It would be fair to say that Switzerland has one of the best healthcare systems in the world. However, even the best of systems has its drawbacks: it is becoming increasingly unaffordable for many people, and the cornerstone on which it is built – solidarity – is beginning to crumble. Is it possible to slow down the rise in costs without having an adverse effect on quality? What specific form could a brake on costs take? What experiences can we draw on? Are there any alternatives to setting spending limits? The expert report commissioned by the Federal Council recommends binding cost targets as a potential solution, and a popular initiative would like to see measures capping healthcare costs enshrined in the constitution.