The Crucial Vote on Lauterbach's Hospital Reform

German Health Minister Karl Lauterbach has been actively advocating for his proposed hospital reform ahead of a pivotal vote in the Bundesrat. The reform aims to enhance specialization in hospitals, potentially saving lives by improving treatment quality, especially for cancer patients and those requiring major heart surgeries. However, resistance from union-led federal states threatens to stall the reform, with the possibility of it being sent to the mediation committee. This could delay the reform significantly, especially with upcoming elections.

Lauterbach emphasizes the urgency, arguing that the current lack of specialization costs lives daily. The proposed changes focus on reducing services offered by smaller hospitals, allowing them to concentrate on procedures they perform efficiently. The reform also seeks to overhaul the financing system, reducing reliance on per-case payment and introducing a 'preparation fee' covering 60% of costs, with the remainder funded through traditional methods.

Opponents, including the Deutsche Krankenhausgesellschaft, argue the reform might degrade rather than enhance healthcare services. They push for mediation to address concerns about potential hospital closures and increased costs during the transition period. Meanwhile, prominent figures like Bundesratspräsidentin Rehlinger warn against blocking the reform, highlighting the risk of uncontrolled hospital closures.

The reform's fate hinges on the Bundesrat's decision. Without a majority to invoke the mediation committee, the reform could proceed as planned, possibly taking effect by year's end. Supporters argue that any delay could lead to insolvencies among numerous clinics, emphasizing the reform’s necessity despite its contentious nature.