[Individual treatment access and its limits with reference to costs]

The precept of economic efficiency (Wirtschaftlichkeitsgebot) in section 12 SGB V does not concern the aim of the treatment, i.e. it does not mean that the treatment of certain illnesses should be rationed but that the aim of the treatment should be reached with the least possible expenditure involved. Reductions in the budget and control methods according to the average practice do not affect the claim to treatment according to the medical standard. In case of advancing rationing of medical service the rules concerning the conflict of duties will have to be applied.