Asume we live in a world of fixed amounts of investments. The option to invest in a new project or product will automatically reduce the amount of investment in another product. The investment decision, therefore, is subject to opportunity costs. A recent study by Naci et al. (2025) applies this rationale to the investment in new drugs compared to financing other traditional treatments. The results for the U.K between 2000 and 2020 revealed that the „quality-adjusted life-years (QALYs)“ is not in favor of the investment in new drugs. The relatively small numbers of beneficiaries of the new drugs is compared to the many other persons who could have benefited from the less costly previous treatment. Investment in one new drug causes disinvestment in other ones. The overall balance for the UK turned out to be negative. Particularly the disinvestment in prevention of diseases appears to have very detrimental effects in view of the results based on this study. Preventative measures are relatively cheap compared to the estimated 20.000 pounds for one additional quality adjusted year of life for a new drug. The message is: choose your health investments wisely to avoid ever rising health costs and health insurance. (Image: rest room Belgium) 
More Battles
In 2025 we continue with the same battles as in the previous year. However, the way armies fight military battles has evolved. New types of weapons like drones have entered the stage. These precision weapons (Horowitz, 2024) have the advantage to be not only less costly than other heavy mass and costly artillery, they can also be guided in swarms to their targets. A further advantage is the steering of drones needs differently qualified persons rather than advancing with heavy armored vehicles on battlefields. Upskilling of defense forces is an important side effect. Jamming technology of radio frequencies was applied before, nowadays this has turned into a crucial defense strategy to intercept and derail drones and rockets off their intended targets.
Other than heavy weight arms, even laser beams enter the arsenal of weapons, if targets are sufficiently static in nature. These high-energy beams are still more in the research and testing realm rather than used on the battle field, but it becomes clear that research capacities play and played an important role throughout military history. The next generation of robots, not only in production processes, but more those walking on the battlefields is likely to change wars to less manned interventions. The technological innovations shall further move the spiral of new generations of weapons forward. Fewer soldiers, but more robots in the air, at sea and on the ground might increase the risks of “restrained”, less costly, but longer duration conflicts across the globe.
I always thought of robots as rescue robots to save lives. The flip side of the coin, however, is destruction before rescue as well. Technology can be put to both purposes. It is us who decide, which one takes the upper hand. 
Health Tech
Health technology assessment (HTA) is an interesting scientific field. The new digital opportunities allow people to participate in medical and medication trials in their homes or even in bed. Their health data and the administration of medication is also encouraged and sometimes supported through digital devices. The pharma and health industries have many devices ready to go. The differences to the traditional forms of medical trials, however, is an issue as we want to compare the results from both kinds of trials. Participants of trials, might prefer or struggle with these novel kinds of study designs. In any case the results will be impacted in several forms (Study Link). In the best of all worlds for the researcher the effects will cancel out each other, but is rather unlikely. Some participants will reach more positive effects with the use of digital tools, whereas others are challenged and might even abandon during the trial. Monitoring during the study (for example through digital inhalors) is another advantage of such distributed trials. Rather than taking adherence to a trial medication for granted, digital tools allow a more precise monitoring of subgroups as well. Data and effort invested in the trial is preserved through the easier access to person’s information, assuming continuous readiness to stay on in the trial.
Our own smartphones are still underexploited in terms of health monitoring and use in research designs. The possibilities to link data to other external data sources shall further advance the research potentials in many interesting ways. Data protection and data security become even more important with the ever smarter phones and connected devices.
Game Tech
Gaming has moved digital and online for a long time. Networked gaming and following the best gamers online on video-platforms like twitch has captured a lot of attention from younger generations. With a real trend of gamification for industry and even public services, the digital gaming sector is moving from backstage to front end of companies and services. Public administration as a game. Enjoy the use of a public service through a game-like experience. Walk around in the metaverse world and get your admin work done. I would love to have such an experience. There are so many applications for gamification that the bottleneck is in the human resources to program all these applications. Coding the digital and virtual worlds to get real stuff done is just around the corner. The SCCON 2024 in Berlin showed these technologies next to each other. 2025 we might see integrated prototypes. I have a digital dream, others call it a vision for public services in the 21st century. 
