Abstract
The previous concept of self-administration as aregulatory body in healthcare in Germany has been repeatedly called into question by politicians. Different approaches can be recognized in various examples. In the author's view, healthcare provision based on legal ordinances and action geared towards legislative periods cannot replace the solutions found by self-administration-neither in terms of content, expertise nor quality. It is precisely the separation of roles and responsibilities between the state and self-administration that has so far ensured that decisions are made close to the healthcare system in order to further develop the healthcare system in Germany based on evidence and without losing sight of the costs.
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