Local services in Switzerland
Swiss citizens are universally required to buy health insurance from private insurance companies, which in turn are required to accept every applicant. While the cost of the system is among the highest, it compares well with other European countries in terms of health outcomes; patients who are citizens have been reported as being, in general, highly satisfied with it. In 2012, life expectancy at birth was 80.4 years for men and 84.7 years for women— the highest in the world. Switzerland has four official languages: mainly German (spoken by 63.3% of the population in 2014); French (22.7%) in the west; and Italian (8.1%) in the south. The fourth official language, Romansh (0.5%), is a Romance language spoken locally in the southeastern trilingual canton of Graubünden, and is designated by Article 4 of the Federal Constitution as a national language along with German, French, and Italian, and in Article 70 as an official language if the authorities communicate with persons who speak Romansh. However, federal laws and other official acts do not need to be decreed in Romansh. Electricity generated in Switzerland is 56% from hydroelectricity and 39% from nuclear power, resulting in a nearly CO2-free electricity-generating network. On 18 May 2003, two anti-nuclear initiatives were turned down: Moratorium Plus, aimed at forbidding the building of new nuclear power plants (41.6% supported and 58.4% opposed), and Electricity Without Nuclear (33.7% supported and 66.3% opposed) after a previous moratorium expired in 2000. However, as a reaction to the Fukushima nuclear disaster, the Swiss government announced in 2011 that it plans to end its use of nuclear energy in the next 2 or 3 decades.