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Abstract:
There are two issues in question concerning future developments in medicine: progress and reform. In so much as the "Scientific Paradigm" will be shifted from causality to the idea of a feed-back control system progress in medical sciences might lead treatment to enhancing the patient's biological individuality but it will not lead to better knowledge of the patient's person. Therefore the physicians functions will have to include communicational skills on a higher level. The health care system's reform primarily in Germany has to face the inevitability of rationing medical services. For alteration two examples will have to be considered: health care systems in the UK and in the US. Is health care a public or a private task? Answering this question leads to a new assignment to the medical profession.