World Champions in Hospital Privatisation: $e E#ects of Neoliberal Reform on German Employees and Patients Nils Böhlke Wirtscha%s- und Sozialwissenscha%liche Institut

World Champions in Hospital Privatisation: $e E#ects of Neoliberal Reform on German Employees and Patients Nils Böhlke Wirtscha%s- und Sozialwissenscha%liche Institut

Ian Greer Cornell University, i.greer@greenwich.ac.uk

$orsten Schulten Wirtscha%s- und Sozialwissenscha%liche Institut

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World Champions in Hospital Privatisation: $e E#ects of Neoliberal Reform on German Employees and Patients

Abstract [Excerpt] Over the past decade, German hospitals have been privatised at a rate not seen in any other country. In response to massive public-sector debt and the resulting investment backlog, many state and local governments have been privatising hospitals. Le most common arguments for privatisation are repeated in a recent study commissioned by the association of private hospital owners (Bundesverband Deutscher Privatkliniken – BDPK) namely that private hospitals manage in a more eKcient manner and are economically more successful (Augurzky, Beivers et al., 2009). Indeed, in some cases, private for-proMt hospital companies have invested generously and turned ineKcient public hospitals into proMtable private ones. Of interest to us is the cost of this trend, to workers and patients.

Assertions that privatisation has not undermined the quality of care are highly dubious. In German public opinion, there is broad scepticism about the privatisation of hospitals. While there are very few scientiMc studies on the eJects of privatisation on patients, there are a growing number of local ballot initiatives and other campaigns to Mght it. Lere are widespread fears that for-proMt health-care provision would undermine the existing system, which provides universally accessible medical treatment at a relatively high level of quality. Even among physicians, oNen considered the winners of privatisation, there is scepticism (Bundesärztekammer, 2007).

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