The national councilor PS Nina Schläfli and the national councilor UDC Michael Graber take a position on the survey of watson.Image: watson/keystone/imago
Switzerland quickly tears the teeth from asylum seekers, as shown in our investigation. No problem, estimates an UDC national advisor. A PS politician sees a need for reform, beyond the area of asylum.
20.07.2025, 19:0020.07.2025, 19:00
When we talk about asylum applicants and dental treatments, refugees are often criticized for being “redone” the teeth at the taxpayer’s expense. Indeed, a large part of the asylum applicants, people admitted provisionally and persons benefiting from the protection status are supported by the public authorities.
However, as our investigation shows, this reproach does not correspond at all to the reality of Swiss dental firms. The people concerned and the professionals of asylum and dental medicine describe that some people suffering from dental problems are placed in front of the following choice:
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Admittedly, teeth uprooting is one of the recommendations of the association of cantonal dental doctors (AMDCs) for people under asylum law, because this solution is effective and inexpensive. But the co -president of this organization, Peter Suter, comments:
“Placing asylum applicants in front of the choice between the extraction of a tooth or taking pain relievers, without informing them about the possible alternatives, is not going in the direction of social medicine.”
Unacceptable for the PS, normal for the UDC
Questioned by watsonUDC national councilor Michael Graber says he considers the current system as “reasonable, pragmatic and human”. Valaisan, which is a member of the Social Security and Public Health Commission, is of the opinion that medical services must be staggered according to the patient’s status:
“Those who have no fixed stay status should only receive limited services”
Even if, in practice, it sometimes means tore teeth without offering alternative treatment?
Graber responds in the affirmative:
“I think it is just to tear up the teeth if necessary, without offering an alternative treatment. This is more than what each Swiss receives which must finance their dental care itself. ”
Graber says that a refugee person having a tooth snapped down a prosthesis as soon as they have a job. Nor does he think that the people who are missing from the teeth have difficulty finding a job. For Michael Graber, this is a question of principle:
“The public authorities should only take care of the treatments in the event of the risk of acute and serious health damage”
UDC national councilor Michael Graber is in favor of the current system.Image: keystone
Nina Schläfli sees things diametrically differently. The National PS Councilor, which is part of the Commission of Political Institutions and takes care of asylum issues, stresses:
“Healthy teeth should not be a luxury”
Thurgovienne considers that it is “intolerable” that people with asylum receive lower services than those of people benefiting from ordinary social assistance.
Dental medicine is an expensive field, admits Nina Schläfli. It can therefore quite understand that all the treatments of people in the course of asylum procedure are not taken care of from the start. Nevertheless, she is of the opinion that it is a question of principle:
“Physical integrity and health cannot be measured financially”
Nina Schläfli, PS national councilor, wants reforms in the field of dental social medicine.Image: KEYSTONE
Status N, F and S-What does that mean?
THE asylum applicants whose asylum procedure is underway have the N.
Foreigners admittedly accepted have status F. Their asylum application has been rejected, but they cannot return to their country of origin for security or procedural reasons.
The protection status S was used for the first time for Ukrainians. It authorizes a provisional stay in Switzerland.
For them recognized refugeestheir asylum application was accepted. They must be able to prove that they have been individually persecuted in their country of origin.
According to Nina Schläfli, this is not only an ethical problem: either should not be overlooked by the costs generated by unrealized dental problems or torened teeth. Appropriate treatment is in the interest of all, it affirms:
“It is urgent to adopt a global approach, everything else is only moving costs”
Tooth a tooth is a relatively inexpensive procedure. The physical and mental consequences relating to the persons concerned by this intervention can however be important.Image: iStockphoto
The UDC Graber national councilor considers on the contrary that individual responsibility must be maintained at a high level in dental medicine:
“This is the only medical field where individual prevention and responsibility work”
PS politician Schläfli contradicts it:
“Individual responsibility does not solve all problems”
According to her, there are situations where the social state has a duty to be fulfilled. For example in social dental medicine for persons relating to the right of asylum.
In Switzerland, social dental medicine is already a safety net for those who cannot pay their dentist bills themselves. Isn’t that enough?
Nina Schläfli dit que non:
“There are big holes in social dental medicine”
A practice in conflict with fundamental rights?
Eva Maria Molinari, a specialist in the Constitution, believes that the current practice of dental treatments under the field of asylum is in conflict with their fundamental rights. It is particularly critical with regard to teeth uprooting when presented as an inexpensive solution: “Take a tooth is irreversible and should therefore be the last resort”she declares in response to the request of watson. If, for cost reasons, there is no alternative to the tooth tearing, this limits the right to self -determination: “The patient does not then consent freely”. Asylum applicants, people admitted provisionally and people benefiting from the protection status are often in Switzerland for a long time, she recalls. In this case, she believes that it is necessary to “improve the level of services”.
As shown in the investigation of watsonthese holes are sometimes filled by private privates or dental offices. But this is not a viable solution, says Schläfli:
“If you live in a region where there are no foundations or dentists who treat free of charge, you simply have no chance.”
But whether or not we receive a good treatment should not be a lottery, according to her:
“From an ethical point of view, I see here a large question mark”
The Social Politician and the Graber Health of the UDC responds:
“From an ethical point of view, it suits me perfectly”
Even if you tear out young people or refugees whose dentition is also healthy.
A reform is necessary, according to the PS
Socialist politician Schläfli considers that it is particularly necessary to act with regard to people with status F, that is to say, those admitted provisionally. Like asylum applicants, they only receive reduced treatments in dental offices, while they often stay in Switzerland for many years.
Schläfli sees it as an inequality of unfair treatment:
“People with status F have fled wars or violence in the same way as recognized refugees, but they receive significantly fewer benefits.”
For her, this status requires a reform that goes beyond dental medicine.
Graber answers in the negative to the question of whether more generous rules should apply to people admitted provisionally in dental care. “The request of these people has been rejected,” he said. This is why he believes that limited benefits, as in the current system, are appropriate.
General dental insurance as a solution?
Unlike the national councilor UDC Graber, the national councilor PS Schläfli considers that it is necessary to act at the political level, and not only at the level of the status F:
“The system of social dental medicine must be fundamentally re -examined”
According to her, cantonal differences should also be analyzed and assess the costs and advantages of current practice. And the question of how to guarantee and control minimum standards.
According to Schläfli, a solution would be to have general dental insurance or to integrate dental treatments into basic health insurance. She maintains that dental treatments represent a financial challenge for many people, including those who benefit from ordinary social assistance or who have a small budget and must manage without the help of the State. Graber firmly opposes these proposals.
Politically, Schläfli’s claim should find it difficult to pass. Last year, a motion from the National Councilor of the Greens Katharina Prelicz, who wanted to integrate the coverage of dental medicine in basic insurance, was rejected by 123 votes against 62.
Translated and adapted from German by Léa Krejci
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