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A possible consequence would be a reallocation of costs to the society. While maintaining current hospital funding, small hospitals in rural areas are at a disadvantage. Personnel shortages exacerbate the situation. With the mechanisms of the free market, it cannot be assumed that private hospital operators have an increased interest in the operation of appropriate clinics. A (re) municipalization with the same financing model will probably not make it more economical to operate, but appears to be an option for political reasons. Change