The confrontation of economic interests (pursuit of profit, on the one hand, efforts to make savings, on the other) under a legal cover leads to a dead end. A solution must be sought at the political level, which will lay the foundations for an agreement, and then go down to the technical level, which will specify the modalities.
The agreement concluded by the Commission, CZ Zorgpass in the Netherlands for JSIS affiliates (Vox 119), should serve as an example to be followed for Luxembourg.
On this basis, the CNS would provide JSIS members with a “social security” card valid in Luxembourg, which would open access to healthcare at the prices that the CNS has negotiated with healthcare providers. All charges would be paid by the CNS and invoiced to JSIS, which would then recover the member’s share in accordance with its own rules (e.g., 15% or 20%).
In this way, JSIS members in Luxembourg would benefit from the same ‘rates’ (which does not mean the same ‘invoices’) as persons insured by the CNS. The savings made for our scheme through lower rates would offset any additional administrative costs incurred for the CNS.
The political interlocutors of the European institutions will have to take into account not only the vested interests of the economic operators involved, and in particular the hospitals, but also the attractiveness of the Luxembourg site for the European institutions, which is suffering in particular from the spiralling rise in housing prices.
At the technical level, it will be up to us to establish active links with the Luxembourg trade unions, which account for a third of the votes on the CNS Steering Committee.
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