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Germany Media: "1000s Sick!" Berlin Hospital: Empty

-Luke-

Member
Joined
Sep 21, 2014
Messages
238
Hospital operators in Germany make good money from cutting ICU beds and the Covid narrative in general.


Translation
If you believe politicians and the media, we have a health emergency due to a lack of treatment capacity in hospitals. It is not for me to doubt this. It is strange, however, that in the midst of this emergency, hospital operators can receive subsidies of up to 12,000 euros for each bed that they do not add, but that they reduce.

Thus it is written in the "regulation for the administration of the structure fund in the hospital range (hospital structure fund regulation - KHSFV)." There it says in §11 that there are subsidies if "a hospital or parts of acute inpatient care facilities of a hospital are permanently closed" or are converted into "a non-acute inpatient facility". According to §12, there is a subsidy of between 4500 and 12,000 euros per bed for this, depending on the extent of the bed reduction. The greater the bed reduction, the more.

By the way, per Covid case in the hospital there are up to 9500 Euro compensation payments from the federal treasury. It is important to know that the WHO has created the covid classification ICD U07.2, which makes it possible to classify patients who have not tested positive for covid as covid patients. Namely, if they have certain typical symptoms and have had contact with Covid-positive people. This is apparently used quite readily in hospitals. According to studies by the Quality Medicine Initiative and InEK, there were at least at times three times as many billed Covid cases without evidence of infection as those with evidence. (Source: Wolfgang Wodarg: False Pandemics. 2021. p. 218).

According to the Court of Auditors, there have been many cases of hospital operators artificially reducing the number of intensive care beds in order to benefit from bonuses for high occupancy rates. Is it possible that monetary incentives also play a role in the classification of patients' illnesses in doubtful cases (and not so doubtful cases)?

Reduce Number of ICU beds -> make a lot of money with it and create fear and panic -> repeat
 

BearWithMe

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May 19, 2017
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1,623

TheSir

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Jan 6, 2019
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918
In the spring of 2020 our government was saying that increasing ICUs to 1000 won't be a problem. This week the same government said that with 48 ICU beds filled, there now remains only 7 beds left. And now they're considering further lockdowns because of it. It's easier to believe this to be intentional than pure incompetence.
 

-Luke-

Member
Joined
Sep 21, 2014
Messages
238
RKI figures: Majority of Corona deaths in recent weeks double vaccinated


Translation
The fairy tale of the pandemic of the unvaccinated is collapsing - new figures from the Robert Koch Institute show how large the share of vaccinated people in the disease incidence has become.

Markus Söder claims that 90 percent of those in intensive care units are unvaccinated - the population is supposed to believe that with a vaccination they are almost completely protected. The new figures from the Robert Koch Institute on Thursday shed a different light on things.

Once again, the proportion of twice vaccinated Corona cases increased significantly. 50.2 percent of Corona deaths with clinical symptoms (for which information was available) in the past four weeks were so-called vaccine breakthroughs
- that is, dually vaccinated people with positive tests and clinical Corona symptoms for at least two weeks - according to RKI data. These dually vaccinated individuals accounted for 48.2 percent of the total number of symptomatic Covid 19 cases - and as many as 71.4 percent of those over age 60. Among hospitalized patients, the figure is 56 percent in this age group and 46.6 percent among intensive care patients.

Compared to the vaccination rate of 70.8 percent overall, or 85 percent among the over-60s, vaccinated people are still less likely to be affected than unvaccinated people according to these figures, but it can be assumed that the trend will continue - the effect of vaccination eventually wears off, especially among the over-60s, the majority of whom were vaccinated six months ago or earlier. The impact of the third vaccination on what happens is not yet surveyed.
These figures do not refute the protective effect of vaccination against a severe course, but they do show quite different relations than those on the declared basis of which policy is currently being made. In any case, in view of these official data, there can no longer be any talk of a "pandemic of the unvaccinated.

The RKI is basically the German CDC. These are official numbers. Since we know from the past that the classification into vaccinated and unvaccinated is pretty manipulated, we can assume that the number is much higher.
 

-Luke-

Member
Joined
Sep 21, 2014
Messages
238
587 ICU beds in Bavaria on November 28, 2020, 344 ICU beds on November 28, 2021.


Translation
Although measures to contain the Corona pandemic are largely based on the threat of overcrowding in intensive care units, fewer intensive care beds are available across Germany and Bavaria today than a year ago.

