[Changes in health politics]

In the last 25 years we observed in health politics an impressive transition, always more important became money. The big majority of physicians is not interested in politics, neither in health politics, they permit, that there is made politics with them. Often the "health war" (Clausewitz) is more important for them than "the art of the possible" (Bismark). There are many groups and many competences, but until now everybody forgot to allot the competences clearly to the different groups. Decisions are made with few competence, with "an empty brain". Additional services are demanded for the same money, as Mrs. Dreifuss of the Swiss Federal Council does. She wishes the neutrality of cost, but more services.