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Introduction
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element of the population and society. Neither the politicians nor the
general public in Switzerland are yet fully aware of the new diversity of the
population.
Statistics on immigrant populations in western European countries
show clearly that they are ageing or, put another way, that the initial concentration of young adults and their children is quickly being lost. While
it is invariably the case that foreigners are still younger than nationals,
the number of older immigrants is increasing rapidly. This growth
results from the ageing of the rst generation of immigrant workers
that were recruited during the 1950s and 1960s into western European
countries. The rst post-1945 wave of immigrants into Switzerland came
mainly from Italy and Spain, while many of those who moved to France
came from Algeria and Morocco, and those who went to Germany
predominantly came from Turkey. Indeed, in most parts of Europe,
the pioneer labour immigrations during the 1950s were dominated
by movements from other European or north African countries: only
later did long-distance inter-continental migrations make a substantial
contribution.
The ageing of these migrant groups can be shown from several statistical
sources on foreigners, migrants and minority groups. In Switzerland, for
example, in 1980 only 5.8 per cent of the resident population aged 6064
years were foreigners, but by 2000 their share had increased to 15.7 per
cent. Similar but more moderate growth is also taking place among
foreigners aged 65 and more years : their share of the resident population
increased from 4.9 per cent in 1980 to 7.1 per cent in 2000. Examining
more specically Spanish and Italian citizens resident in Switzerland, they
represented 3.2 per cent of the 6064 years population in 1980 but 8.1 per
cent in 2000, while among people aged 65 or more years, these two
nationalities increased from 2.0 per cent in 1980 to 3.5 per cent in 2000.
The growth of the absolute number of Italian and Spanish older people is
more impressive from 17,093 in 1980 to 39,174 in 2000, an annual growth
rate of 4.2 per cent. The foreign migrants who followed during the 1970s
and 1980s, namely the Turks, Yugoslavs and Portuguese, are also beginning to show increased numbers in the older ages (Table 1). If the ageing of
the immigrant populations is widely perceived to be relatively modest, it
is partly because it is occurring in parallel with demographic ageing in the
general population, but the ageing of minority and migrant groups has
distinctive features. As shown in Table 1, young older people now predominate in the immigrant population, which is a function of the dates of
their arrival and their young adult ages at the time. The relatively low
average age of the older immigrants accounts for the relatively high maleto-female ratio, although the nature of the jobs that attracted the migrants
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Nation of citizenship
Percentage
of foreign
population
Number
6574
75+
49,582
41.0
15.5
8,948
7.0
11.0
24,930
46.0
5.0
3318
6.0
4.0
9835
40.0
3.0
1028
4.0
1.2
Italy
% of foreign residents1
% of Italians
Spain
% of foreign residents1
% of Spanish
319,641
23.0
83,405
6.0
Yugoslavia
% of foreign residents1
% of Yugoslavs
190,731
14.0
6,929
6.0
3.0
1657
3.0
0.8
300
1.0
0.1
Portugal
% of foreign residents1
% of Portuguese
134,675
10.0
2,060
2.0
1.5
425
0.7
0.3
114
0.5
0.1
Turkey
% of foreign residents1
% of Turks
79,476
6.0
2,969
2.5
4.0
1021
2.0
1.0
261
1.0
0.3
1,384,382
100.0
120,961
53,837
24,446
Sources: Authors calculations from data compiled by Oce Federal des Estrangers [ Federal Aliens
Oce] 2000; Oce Federa de la Statistique 2001.
Note : 1. Of the given age groups.
2010
2020
2030
Females
Males
Females
Males
Females
Males
Females
Males
Foreign citizens
Percentage male
39,096
41,336
(51%)
54,422
57,229
(51%)
61,434
61,406
(50%)
67,865
55,517
(45%)
Swiss citizens
Percentage male
552,071
390,593
(41 %)
681,786
460,185
(40%)
779,788
578,480
(42 %)
897,642
656,092
(42 %)
Source: Authors calculations from data compiled by the Oce Federal de la Statistique [Federal Oce
of Statistics] (OFS) 2001 a. See also Scenario: Tendance website http://www/statistik.admin.ch/stat_ch/
ber01/scen_95/fraph2.htm
and subsequent sex selection in return migration are also involved. In the
Swiss population aged 65 or more years, 41 per cent are men, but among
foreigners of the same age 51 per cent are men (Table 2). Recent population projections (with a 2000 base) indicate that the representation of
older foreigners in the foreign population and among older people in
general will continue to increase, and that the proportion of older women
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will rise. In other words, the ratio of women to men among older
foreigners will converge with that found in the general older Swiss population (Table 2). One should note carefully that the available statistics take
into account only older foreign citizens, not all older immigrants. Many
have taken Swiss citizenship, but they are not visible in these statistics.
