Construction costs are currently skyrocketing

I hope the state does not compensate anything in such cases... Health care/prevention does not belong in private hands where every executive/shareholder fills their pockets... Here, a clinic was privatized as well... every two years the executives leave with a seven-figure severance package... Of course, the money has to come back in...

As I see it, you have no idea about the topic, but at least you have lots of it :cool: a) Hospitals do not set the prices but the negotiating parties do (GKV + DKG). InEK creates the diagnosis-related groups catalog. b) The number of nursing professionals per patient is legally regulated. Those who are below it pay considerable fines. c) Nursing salaries have climbed to TVöD level through PpSG and hardly any hospital can afford to pay less. d) Seven-figure severance packages for executives? In my 11 years, I have never seen that, nor have I read about it in health news. We are not in an investment fund here... e) During the corona pandemic, EvB (Ernst von Bergmann Klinikum) in Brandenburg had the biggest hygiene problems (double-digit number of deaths). And that is a municipal hospital. Due to our hygiene precautions, we got through without major problems.

And just imagine if all hospitals were nationalized and handled like other projects such as BER, Stuttgart 21, or Hamburg Philharmonic. Costs would increase significantly in a very short time, and who would have to pay for that? Yes, the taxpayer. You would certainly be the first to complain because health insurance contributions would skyrocket...

And just imagine if all hospitals were nationalized and handled just like other projects such as BER, Stuttgart 21, or Philharmonie Hamburg. The costs would increase significantly in a very short time, and who would have to pay for this? Yes, the taxpayer. You would definitely be the first to complain because health insurance premiums would rise enormously...

Yeah yeah, whose bread I eat,...

As I see it, you have no idea about the topic, but at least plenty of it :cool: a) Hospitals do not determine the prices but the negotiating parties (GKV + DKG). InEK creates the case flat rate catalog. b) The number of nursing staff per patient is legally regulated. Those below pay significant penalties. c) Nurses' salaries have climbed to TVöD level due to PpSG and hardly any hospital can afford to pay less. d) Seven-figure severance payments for the board? I have never seen that in 11 years, let alone read about it in health news. We are not in an investment fund here... e) During the Corona pandemic, EvB (Ernst von Bergmann Klinikum) in Brandenburg had the biggest hygiene problems (double-digit number of deaths). And that is a municipal hospital. We got through without major problems due to our hygiene precautions. And just imagine if all hospitals were nationalized and handled like other projects such as BER, Stuttgart 21, or Philharmonie Hamburg. Costs would rise significantly in a very short time and who would have to pay them? Yes, the taxpayer. You would definitely be the first to get upset because health insurance contributions would rise enormously...

As much as I can understand that you want to defend your employer. The privatization of hospitals was a big mistake. Just the fact that you say health insurance contributions would otherwise have to be much higher already shows that cuts are (have to be) made in profit-oriented hospitals in order to be economically viable, but these come at the expense of the patients. And that is basically a no-go...

Caution! According to some users here, the oversized pumps time out eventually. I'm curious.

Well, better a big one than none at all?
My brother-in-law, a TGA planner, heard from one of his well-known major wholesalers that a heat pump package was offered to him. If I remember correctly: 52 units, mixed from small to large, brine-water heat pump to air-air heat pump, discontinued - current model (but all brand new)
Package price 350K, the dealer apparently snapped it up immediately ;)
P.S.: I'm not entirely sure about the number of units and amounts, but the main point remains: Sanis take whatever they can get so they can even process orders)

As much as I can understand that you want to defend your employer. The privatization of hospitals was a big mistake. Just the fact that you say that health insurance contributions would otherwise have to be significantly higher already shows that cuts are made (have to be made) in profit-oriented hospitals in order to be economically viable, but these come at the expense of the patients. And that is actually a no-go...

But hospitals are not the ones doing that. With the introduction of the DRG, it was designed that way by the government.

Here are two examples. An old one and a current one that will probably be implemented.

Old. DRG system. Whether we, as a specialized hospital, treat a ventilated patient or a paraplegic patient or whether a general hospital without specialization does it, the remuneration is the same. Quality plays no role in the DRG system.

New. Nursing budget and PPR 2.0. The government is currently in the process of introducing PPR 2.0. This is supposed to represent the upper limits of nursing staff. But also the budget limits. This means if I want to hire more specialized staff so that one specialist no longer treats 5 patients but only 4 or 3, I don’t get reimbursed for it anymore and have to bear the costs myself. The payment of nursing staff also has its limits. This is represented by the TVöD. Although it is not stated in the law, you can hardly negotiate more than TVöD with the insurance funds. And the longer you delay the negotiation, the more problems you have with liquidity because you first have to cover the costs...

Private hospitals do not skimp on patients, they just use things efficiently.

As I see it, you have no idea about the topic, but at least plenty of it :cool: a) Hospitals do not determine the prices but the negotiating parties (GKV + DKG). InEK creates the DRG catalog. b) The number of nursing staff per patient is legally regulated. Those who fall below pay significant penalties. c) Nursing salaries have climbed to TVöD level through the PpSG, and hardly any hospital can afford to pay less. d) Seven-figure severance payments for board members? I have never seen that in 11 years, let alone read about it in health news. We are not in an investment fund here... e) During the Corona pandemic, the EvB (Ernst von Bergmann Klinikum) in Brandenburg had the biggest hygiene problems (double-digit number of deaths). And that is a municipal hospital. We got through without major problems due to our hygiene precautions. And just imagine if all hospitals were nationalized and managed the same way as other projects like BER, Stuttgart 21 or the Hamburg Philharmonic. The costs would rise significantly in a very short time and who would have to pay for this? Yes, the taxpayer. You would surely be the first to get upset because health insurance contributions would rise enormously...

Well, that is only half the truth. There are also private clinics that have an extremely high level of hygiene (I was just "locked in" at a private clinic for a week). And unlike in the Netherlands, we still do not have mandatory widespread MRSA tests here (or has something changed recently?) How is it to be assessed that especially in the large international corporations (AGs), the profits made in Germany are shifted abroad (of course, not all do that)? And who again wanted the DRGs so badly instead of billing based on services and needs? I am rather in favor of transferring into public hands, but no matter what, as soon as a company is large enough, whether hospital, public administration or private firm, they all behave and react very similarly, namely like a very large ship that is hard to steer. Admittedly, I am not completely into the topic, others here do it, and what I think I have understood is that our health system is good, but there is always room for improvement. Several rather incompetent health ministers as well as demands from doctors and hospital corporations have brought us into this situation (my opinion). P.S. We develop and distribute, among other things, software for hospitals and are market leaders in this special niche ;)