Despite the tense Corona situation, Bavaria has fewer intensive care beds this winter than a year ago. While 587 spaces for potential intensive care patients were still available in the Free State on November 28, 2020, there are only 344 on the same cut-off date one year later. And that's with a comparable bed occupancy (2937 in 2020, 2833 in 2021).

The decline in available capacity is difficult to understand, given that Bavaria's Minister President Söder promised at a press conference at the beginning of the pandemic, in May 2020: "We have rehearsed the total emergency. We have for the next few years or for the conceivable second wave, if it would come...of hospitals, emergency hospitals, transfer plans...completely everything in the bag."

A spokeswoman for the Bavarian Ministry of Health explains the renewed decline in beds - already in August 2020, numerous intensive care beds were eliminated due to the introduction of a staffing floor (PUG) of 2.5 patients per nurse - on the one hand with a follow-up of the PUG from 2.5 to 2 patients in February 2021. In addition, however, she says there is another important factor: the lack of medical professionals. "In particular, hospital staff fatigue and overwork in the staff-intensive area of intensive care units have contributed to a decline in reported capacity to date."

But why, in almost two years of pandemic, have policymakers failed to create appropriate incentives and relief to at least keep existing intensive care nurses in their jobs? Health economist Reinhard Busse of the Technical University of Berlin, who is also a faculty member at the Charité, believes the problem is primarily due to misconceived hospital financing nationwide. "It wasn't well thought out that hospitals were given a lot of money during the pandemic without attaching conditions to it. The money was paid for free-standing beds - not, for example, those that were actually operational."

In other words, money didn't flow for beds that were actually available, but only for those that had been reported. "At that time, it should have been said instead: We pay for free and operable beds. In other words, those that are actually covered by nursing staff." Instead, Busse said, it was hospitals that admitted particularly few Covid patients that received the most grants. "The money hasn't necessarily gone where it was needed most. Many private groups simply took the payments out as profit." This practice was not illegal and therefore not subject to sanctions, he said. "The hospitals did not have to declare what they used the money for."

Nuremberg's hospitals are also feeling the pinch. Although the number of intensive care beds occupied by Covid19 patients has so far been significantly lower than at times when the third wave was at its peak, many wards are already reaching their limits. "Our routine capacities are exhausted," says the head physician for pneumology at Nuremberg Hospital, Prof. Ficker, in a podcast with nordbayern.de. Other wards would now have to be converted to corona wards, and in the intensive care units the non-covid areas would have to be reduced. Operations that are still medically possible in several weeks and months would have to be postponed.

It is interesting here to look at the city's vacant intensive care beds over the course of the pandemic. While neither the introduction (August 2020) nor the enactment of the staffing floor (February 2021) had any discernible effect on their number in the statistics, they abruptly decreased from 287 to 200 from one day to the next in November 2020, a drop of almost one-third. As a result of the abrupt adjustment, the utilization rate initially rose from 57 to 73 percent from the first to the second of November, and three days later it was over 75 percent. At the same time, a new passage in the Hospital Financing Act went into effect at the time that provided for payments to hospitals if a city's ICUs as a whole were at least 75 percent full (provided the incidence was above 70).

According to the city's press office, the adjustment is not related to the change in the law. They had merely redefined operable intensive care beds and only reported those that were actually "backed up" with staff.

Federal government saw no pressure to act
Looking at the situation nationwide, the picture is similar to that in Bavaria: with 19,196 intensive care patients, a similar number of intensive care beds were occupied on November 28 as last year (20,174). The number of available places, on the other hand, decreased from 4573 to 2565 beds on the reporting date. As it is currently impossible to predict exactly how the incidence of infections will develop in winter in view of the steep rise in incidence rates - especially in Bavaria - this is clearly too small a buffer. In addition, the remaining beds are distributed extremely differently from region to region, which can lead to only 50 percent of capacity being utilized in certain regions, while hotspots are so overloaded that they have to carry out costly transfers.

Interesting in this context is the response of the German government to a question from September 9 of this year. It states, "With regard to the existing reserve capacities within the 7-day emergency reserve, the Federal Government currently sees no need to promote the expansion of further intensive care treatment facilities." So just two months ago, the federal government apparently felt no pressure to act to anticipate impending shortages in Germany's intensive care units.

Translated with www.DeepL.com/Translator (free version)

I am at a loss for words. Read the second bold passage in the quote.
 
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