Attempts of physicians of public general hospitals to significantly profile their own financial and other rewards in society can be registered at the turn of the 20th century. The difference as compared to today only lies in that physicians and their professional organisations use for that distinctly more effective coercive events (the threat to move abroad to work or use strikes in which the patients become the hostages of the doctors) than was the case more than one hundred years ago. The attending personnel have remained marginalised in these disputes today just like before. The difference between today’s and earlier debates is, however, far more striking, or tenser, because then only the authoritative voice was of only one subject, and that was the land commission of the Kingdom of Bohemia, which was entirely nonpartisan, as it defended the interests of both patients and physicians, regardless of their national or other affiliation. Now the voice of the Ministry of Health is only a defensive answer to the demands of doctors.