Scenario 9 describes a possible future in an environment of low growth, little competition, active regulation and basic insurance problems. National health policy ensures high quality basic medical care. However, lack of innovation drives patients abroad: In a society characterized by economic problems, many people strive for safety and rely even more heavily on the capability of politics. In particular the federal government considers the health policy as a main topic, whereby it relies less on new structures but rather on efficiently shaping the existent health care system. In particular, through information technology a high-level of coverage is being established. The Achilles’ heel of the development is the low level of innovation, leaving Germany lagging behind international standards in terms of new technologies and processes as well as in challenging additional services.

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