This paper reports our initial findings regarding the state of testing of software in the Swedish public health information system. At present, the system is only available through a black-box interface, i.e. through the GUI. This and other issues related to politics, management and organization indicate that much work is needed in order for the software to have the quality level expected by a safety-critical system. The proposed solution by the public health organization for raising the quality is to use an independent test database. Based on our initial understanding of the problem, we argue that there might be other solutions that would perhaps be more cost-effective and have a stronger impact on the quality of the system. Our main contribution lies in the data analysis, where we have collected the problems and suggested alternative cost-saving solutions.