In 2014, the Swiss Medical Board published that intravenous iron therapy was effective, expedient and economical. This is why it is paid for by Swiss health insurance companies.
However, the Swiss government did not take this manifesto seriously and has therefore been carrying out a new review since 2015 on the significance of menstruation for iron deficiency and the need for iron compensation. Bern wants to abolish the compulsory health insurance for iron therapy in 2019.
Since 2018, the Federal Council has been working with zinc-coated cards. Instead of seriously adhering to the legal WZW criteria (effectiveness, expediency, cost-effectiveness), it only wants to pay attention to cost-effectiveness, as it has stated on its website (page 8, lines 12 and 13).
Apart from the missed obligation to fulfil the WZW criteria, the Federal Council has also failed on a second level. In contrast to the population, it has still not understood that women irretrievably lose iron because of their menstruation and that they repeatedly need iron compensation from the outside for their health at individual intervals – for ethical reasons. Menstrua cogunt Ferrum: Menstruation reclaims iron! The society must be solidary thereby. Therefore the Swiss health insurance companies pay the iron therapy since its introduction 1998.
Nevertheless, the Federal Council has now authorised itself to make a decision on women’s and children’s health in 2019, which would have serious consequences. Will the Swiss government continue to believe in the ominous 15 and thus continue to allow iron deficiency untreated, as the WHO proclaims and even teaches? Or does Bern want to have iron deficiency patients treated, as SIHO recommends, demonstrates and has been doing for years?
Iron deficiency has become a bone of contention between WHO and SIHO in Switzerland. Bern will have to bite this apple this year. For the WHO, iron deficiency is normal and therefore not in need of therapy. For SIHO, iron deficiency is also normal, but nevertheless harmful to health and therefore in need of therapy and still easily curable. How does the apple taste – sweet or sour? Bern will tell us then.