"Growth" is a term with generally positive connotations. Growth means getting bigger and thriving. Yet what we welcome when it comes to flowers has a very different interpretation in the healthcare industry: the growth in costs has always been a negative by-product of the development of the health sector. It places household and public-sector budgets alike under ever-greater strain, and damages solidarity. If we miss the chance to change course before it is too late, we will endanger the long-term survival of our solidarity-based healthcare system. That is why, in the next issue of "im dialog", CSS Insurance is launching the search for effective ways to limit the rise in costs.