The actual number of resident older people in cultural minority groups
is higher than the statistics reveal.
Emergence of the elderly foreign population in Switzerland
If the ageing of immigrants is now visible and beginning to be acknowledged as a social reality, it is because a large part of the foreign resident
population has settled permanently. This is clearly indicated by the fact
that, among the 1.38 million foreigners living in Switzerland in 2000, 75
per cent had long-term residence permits. In the case of Italian and
Spanish citizens, 95 per cent have this type of permit.1 In most Western
European countries including Switzerland migrants were for a long
period seen as birds of passage (Piore 1979). Political and public opinion,
as well as the immigrants themselves, believed that their sojourn in the
host country would be consistent with their role as guest workers and
would therefore be transitory. But the situation has changed: either the
families of the immigrant workers came to join them or they married in
the adopted country; children have been born and schooled in the host
country ; and the parents, especially mothers, have been acculturated to
the resident country and have adopted aspects of the dominant way of life.
Moreover, the longer the time spent in the host country, the greater and
more enduring its inuence, and the original project to return to the home
country has receded as a priority and is less and less realised (Bolzman,
Fibbi and Vial 1999). As has been emphasised by the sociologist Sayad
(1991 : 19), There is no immigration, even supposedly for work and work
alone that does not transform into family migration [or] migration for
settlement .
The fact that an immigrant population has settled only becomes clear
when large numbers of those who retire from work remain in the country.
That this is happening was shown by the authors project during 199497
in the national research programme on ageing. The study examined the
circumstances and aspirations of a random sample of 442 Italian and
Spanish citizens aged 5564 years who were living in Switzerland. More
than one-third of the interviewees planned to remain in Switzerland when
they ceased work ; one-third expected to come and go between Switzerland
and their home country; and only around one-quarter planned to return
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Men
Women
Men
Women
Percentages
Stay in Switzerland
Live in Switzerland and
Spain or Italy
Return to Spain or Italy
Total
21
44
36
45
37
36
62
21
35
100
19
100
27
100
17
100
Sample size
143
97
101
58
Source: Authors survey, for details see Bolzman, Fibbi and Vial 1998.
to their home country (Bolzman, Fibbi and Vial 2001). Moreover, the
intention to stay in the resident country became stronger with the approach of retirement. At the time of the research, the retirement age in
Switzerland was 65 years for men and 62 years for women. In our sample,
those aged 6064 years were more likely to wish to stay in Switzerland than
those aged 5564 years, who were more likely to prefer coming and going
(Table 3). The majority of the latter when they are older will probably
choose Switzerland as their country of residence, partly because either
their health or their economic situation will not allow them to travel frequently between the two countries. Women were more likely than men to
want to settle in the host country, commonly because they wished to live
near their children and grandchildren, and to keep the independence that
they have acquired in the host country and which would be compromised
if they returned (Bolzman, Fibbi and Vial 2001).
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Age group
(years)
Population
Percentage in
poor health
65+
57+
5064
5064
5564
Swiss1
Swiss1
Swiss1
Foreigners2
Italians/Spanish3
7.0
7.0
4.2
7.6
19.0
Sources: 1. Rapport de la Commission Federale sur la Vieillesse 1995. 2. Vranjes et al. 1995. 3. Bolzman,
Fibbi and Vial 1998.
