They aren't, and I'm sick of being told they are

In Germany we are in the process of privatizing hospitals. This will surely go over great in case of you know another pandemic. You can bet your butt that a private company will cut staff numbers, they will reduce the number of hospital beds and they will do the least amount of work they can get away with.
I can't easily go to a competitor, now can I? We only have that one hospital in the city.