In the nation with the most intensive Consumer Directed Healthcare program, Swiss voters have overwhelmingly rejected a proposal for a single health insurer.

Pushing back an initiative pushed by left-leaning parties, 71% of voters were against the proposal to establish one state-run insurer to replace the 87 that now write the coverage.

Voting against the proposal was heaviest in the German-speaking part of the country with opposition lighter in the French and Italian-speaking regions.

The initiative made it onto the ballot after the left-leaning Mouvement Populaire des Familles collected 110,000 signatures to force the vote. The group claimed the current system is too costly and wanted it replaced by a single insurer that would base premiums on wealth and income.

Health insurance is mandatory for Swiss residents which also mandates many aspects of consumer directed healthcare, including rebates for healthy outcomes over five years of measurement by individuals.