 Hospital professionals in Germany and Israel face a difficult balancing act between their commitment to patient care and their hospital's financial sustainability. In order to ensure that both clinical and economic considerations are taken into account, these professionals have developed various strategies to reconcile the two. For example, they may use tools like reshaping management and reframing decision-making to work around potential conflicts. Additionally, they may plan out the entire course of treatment ahead of time and work with averages to make decisions. Finally, they may also form interdisciplinary teams to discuss ways to improve efficiency and reduce costs. This article was authored by Ruth Weitzberg, Nora Gottlieb, Wilm Quinton, and others.