Decisions are often difficult because none of them are alternativesconsidered "right." The Tetralemma lineup in MediTool provides a way to counter such situations with creative, unusual solutions.It is a systemic structure statement that deals with the choice between alternatives and the development of additional decision variants. In the process, points of view are clarified, values ​​checked and blockades resolved. The current solution - the one - is juxtaposed with the near or new alternative - the other. n both options the decision maker recognizes advantages. The third position - both - brings a new element into play. Instead of choosing between the first two possibilities, suddenly new ones appearthat broaden the decision-makers scope of review framework and assessment. So far, it was about compatibility and compromise - by the fourth position - neither of them - arisecompletely new perspectives and considerations. "Who says 'either - or' has forgotten at least 2 aspects."