The highest standard, humanity in the care of patients, efficiency and budgetary responsibility are what is expected of the public health service. Outside pressure makes internal coordination more efficient and effective. Restructuring of personnel and non-personnel budgets within the limits of precision budgeting must be possible. In the interest of the overall goal, professional and individual interests must be put aside and subordinated. Coordinated routines within the occupational group and extended operational times of X-ray apparatus, the laboratory and so on must be possible. We should never forget that the patient must be the centre of attention in research, training and medical care.