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Given the development and growth of the welfare state, social security has
become the main means of protecting individuals from poverty and insecurity. Here we outline the Swiss legislation on social security, especially
as it aects older people, and examine to what extent and under what
conditions foreign elders are entitled to its benets. The Swiss social security system has two arms : social insurance and social welfare. The cornerstone of social insurance is a three-pillar system of nancial support,
namely public, occupational and private insurance. Old Age and Survivors Insurance (OASI) and Invalidity Insurance jointly make up the
rst pillar, and provide pensions that are intended to cover basic living
costs. When these are insucient, there are supplementary income benets. The second pillar is formed by occupational benet plans which
cover old age, survivors (widows) and invalidity payments. The rst two
pillars together should amount to at least 60 per cent of the beneciarys
most recent earnings, and allow pensioners to maintain the standard of
living to which they have been accustomed.
The rst pillar is compulsory for all, including the self-employed or
people not in gainful employment, e.g. parents of either sex who take care
of the home and children. The second pillar is only obligatory for salaried
workers. The third pillar the self-provision of additional assurance is
optional but, unlike other forms of savings, oers certain tax benets. The
three-pillar system has been embodied in the Swiss Constitution since 1972
and is intended to ensure a decent standard of living for people of retirement age and other pensioners. Social insurance therefore covers four
main areas : provision for old age; provision for dependants (widowed
spouses, children and the disabled) ; provision in case of sickness or
accident; and unemployment insurance and family allowances. Since
we are concerned with older people, we shall examine only the rst
two elements.
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These forms of insurance grant nancial benets (pensions and compensation for loss of income) and cover costs in cases of sickness or accident. Social security benets, in particular those granted in lieu of an
income from paid employment, are mainly nanced out of salary-based
contributions. Health or sickness insurance, as it is called in Switzerland, is
nanced from premiums paid by the insured. The federal authorities and
cantons participate to a greater or lesser extent in nancing social security
(old age insurance, invalidity insurance and sickness insurance), while
supplementary benets are nanced completely from federal and cantonal
tax revenue. The occupational benet plan (the so-called second pillar of
social security) is a fully funded system.
Social welfare or social assistance is always means-tested. Based on the
principle of subsidiarity, it aims to provide everyone with the means to
meet their basic needs, in particular people who are not covered by any
other form of social security those outside the welfare safety net. To a
large extent, social welfare is administered by the cantons, but their regulations dier widely and there is great variation in the benets paid. There
are, of course, other cantonal and municipal institutions as well as private
charities that supplement the two primary sources of social security.
Foreign elders in the welfare system
Foreign residents in Switzerland are currently net payers into the OASI
scheme : they receive less than they contribute. The number of pensions to
be paid to foreigners will however rise sharply over the next few years, as
more migrant workers become entitled to draw their OASI pensions.
Foreigners pensions are relatively low, however, since the amount of the
pension depends on the number of years that contributions have been
paid. Most immigrants, even if they started to work at an early age, have
worked for only part of their active life in Switzerland. The most signicant dierence between the entitlements of Swiss and foreign elders lies in
their access to supplementary benets. Since 1965, legislation has required
the cantons and communes to pay supplementary benets to those whose
old-age pensions are insucient to cover their basic needs. These pension
supplements are part of the social security scheme and benets are a legal
entitlement. They make up the dierence between income and living
costs. Although they constitute a right, some people regard these payments
as charitable dole and resent having to depend on them. In the case of
foreigners, access to supplementary benets depends upon nationality,
and the duration of residence in both Switzerland and the canton. Foreign
elders need to have an unbroken 10-year residence in Switzerland to
qualify for supplementary benets. Those who come from countries
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Even if welfare policies and social and health mainstream services meet
most of the needs of older people, for many reasons the services are not
always accessible to immigrant elders. The most important reasons
include the inadequate information about services for people who speak
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non-Swiss languages and have little education, and the absence of policies
or measures to ensure the inclusion of this generation of immigrants in
Swiss society. Many immigrant communities distrust Swiss bureaucracy
because of the countrys harsh immigration policy. In addition, mainstream institutions do not pay enough attention to elderly immigrants, and
there is little training in multicultural approaches to health and social
work.
In general, the foreign population is less well educated than the Swiss,
mainly because of the nature of the migrant workforces recruitment. Our
research revealed that the Italians and Spanish aged 5564 years had low
levels of formal education, for 70 per cent had not progressed beyond the
compulsory school years. Most began working early in life and many
do not speak standard Italian or Spanish uently but rather a dialect
(Bolzman, Fibbi and Vial 1999). Immigrants have tended to have little
contact with public services during their working ages, a pattern that
persists into old age. When they needed help, habitually they turned to
their families (especially children) or to trades unions. In old age they
seldom contact ocialdom, whether the social services or their consulate,
and look only occasionally for advice or help from immigrant associations.
