German doctors' boards should actually be abolished. Why should doctors document in public that they have different opinions on important questions of health policy? Why should the top medical representatives disclose their strategy for enforcing medical concerns? Isn't all this hit for those who don't have much to do with medical concerns?
After the 116th German Medical Congress in Hanover, such questions can be answered. The medical profession parliament has looked at the future of health insurance in depth. . Requirements were formulated that generational, demographic-proof and socially just health insurance should meet. And reform draft was adopted that includes proposals for the further development of statutory and private health insurance. There was contradiction, there were also voices that it was not up to doctors to comment on financing issues. In the meantime it seemed questionable whether decision would be reached at all. That made the consultations (see this booklet and www./aerztetag2013) all the more interesting, sometimes even exciting, for the non-medical public.
The ultimately clear majority - personal success for the President of the German Medical Association - gives weight to the reform proposals, even if they do not represent closed concept that can be cast one-to-one in legal form. The message quarter of year before the federal election is: The medical profession is warning against citizens' insurance because they see the competition for quality, the competition for the best medical care in unitary insurance at risk. Doctors do not see competition as value in itself. "Economy is means to an end, but not the end in itself," said Prof. Dr. med. Frank Ulrich Montgomery, President of the German Medical Association and the German Medical Association, reminded the opening. So it's not about demonizing economic methods when using scarce resources. Economics must just not shape medical practice. "How much market can medicine tolerate?" Is question that patients are asking more and more frequently. It is therefore good thing that the Doctors' Day is seriously looking at the economization of the health care system
The toughest controversies arose before and during the 116th German Doctors' Day about outpatient training.
German doctors' boards should actually be abolished. Why should doctors document in public that they have different opinions on important questions of health policy? Why should the top medical representatives disclose their strategy for enforcing medical concerns? Isn't all this hit for those who don't have much to do with medical concerns?
After the 116th German Medical Congress in Hanover, such questions can be answered. The medical profession parliament has looked at the future of health insurance in depth. . Requirements were formulated that generational, demographic-proof and socially just health insurance should meet. And reform draft was adopted that includes proposals for the further development of statutory and private health insurance. There was contradiction, there were also voices that it was not up to doctors to comment on financing issues. In the meantime it seemed questionable whether decision would be reached at all. That made the consultations (see this booklet and www./aerztetag2013) all the more interesting, sometimes even exciting, for the non-medical public.
The ultimately clear majority - personal success for the President of the German Medical Association - gives weight to the reform proposals, even if they do not represent closed concept that can be cast one-to-one in legal form. The message quarter of year before the federal election is: The medical profession is warning against citizens' insurance because they see the competition for quality, the competition for the best medical care in unitary insurance at risk. Doctors do not see competition as value in itself. "Economy is means to an end, but not the end in itself," said Prof. Dr. med. Frank Ulrich Montgomery, President of the German Medical Association and the German Medical Association, reminded the opening. So it's not about demonizing economic methods when using scarce resources. Economics must just not shape medical practice. "How much market can medicine tolerate?" Is question that patients are asking more and more frequently. It is therefore good thing that the Doctors' Day is seriously looking at the economization of the health care system
The toughest controversies arose before and during the 116th German Doctors' Day about outpatient training.The goal was never in dispute that more young doctors should be trained in the practices and that these positions should also be paid. On the way there, there was confrontation between the National Association of Statutory Health Insurance Physicians (KBV) and the Marburger Bund. At the end of tough argumentative struggle, an agreement was reached that is supported by all parties involved. Now, in this fundamentally important area of medical self-administration, the Federal Medical Association responsible for further training and the KBV, which wants to introduce the younger generation of doctors to the work in the branch, can jointly appear before politicians.
Has it harmed the fact that most of the intensive discussion took place in the public forum of the Doctors' Day? Hardly likely. Hanover has once again shown that if the German Medical Association did not exist, it would have to be invented.
Heinz Stüwe Editor-in-Chief
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