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In order to make the medical system a health care system again, we need complete digitization and the reduction of the monster bureaucracy; a single statutory health insurance is more than sufficient.
In addition, we must create more transparency and abolish the tale of free medicine. All patients need to know what each treatment actually costs. That alone leads to 80% of patients handling it more responsibly. And any abuse must be sanctioned. In addition, minor cases would only have to be borne by statutory health insurance in exceptional cases. And if you want more, you can also take out private insurance in this regard.
With that alone we would have a functioning healthcare system again.