“Open letter”: Districts call for urgent measures to secure health care. In Bavaria the deficit is over 100 million euros per month, and across Germany it is almost 800 million euros a month.

The precarious situation is caused by a combination of inflation, collective wage increases and rising energy costs, which are not offset by adjustments in the state base case value, an essential element of hospital financing. This leads to underfunding of the clinics, which could result in the closure of specialist departments or entire clinic locations.