I've worked for a hospital and I've never been able to find anything approaching a complete balance sheet. Financing it utterly opaque, but I'd love to have something solid before I accuse anyone.
I'm far from an expert on this topic, more on the contrary.
The surgeons use to run the hospital. In contrast with mba's they knew things. I don't know what the difference is precisely but I hear the ziekenfonds use to have people to divide money over treatments (set prices) without their salary depending on their choices.
I don't know about the scale but longer ago we would just build hospital buildings and house a workforce of nuns nearby who had their own garden. Now we some how cant afford to put down a building and with realestate prices on the rise the salaries need to follow. We might not like the factory village concept but if you have to be on call all of the time it seems fkn convenient to me. Cut the salary and give the employees a house, seems a great perk.
Employee shortage is also costing a fortune.
We've created ambitious labor protection laws then we created a loop hole where all you have to do is pay 190% of the salary to a job agencies (uitzendbureu) and no laws apply, anything goes. If you don't like it you can go home. This didn't need to cost 90% of the salary. Unless our labor taxes are now that complicated(?) but that doesn't work as an excuse either.
Our taxes not paying for education doesn't mean we don't have to pay for it eventually (+interest)
I read they are also lacking the money to streamline the processes.
I've worked for a hospital and I've never been able to find anything approaching a complete balance sheet. Financing it utterly opaque, but I'd love to have something solid before I accuse anyone.