In 2016, there were 283 hospitals and clinics in Switzerland – a large number within a relatively small area. Despite the introduction of the new hospital financing system in 2012, which aimed to reduce the number of hospitals by boosting competition, there has been barely any movement in the hospital market to date. Healthcare costs continue their steady rise, partly due to excess capacity. Why does Switzerland have so many hospitals and hospital beds? Who is actually responsible for planning hospital care? And why do we often say that we have 26 different healthcare systems?