legislative measures. Several steps of tightening discount regulations have caused legally mandated manufacturer discounts to triple since 2005. In addition, discounts have increased substantially in recent years based on individual agreements. Overall, the manufacturer receives only about half of the selling price of a drug. While all other sectors of statutory health insurers reported increased spending last year, expenditures for pharmaceuticals actually decreased. The main driver behind spending on pharmaceuticals is not the price, which has actually been decreasing for years, but an increase in consumption resulting from an aging society and the availability of new, improved pharmaceutical treatments for severe