[Sensible cooperation in urology]

The main features of the reform of the healthcare system disclosed by the grand coalition on 4 July 2006 include, among other points, annulment of all budgets, payment for services rendered at fixed euro rates, and introduction of complex flat rates starting in 2009. The direct and medium-term consequences involve establishment of a health fund, but also drawing on tax money, e.g., to cofinance underage children. In addition, hospital outpatient departments in specialty fields are to be completely opened. All of these measures can lead to a marked reduction of specialized practices. All in all, one must bear in mind that establishing a "health fund" represents de facto the institution of state-run medicine.