12:49.246 
  <font color="#ffffff">die wir führen.</font>

  1338
  01:12:49.888 --> 01:12:51.559 
  <font color="#00ffff">Wie macht man das eigentlich,</font>
  <font color="#00ffff">wenn man in einem Spital arbeitet</font>

  1339
  01:12:52.200 --> 01:12:53.739 
  <font color="#00ffff">und sich um die Gesundheit</font>
  <font color="#00ffff">von anderen kümmert?</font>

  1340
  01:12:54.380 --> 01:12:57.179 
  <font color="#00ffff">Schaut man selbst</font>
  <font color="#00ffff">auch so gut zu sich?</font>

  1341
  01:12:57.821 --> 01:13:00.246 
  <font color="#ffffff">Ja, man sollte,</font>
  <font color="#ffffff">und ich gebe mir auch Mühe.</font>

  1342
  01:13:00.887 --> 01:13:02.279 
  <font color="#00ffff">Heisst das,</font>
  <font color="#00ffff">Sie machen es nicht unbedingt?</font>

  1343
  01:13:02.921 --> 01:13:05.559 
  <font color="#ffffff">Ich werde immer besser.</font>

  1344
  01:13:06.200 --> 01:13:09.309 
  <font color="#ffffff">Man läuft sehr viel herum</font>
  <font color="#ffffff">auf einem Notfall.</font>

  1345
  01:13:09.953 --> 01:13:12.989 
  <font color="#ffffff">Ich komme problemlos</font>
  <font color="#ffffff">auf 10'000 Schritte pro Tag.</font>

  1346
  01:13:13.631 --> 01:13:16.359 
  <font color="#ffffff">Aber ich fahre sehr gern Velo</font>
  <font color="#ffffff">und im Winter fahre ich gerne Ski.</font>

  1347
  01:13:16.999 --> 01:13:21.629 
  <font color="#00ffff">Auch Sie laufen viel herum</font>
  <font color="#00ffff">als Pflegefachmann in Ihrem Beruf.</font>

  1348
  01:13:22.270 --> 01:13:23.941 
  <font color="#00ffff">Braucht es überhaupt noch Sport?</font>
  <font color="#ffffff">- Ja, unbedingt.</font>

  1349
  01:13:24.582 --> 01:13:27.979 
  <font color="#ffffff">Seit ich im Nationalrat bin, seit</font>
  <font color="#ffffff">Dezember, roste ich ein wenig ein.</font>

  1350
  01:13:28.621 --> 01:13:30.079 
  <font color="#ffffff">Diese Sitzungen sind sehr lang.</font>

  1351
  01:13:30.720 --> 01:13:32.331 
  <font color="#ffffff">Die Stühle sind zwar bequem,</font>

  1352
  01:13:32.972 --> 01:13:34.251 
  <font color="#ffffff">aber die Knie schmerzen jeweils,</font>
  <font color="#ffffff">der Po auch.</font>

  1353
  01:13:34.893 --> 01:13:36.549 
  <font color="#ffffff">Ich habe begonnen zu joggen.</font>

  1354
  01:13:37.191 --> 01:13:40.519 
  <font color="#ffffff">Ich mache das einmal pro Woche,</font>
  <font color="#ffffff">aber immerhin.</font>

  1355
  01:13:41.160 --> 01:13:44.397 
  <font color="#00ffff">Und Sie, Lukas Engelberger, joggen</font>
  <font color="#00ffff">über die Grenze nach Basel-Land?</font>

  1356
  01:13:45.038 --> 01:13:47.549 
  <font color="#ffffff">Ja, regelmässig.</font>

  1357
  01:13:48.190 --> 01:13:50.499 
  <font color="#ffffff">Von diesem Wochenende hätte ich auch</font>
  <font color="#ffffff">ein schönes Bild mitbringen können.</font>

  1358
  01:13:51.141 --> 01:13:53.519 
  <font color="#ffffff">Ich habe aber nur</font>
  <font color="#ffffff">ein halb gutes Gewissen,</font>

  1359
  01:13:54.160 --> 01:13:55.772 
  <font color="#ffffff">weil wir ziemlich</font>
  <font color="#ffffff">in den Schnee kamen.</font>

  1360
  01:13:56.413 --> 01:13:57.988 
  <font color="#ffffff">Wir wanderten über den Surenenpass.</font>

  1361
  01:13:58.630 --> 01:14:01.729 
  <font color="#ffffff">Ich habe gemerkt,</font>
  <font color="#ffffff">dass der Winter noch nachhängt</font>

  1362
  01:14:02.370 --> 01:14:04.189 
  <font color="#ffffff">und man sich etwas besser</font>
  <font color="#ffffff">informieren sollte,</font>

  1363
  01:14:04.831 --> 01:14:07.239 
  <font color="#ffffff">bevor man in die Berge geht.</font>
  <font color="#ffffff">Aber es ist nichts passiert.</font>

  1364
  01:14:07.880 --> 01:14:09.519 
  <font color="#00ffff">Da sind wir froh.</font>
  <font color="#00ffff">Schön, dass Sie hier waren.</font>

  1365
  01:14:10.161 --> 01:14:12.441 
  <font color="#00ffff">Das war sie,</font>
  <font color="#00ffff">vielen Dank fürs Mitdiskutieren.</font>

  1366
  01:14:13.082 --> 01:14:15.569 
  <font color="#00ffff">Das war die "Arena", diese Woche</font>
  <font color="#00ffff">produziert von Lisa Känzig.</font>

  1367
  01:14:16.210 --> 01:14:18.539 
  <font color="#00ffff">Mehr "Arena" gibt es auch</font>
  <font color="#00ffff">bei mir auf Social Media,</font>

  1368
  01:14:19.180 --> 01:14:21.309 
  <font color="#00ffff">auf srf.ch</font>
  <font color="#00ffff">morgen die Zusammenfassung</font>

  1369
  01:14:21.951 --> 01:14:24.069 
  <font color="#00ffff">oder auch auf der SRF News App.</font>

  1370
  01:14:24.710 --> 01:14:27.479 
  <font color="#00ffff">Hier geht es jetzt weiter</font>
  <font color="#00ffff">mit den News des Tages.</font>

  1371
  01:14:28.120 --> 01:14:30.868 
  <font color="#00ffff">In einer Woche steht Sandro Brotz</font>
  <font color="#00ffff">wieder hier am Pult,</font>

  1372
  01:14:31.510 --> 01:14:34.156 
  <font color="#00ffff">dann zur letzten "Arena"</font>
  <font color="#00ffff">vor dem Sommerprogramm.</font>

  1373
  01:14:34.797 --> 01:14:36.903 
  <font color="#00ffff">Wir sehen uns danach wieder,</font>
  <font color="#00ffff">ich freue mich darauf.</font>

  1374
  01:14:37.545 --> 01:14:39.709 
  <font color="#00ffff">Ich wünsche Ihnen einen schönen</font>
  <font color="#00ffff">Sommer und einen schönen Abend.</font>

  1375
  01:14:41.742 --> 01:14:49.339 
  <font color="#ffffff">SWISS TXT / Accessibility Services</font>
  <font color="#ffffff">Madeleine Gassner, Sabine Näpflin,</font>
  <font color="#ffffff">Romina Leichtle, Lilian Zbinden</font>

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