1 00:00:04,681 --> 00:00:06,306 I don't want to be 28 2 00:00:06,392 --> 00:00:10,322 and no longer able to practice the profession I love 3 00:00:10,361 --> 00:00:12,494 just because I'm worn out from work! 4 00:00:13,166 --> 00:00:16,455 In the summer of 2022, the university hospitals in North Rhine-Westphalia 5 00:00:16,522 --> 00:00:18,465 were in a state of emergency. 6 00:00:18,523 --> 00:00:22,103 More of us is better for everyone. 7 00:00:22,791 --> 00:00:26,416 It was the biggest strike in the history of our health system. 8 00:00:26,500 --> 00:00:29,666 Not about money, but for more staff. 9 00:00:29,719 --> 00:00:32,610 It depends on him how we and our loved ones are cared for, 10 00:00:32,656 --> 00:00:34,453 should something happen to us. 11 00:00:34,583 --> 00:00:36,709 Nevertheless, little was reported about it. 12 00:00:36,734 --> 00:00:38,731 Many people only heard about it in passing. 13 00:00:38,809 --> 00:00:40,668 That's why I'm trying 14 00:00:40,711 --> 00:00:44,755 to tell a more complete story of the strike in this film. 15 00:00:55,000 --> 00:00:57,667 My name is Jonas Alter and I have accompanied three health workers 16 00:00:57,713 --> 00:01:00,667 through the entire eleven weeks of the strike. 17 00:01:04,390 --> 00:01:05,593 Hi, I'm Kira. 18 00:01:05,648 --> 00:01:09,416 I'm 27 years old and an intensive care nurse at the University Hospital of Cologne. 19 00:01:09,500 --> 00:01:11,225 It was clear to me very early on that 20 00:01:11,250 --> 00:01:13,625 I wanted to pursue a social profession. 21 00:01:13,708 --> 00:01:17,166 I wanted to study at some point, not to become a doctor, but a psychologist. 22 00:01:17,250 --> 00:01:20,458 I did a year of voluntary social service at an ambulance station 23 00:01:20,458 --> 00:01:23,036 and had so much fun during the hospital internship. 24 00:01:23,067 --> 00:01:25,333 This made me realise that that's my field. 25 00:01:25,416 --> 00:01:28,309 I then decided to do an apprenticeship in nursing 26 00:01:28,348 --> 00:01:29,955 and have no regrets about it. 27 00:01:30,125 --> 00:01:31,164 My name is Dominik Stark. 28 00:01:31,195 --> 00:01:36,625 I am 31 years old and I came to nursing care indirectly. 29 00:01:36,726 --> 00:01:39,083 Back then at school I didn't really know 30 00:01:39,083 --> 00:01:40,833 what I actually wanted to do for a living 31 00:01:40,916 --> 00:01:44,000 and then I did a work placement at the hospital. 32 00:01:44,041 --> 00:01:45,916 It gives me a lot, 33 00:01:45,916 --> 00:01:48,458 when I see the gratitude of the people. 34 00:01:48,500 --> 00:01:52,383 When they are in difficult moments, they realise that there is someone 35 00:01:52,444 --> 00:01:56,414 who really gets stuck in, who wants to help them, who is there for them 36 00:01:56,457 --> 00:02:00,671 and then also to have conversations with the relatives afterwards 37 00:02:00,791 --> 00:02:02,416 and to hear that they are grateful. 38 00:02:02,458 --> 00:02:06,041 That gives me an incredible amount in return and it also fills me with pride. 39 00:02:06,041 --> 00:02:09,297 And it makes me very happy, I have to say. 40 00:02:10,208 --> 00:02:11,250 I'm Carola. 41 00:02:11,250 --> 00:02:16,625 I am 57 years old and I have been working at the University Hospital in Münster for 32 years. 42 00:02:16,875 --> 00:02:20,375 I had an aunt, or rather she is still alive, 43 00:02:20,375 --> 00:02:22,458 who was in a convent 44 00:02:22,541 --> 00:02:25,958 and she was a nurse in various hospitals. 45 00:02:26,041 --> 00:02:28,625 And when I was a child, we always visited her. 46 00:02:28,625 --> 00:02:30,125 On Saturdays or on Sundays. 47 00:02:30,125 --> 00:02:32,666 And that's why even as a child it was clear to me 48 00:02:32,666 --> 00:02:35,893 that when I grew up, I wanted to be a nurse. 49 00:02:36,010 --> 00:02:38,583 I think it's really great that you can help people 50 00:02:38,583 --> 00:02:41,416 who are helpless in a situation and that's what sick people are, yes, 51 00:02:41,458 --> 00:02:45,135 that you can help them, either to come back to life 52 00:02:45,206 --> 00:02:48,706 or to die a reasonable death, 53 00:02:48,768 --> 00:02:52,112 to die with dignity. 