Ener Tech
The future energy lab in Berlin proposes valuable advice and guidlines for the „prosumer“ revolution in energy technology. From the own or home production of energy, the sharing of investments and infrastructure to the distribution network and finally consumption, the whole life cycle of energy is treated with a concern for environmental and financial sustainability Sharing is the way forward and many solutions build on this basic idea to move beyond the individualistic approach and fossil fuels cheap in the short term, but more expensive to society in the medium to long term. As most solutions make use of digital tools the issue of cyber security has to be a concern right from the beginning or even the planning phase. Joint production and consumption rely on people and communities reaching compromises. However, wholesale resourcing and averaging over households allows cost savings. The technology is available already, the skilled people to implement these solutions are currently the bottleneck. DIY will have to bridge the gap as neighbors learn from neighbors as yet another form of community building and engagement. (Image gamification of community decision making, SCCON Berlin 2024)
Language Tech
Inclusive societies can build on many tools including AI to lower language barriers. It is not only a question of translation, but many other forms of language come to mind. Sign language or easy language are necessary to facilitate broader access to public services. Reading out texts on webpages or Braille translation for the blind to interact through keyboards are additional forms that are available in digital communication as well. The audio description of videos and images is well advanced (reverse engineered through AI) and allows people with limited vision to fully participate in society. Audio messaging and transcription are used by almost everyone by now. Public services will open up to these channels of communication as well. The technology around languages is much more than just translation and AI-assisted learning of languages (talkpal for example). The new lingua franca is language technology, because it enables us to speak many languages at the same time even dialects or lost languages and in many voices. (Image: Extract of Josef Scharl, the newspaper reader, 1935, Neue Nationalgalerie Berlin)
Justice Tech
The digital or hybrid courtroom has become more the rule than the exception in Germany. Video conference equipment reduces costs and can speed judicial processes. Even the production of transcripts from the proceedings and circulation of documents and certificates, enhanced by AI will change the speed to exercise justice. Digital tools and technology has found its way into the courtroom and younger lawyers and judges as well as the accused or defendants will value the simplified procedures. Until this is the standard in all legal domains we shall have to wait a bit. In Germany 2026 is the deadline to install the adequate equipment and tech companies and consulting firms like Arktis are well prepared to support this overdue process. In terms of an economic theory of the judicial process a judgement that is delivered years later has to apply a discount rate of at least equal to annual inflation. For moral issues another discount rte might apply. Excessive delays of judgments may cause additional suffering on the side of victims. Justice Tech, therefore, has a role to play in the practical and theoretical debate about „doing justice“. (Image SCCON Berlin 2024-10)
Ed Tech
Education Technology is much more than the use of tablets and Internet access in schools or in each classroom. Some schools revert to ban mobile phones access during classes or introduce specialized social media breaks during the school day. At the other end of the intelligent use of digital technology is the digital classroom with digital whiteboards in each classroom or the first fun hands-on experience with coding for primary school pupils through, for example, the “Scratch” platform. Once you are used to the power of the whiteboard to use web-based information in teaching systematically, most teachers and pupils will no longer want to miss these tools. Public libraries become important access points for those who have no speedy access at home to assist in learning. Digital tools and e-learning are an empowerment of learners to benefit from the millions of useful learning tools and platforms on the web. A first understanding of easy coding allows children to figure themselves as producer of games rather than only a consumer of fantasy games. Create your own story instead of following the stories of others is empowerment. Scratch it, if you like. The role of the teacher in classrooms is evolving fast as well beyond the 40-60 minutes slots in class. Play the games of your pupils, is a bit like a flipped classroom.
(Image: SCCON Berlin 2024 connected classroom simulation) 
Administration Online
The public administration is more and more moving online. The electronic identity is becoming a reality for all those with a recent personal identity card and who remember where they stored their pin code which came with the card. Moving houses or apartments or car registrations among other official registrations can be carried out online rather than by joining the lengthy queues at your public administration. The “buergerservice.org e.V.” presented the easy steps at the SCCON 2024 in Berlin again to the audiences. The support by the “mobile citizen’s office”, allowed to do the PIN retrieval or change on site and during 2 minutes. This is going to be a game changer for many people who shun away from lengthy admin procedures and push off such registrations due to the time-consuming queueing systems currently in place. Labour shortages are circumvented by e-administration and citizen’s satisfaction with public services increases. More publicity for such e-services and rapid implementation across countries and the EU should bring a about a new e-dynamic drive to old Europe. Employees or civil servants will be pleased to deal with exceptional cases only rather than the bulk of repetitive registrar work. More time will be available to real case management instead of suffering from impatient citizen clients. “Administration as a service” sounds like the new device of digital public management. 
Science Fraud
It is a big issue if publications in science in high reputation journals have managed to pass a rather lengthy and thorough peer review process and still contain evidence based on fraudulent data. The worst case scenario that based on this wrong evidence tests of useless drugs are performed on patients in hope of an honest concern for their health. In fact the financial rewards and even academic rewards have been achieved only through the successful publication of a bias introduced into the data and/or analyses of the data. The fraudulent researcher became subsequently Director of the institute of agingwhoch is part of the American National Institute of Health (NIH) and an academic reference in health sciences far beyond the USA. It is the merit of Charles Piller and his team to persist in challenging the treatment recommendations which were concerning Alzheimer and Parkinson diseases. The checks and balances in the academic research have failed and a serious reconsideration of the procedures should follow, not just business as usual. The reputation of scientific research is at stake beyond the natural sciences and medicine, although the normal way of proceeding is just to qualify such events as singularity and specific to a single discipline. Aging is also not just treated by one single discipline. Hence, there is a need to review the review process and publication practices. The Boeing airplane control failures were also indicating that reviews of technology are subject to high risks. Independent checks and control are hard to ensure in advanced subject matters, but sufficient time and resources have to be devoted to the process. (Image Repair Lab Deutsches Technikmuseum DTM2024).
