Freedom of players, driving employment – but decline in standards: an increasing number of people see the cause for the economic crisis and the declining wealth rooted in globalization and deregulation. Therefore, it came to a Renaissance of policy during which health care is seen as a public good and privatization is being halted and in some cases even reversed. In doing so, the federal government and the federal states are aiming that the health care industry acts as a motor for employment. During the definition of the national health care system, they rely on self-organization of the service providers in integrated care models, which consequently cements the traditional structures rather than sustainably improving the quality of care.

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