Italians more than the Spanish use trades unions and the patronati system
for help. This is probably because the Italian community in Switzerland is
longer established than the Spanish and has developed more voluntary
welfare and community associations.
Contacts with mainstream society appear to have been more dicult in
the Swiss-German language regions of Switzerland than in the Frenchspeaking zone. Among Spanish older residents, those who lived in the
Swiss-German region had most diculty in speaking the local language:
one-third could not communicate in German and the proportion was
higher among those aged 70 or more years (Embajada de Espana en Suiza
y FEMAES 2001). Some hospitals now train professional interpreters to
ease contacts and consultations with foreign patients, but in most places
the facility is still not seriously considered. Professionals in various health
services are however becoming increasingly aware of the language problems. A recent study of the access of foreign elders to supplementary help
and home care in Basle found that they knew little about these services,
and that a large majority thought that the only option for them was to
spend their old age in a nursing home ( Jacobs Schmid 2001). The problems that elderly immigrants have in accessing non-hospital health and
social services reect the lack of any serious integration policy and illustrate the long-term consequences. Another survey found that 83 per cent
of Italian respondents believed that the Swiss state had done nothing to
make integration easier for them, and that if their present situation was
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comfortable, this was entirely a reward for their own eorts (Colonies
Libres Italiennes en Suisse 2000).
Conclusions
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While a complex system of health and social care for older people has
built up incrementally in Switzerland, until the present time, little has been
known about the extent to which mainstream services support elderly
foreigners because no routine data are collected and no systematic research has been undertaken. Nowadays, however, local social services are
becoming more aware of elderly immigrants problems. This shift is
probably occurring because, rstly, there is a growing recognition that
most younger immigrant elders will stay and use Swiss services, secondly
through the increasing number of foreign social workers who are employed
in the social and welfare services, and thirdly from the slowly spreading
local awareness of multi-culturalism . This new sensitivity is most attuned
towards newly-retired immigrants, but immigrants aged in the eighties
and older are little helped by this development. For instance, there is no
policy about elderly immigrants access to old age services, and no study of
frail minority older peoples specic needs and preferences for their living
arrangements. No one knows how many immigrant and ethnic minority
elders still live with their families and how many live in nursing homes
(Fibbi, Bolzman and Vial 1999b). Questions about the actual and most
appropriate living arrangements of the oldest age groups of immigrants
are vital and require urgent examination.
At a broader level, the circumstances and welfare of elderly immigrants
are deeply related to questions of citizenship. If immigration policies
continue to consider international migration as abnormal, as exceptions to
a sedentary or frozen national order, both younger and older immigrants
will continue to be perceived as denizens, dierent and, as the cant has
it, the other . That means that they will continue to be denied full citizenship rights in both their native and adopted countries of residence. As a
consequence, there will be predictable surprise when new generations of
older immigrants living in precarious conditions are discovered. The
alternative course for European societies is to accept two social facts, that
our nations have become multi-cultural, and that migrations are an inevitable structural phenomenon in the contemporary world. Once these facts
are accepted, a country is more likely to embark upon a profound process
of institutional adaptation and to redene the notion of citizenship. That
would allow every long-term resident equal rights and the right to establish
a meaningful place in the society in which they live.
NOTES
1 The total resident population of Switzerland in 2000 was 7,204,055. There were
1,384,382 resident foreigners, 19.2 per cent of the total, the highest proportion of
foreign residents in any European country except Luxembourg (Oce Federal de la
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Statistique 2001). Since 1945, about two million immigrants have come to Switzerland. Without this immigration, it is estimated that the Swiss population would currently be 5.2 million rather than the actual 7.2 million (Wanner 2001). In fact, the
contribution of immigration to the nations demographic growth during the last 50
years has been more important in Switzerland than in the more commonly recognised
immigration countries of the United States, Canada or Australia (Haug 2001).
2 Refugee elders, however, are entitled to receive these benets after ve years of
residence in Switzerland.
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