President Obama’s health care reform package (the Affordable Care Act, or ACA) shares some elements of Switzerland’s system, Santésuisse. Unfortunately, the ACA rejects the best ideas the Swiss have to offer, and adopts the worst, says Sally C. Pipes, president and chief executive officer of the Pacific Research Institute.

The chief similarity between ACA and Santésuisse is the individual coverage mandate. The mandate is reasonably popular in Switzerland. More than half the Swiss public supports the country’s health care system. That’s partly a function of the country’s cultural aversion to risk.

Liberal health wonks cite the Swiss experience as evidence that ACA will work similar marvels. But Switzerland’s achievements are less noteworthy than advertised.

For starters, 96 percent of Swiss had insurance before the installation of Santésuisse in 1996, so the country’s health care overhaul upped the coverage rate by a whopping 3 percent. Further, Switzerland has not yet figured out how to control health care costs.

If there’s one aspect of Switzerland’s health care system that ACA should’ve borrowed, it’s the decoupling of health insurance from employment.

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