AI
Written with AI assistance•18 mai 2026•
AI
Generated IllustrationAn investigation by SRF has uncovered a growing practice where some Swiss doctors are allegedly demanding large cash payments from patients prior to operations, often without clear receipts or explanations. Patient advocacy groups report an increase in such cases, raising concerns about potential breaches of healthcare regulations.
"Bring the money in cash in an envelope at the follow-up appointment."
"I was genuinely shocked to hear that in Zurich, in Switzerland."
Switzerland’s pristine reputation for healthcare transparency is fracturing as a disturbing shadow economy emerges within its medical corridors. A staggering investigation by SRF has exposed a trend of doctors demanding thousands of francs in cold, hard cash before patients are allowed under the knife. This is not a localized glitch but a systemic alarm; the Zurich Patient Centre has already documented over 40 cases since the end of last year alone. Patients, often at their most vulnerable, report being told that standard insurance reimbursements are 'insufficient,' forcing them to choose between their health and their savings. This 'envelope culture' bypasses official accounting, leaving no paper trail and zero accountability for some of the country's most trusted professionals.
The price of entry for surgery is skyrocketing for those unwilling to wait, with some doctors demanding an unprecedented CHF 12,000 in undocumented surcharges. Mario Fasshauer, director of the Zurich Patient Centre, reveals that these demands frequently range between CHF 8,000 and CHF 12,000. In one harrowing account, a patient seeking treatment for a painful cyst was told to bring CHF 1,200 in an envelope to her follow-up appointment. The justification? The doctor claimed the outpatient procedure didn't pay enough under standard tariffs. While senior consultants in Switzerland already earn a significant CHF 300,000 to CHF 500,000 annually, this 'pay-to-play' scheme suggests a predatory pursuit of profit that targets those in physical distress.
Swiss law is crystal clear, yet it is being brazenly ignored: tariff-protection rules prohibit doctors from hiking prices for mandatory insurance treatments. Franziska Sprecher, a law professor at the University of Bern, asserts that while doctors can legally charge for 'extra' services—like accelerated treatment for non-urgent cases—these must be transparently billed and medically justified. However, the current investigation suggests a darker reality where doctors misclassify outpatient surgeries as semi-private inpatient treatments to inflate bills. When a doctor demands cash in an envelope without a receipt, they aren't just bending the rules; they are shattering the legal obligation to inform patients financially. This lack of documentation makes it nearly impossible for patients to claim reimbursements, effectively doubling the cost of their care.
The political backlash is immediate and fierce. The Zurich cantonal parliament has already passed a critical motion calling for a total ban on additional fees designed to jump the surgery queue. This move signals a dramatic shift in how Switzerland intends to police its medical elite. The message is clear: the healthcare system belongs to the public, not to the private bank accounts of surgeons. As the government grapples with these revelations, patients are being urged to seize control of their rights. Experts advise: never pay in cash without a receipt, demand written documentation for every 'extra' service, and report any suspicious demands to cantonal authorities. The era of the 'silent surcharge' is ending, as Switzerland moves to restore integrity to its medical billing.