Robert Mardini at Geneva University Hospitals: Two Years of Absorbing Shocks Without Breaking

Geneva University Hospitals closed 2025 with a 34.8 million Swiss franc surplus, even as one in four people in Geneva now says financial pressure has led them to forgo medical care. That contrast frames Robert Mardini’s assessment of his first two years as the hospital’s director-general.

An HUG study found that the share of Genevans abandoning care for financial reasons has risen from one in seven in 2011 to one in four today. The proportion could double by 2030 and now affects the middle class, according to the figures presented in the interview.

Mardini is questioned about how the hospital’s finances can improve while patients’ ability to access treatment deteriorates. The discussion focuses on health economics and the pressure created by rising costs and health-insurance premiums.

The hospital is also facing a series of unsettled tariff projects, including Tardoc, a cap on services and EFAS. Mardini outlines how HUG intends to absorb those shocks, while the outcome of several reforms remains uncertain.