54 00:02:52,333 --> 00:02:54,291 And that's also part of our job. 55 00:02:57,822 --> 00:02:58,989 For several years now, 56 00:02:59,033 --> 00:03:02,314 the nice and fulfilling aspects are increasingly being lost 57 00:03:02,345 --> 00:03:05,791 and fewer and fewer see their future in the hospital professions. 58 00:03:05,875 --> 00:03:06,945 The way things are going, 59 00:03:07,000 --> 00:03:09,375 I can't imagine it lasting much longer, 60 00:03:09,476 --> 00:03:12,789 because it's just not the purpose of the whole thing. 61 00:03:13,461 --> 00:03:17,000 I have had terminal care, where I just couldn't be at the deathbed 62 00:03:17,083 --> 00:03:20,481 of the patient with him 63 00:03:20,542 --> 00:03:22,601 and couldn't take away the pain 64 00:03:22,625 --> 00:03:27,833 or couldn't put him in a position where he might be 65 00:03:29,000 --> 00:03:32,458 more calm, where he feels comfortable and where he might also have better 66 00:03:32,458 --> 00:03:34,518 breathing, because I simply didn't have time. 67 00:03:34,581 --> 00:03:36,958 The relatives tried to talk to me, 68 00:03:36,958 --> 00:03:38,879 but I was had to rush from room to room 69 00:03:38,935 --> 00:03:40,892 and I just couldn't find the words 70 00:03:40,916 --> 00:03:44,575 at a time when they're losing their closest relative, 71 00:03:44,622 --> 00:03:46,583 and that does something to you. 72 00:03:48,416 --> 00:03:52,083 At some point, the whole thing bordered on exploitation. 73 00:03:52,166 --> 00:03:57,240 I kept getting calls, asking if I could quickly cover a shift or 74 00:03:57,416 --> 00:03:59,625 WhatsApp messages or whatever. 75 00:03:59,625 --> 00:04:03,666 I felt like I was never left alone by this hospital. 76 00:04:03,750 --> 00:04:07,750 And that was the point where I said it can't go on like this. 77 00:04:09,791 --> 00:04:11,626 The nursing staff are overworked 78 00:04:11,651 --> 00:04:14,416 and no longer have enough time for their patients. 79 00:04:14,500 --> 00:04:18,080 This can have sad consequences. 80 00:04:19,541 --> 00:04:23,431 I had to watch a patient die while rushing around 81 00:04:23,494 --> 00:04:25,830 because there were not enough staff. 82 00:04:26,500 --> 00:04:29,875 That's why no one could be with him in his last minutes. 83 00:04:29,939 --> 00:04:31,791 He was alone. 84 00:04:31,875 --> 00:04:36,461 Now you might think that was just because of Corona, but it's not. 85 00:04:36,750 --> 00:04:38,961 Understaffing is the norm. 86 00:04:39,625 --> 00:04:44,625 I've been blaming myself for not looking into his room beforehand. 87 00:04:45,333 --> 00:04:47,458 If I had looked into the room beforehand, 88 00:04:47,541 --> 00:04:49,822 I might have been able to prevent the patient 89 00:04:49,876 --> 00:04:52,166 playing with the remote control of the bed 90 00:04:52,250 --> 00:04:54,875 and would have saved a life. 91 00:04:54,958 --> 00:04:57,125 Not the person with their illness counts, 92 00:04:57,208 --> 00:05:00,416 what counts is how much money we can make from the patient. 93 00:05:00,500 --> 00:05:04,875 Now I have to lie to patients on the phone who are not privately insured 94 00:05:04,958 --> 00:05:09,583 and say: Today we have no free bed. 95 00:05:10,583 --> 00:05:11,987 Because we were so busy, 96 00:05:12,065 --> 00:05:15,375 we had to limit the damage. 97 00:05:15,458 --> 00:05:19,416 None of us had time to provide adequate care. 98 00:05:19,500 --> 00:05:20,423 I was afraid, 99 00:05:20,448 --> 00:05:22,666 at the same time I was angry 100 00:05:22,750 --> 00:05:26,541 and once again couldn't understand 101 00:05:26,625 --> 00:05:28,166 how it can be justified, 102 00:05:28,250 --> 00:05:32,937 that at night in an emergency room only one nurse is present. 103 00:05:42,250 --> 00:05:45,547 The workers of the university hospitals did not want to continue like this. 104 00:05:46,094 --> 00:05:48,562 They had given their employers 100 days 105 00:05:48,601 --> 00:05:50,500 to start negotiations with them. 106 00:05:50,583 --> 00:05:52,083 But nothing happened. 107 00:05:52,166 --> 00:05:53,970 And so began on the 4th of May 108 00:05:54,025 --> 00:05:57,583 the indefinite strike at all six university hospitals in North Rhine-Westphalia. 