3 ms·

The "decentralized approach" thing wrt Germany is something I’ve seen mentioned several times in English media (I assume Drosten said it in a press conference).

The "decentralized approach" thing wrt Germany is something I’ve seen mentioned several times in English media (I assume Drosten said it in a press conference). I don’t know how it is in other countries, but it seems to me this is only great in comparison to the US problems of broken centralization, and only regarding the testing. There are several demands of higher centralization in Germany when it comes to information: reporting of cases, information about hospital beds, and distribution of patients based on those.

Barrin92 7y ago
I think if you look at the level of care in Germany that you get even in remote towns (corona virus aside), there is a lot to be said for the decentralised model. A lot of states, not just the US have highly unequal public infrastructure. France being one of the bigger examples, but the UK too. There's a very basic Hayekian argument about the problems of concentrating so much knowledge and capacity in the capital alone. It simply impedes flow of information, it creates distrust and simply put dysfunction. People in the anglosphere don't just ask these questions about Germany when it comes to healthcare, they also often ask them when they see regions like the Rustbelt or North England and compare it to the German Mittelstand. In many ways the centralised model is broken.
- Semaphor 7y ago
  > I think if you look at the level of care in Germany that you get even in remote towns (corona virus aside), there is a lot to be said for the decentralised model. Is it better? I really don’t know, all I heard about this are the complaints about rural areas being underserved by doctors, especially GPs
  - Barrin92 7y ago
    They're sometimes maybe not quite up to the standards you'd find in a urban university clinic, but compared to other places I've been it's quite astonishing how high quality the care is even in small remote hospitals. The demographics are increasingly affecting the number of physicians though, that much is true.

Barrin92 7y ago

I think if you look at the level of care in Germany that you get even in remote towns (corona virus aside), there is a lot to be said for the decentralised model. A lot of states, not just the US have highly unequal public infrastructure. France being one of the bigger examples, but the UK too. There's a very basic Hayekian argument about the problems of concentrating so much knowledge and capacity in the capital alone. It simply impedes flow of information, it creates distrust and simply put dysfunction. People in the anglosphere don't just ask these questions about Germany when it comes to healthcare, they also often ask them when they see regions like the Rustbelt or North England and compare it to the German Mittelstand. In many ways the centralised model is broken.

Semaphor 7y ago
> I think if you look at the level of care in Germany that you get even in remote towns (corona virus aside), there is a lot to be said for the decentralised model. Is it better? I really don’t know, all I heard about this are the complaints about rural areas being underserved by doctors, especially GPs
- Barrin92 7y ago
  They're sometimes maybe not quite up to the standards you'd find in a urban university clinic, but compared to other places I've been it's quite astonishing how high quality the care is even in small remote hospitals. The demographics are increasingly affecting the number of physicians though, that much is true.