Once again, Swiss people refused the creation of a single state health insurance, which economiesuisse (holding economic organization) welcomes. A large majority of voters voted against the creation of a harmful monopoly in an area where competition based on services works widely. It doesn’t mean that the current system is perfect. Reforms initiated to stop inappropriate incentives must be implemented quickly. Other actions are needed to provide efficient care, with help from cyberhealth for example, so that the Swiss health system can continue to provide high quality services.