109 00:06:09,208 --> 00:06:11,166 What we demand and what we want to demand, 110 00:06:11,314 --> 00:06:15,398 that is simply humane care in hospitals 111 00:06:15,666 --> 00:06:19,708 for the patients, but also especially for all of us who work there 112 00:06:19,791 --> 00:06:22,166 and have been working our asses off for years. 113 00:06:22,166 --> 00:06:25,500 And we will provide good care in the future 114 00:06:25,573 --> 00:06:29,182 with a reasonable number of staff, I'd say. 115 00:06:54,750 --> 00:06:57,968 We are here, we are loud, 116 00:06:58,070 --> 00:07:01,125 because you are stealing our free time! 117 00:07:01,208 --> 00:07:04,231 We are here, we are loud, 118 00:07:04,278 --> 00:07:07,098 because you are stealing our free time! 119 00:07:08,125 --> 00:07:09,958 The first day was full of euphoria 120 00:07:10,041 --> 00:07:13,448 and Kira and Dominik also had high hopes for this strike. 121 00:07:14,291 --> 00:07:17,492 I also wanted to encourage young people 122 00:07:17,546 --> 00:07:19,344 who are interested in this profession 123 00:07:19,369 --> 00:07:21,281 or have decided to work in this profession, 124 00:07:21,343 --> 00:07:25,375 that they remain in the profession in the long term and sustainably. 125 00:07:25,434 --> 00:07:28,809 That's why, when this strike came up, 126 00:07:28,958 --> 00:07:32,793 I immediately said I'm in, because anything else would be nonsense. 127 00:07:33,458 --> 00:07:34,590 Because for me 128 00:07:35,250 --> 00:07:37,375 it was clear relatively early on 129 00:07:37,421 --> 00:07:40,250 that I need a plan B 130 00:07:40,333 --> 00:07:43,708 because I won’t last till retirement under these circumstances, 131 00:07:43,791 --> 00:07:45,564 It is physically impossible, you simply can't. 132 00:07:45,589 --> 00:07:46,689 Apart from that, 133 00:07:46,750 --> 00:07:49,833 I probably wouldn't be able to keep up mentally either 134 00:07:49,916 --> 00:07:53,916 and I had been wondering for a while what my plan B might be. 135 00:07:54,208 --> 00:07:57,016 And suddenly there was another door, 136 00:07:57,111 --> 00:07:58,916 where you realised, okay, that's crazy! 137 00:07:59,000 --> 00:08:00,748 If only 138 00:08:00,773 --> 00:08:04,791 my everyday situation would change, 139 00:08:05,008 --> 00:08:07,797 then I can do the job maybe until I retire! 140 00:08:12,671 --> 00:08:17,344 TV-E for us in NRW! 141 00:08:18,125 --> 00:08:20,625 To stem the shortage of staff, the strikers wanted 142 00:08:20,726 --> 00:08:24,726 a comprehensive ‘collective relief agreement’, in short TV-E, 143 00:08:24,843 --> 00:08:28,583 in other words, a contract with the employer that would bindingly stipulate 144 00:08:28,666 --> 00:08:31,875 the minimum number of people who have to work in a department. 145 00:08:32,458 --> 00:08:36,458 The movement's larger goal, however, is to change the way policymakers think. 146 00:08:37,000 --> 00:08:41,333 Because the whole health system is simply broken and will not be fixed, 147 00:08:41,416 --> 00:08:43,666 if we continue as we are. 148 00:08:43,750 --> 00:08:45,333 And so a collective relief agreement 149 00:08:45,416 --> 00:08:48,000 is a first good step 150 00:08:48,031 --> 00:08:51,023 to change the direction of the health system and to reform it. 151 00:09:14,226 --> 00:09:15,883 That was on the 23rd of May. 152 00:09:15,958 --> 00:09:18,250 That was my birthday, 153 00:09:18,333 --> 00:09:21,166 where we went for the first time as delegates, 154 00:09:21,250 --> 00:09:22,833 to Cologne. 155 00:09:22,916 --> 00:09:25,291 Do you want collective bargaining? 156 00:09:25,375 --> 00:09:26,958 How many people are you here today? 157 00:09:27,041 --> 00:09:29,791 What was the weather like in Essen, when you set off? 158 00:09:29,875 --> 00:09:32,367 Can we find someone who, to thunderous applause, 159 00:09:32,398 --> 00:09:35,708 comes to the front and reports from Essen? 160 00:09:36,291 --> 00:09:37,708 Thunderous applause! 161 00:09:41,458 --> 00:09:42,666 Things are, totally good with us. 162 00:09:42,751 --> 00:09:45,595 There were a lot of people back at the strikers' tent this morning 163 00:09:45,642 --> 00:09:47,916 and there are 40 of us here now. 164 00:09:48,001 --> 00:09:49,134 We're doing well. 165 00:09:53,375 --> 00:09:54,757 Enthusiastic, 166 00:09:55,351 --> 00:09:57,545 motivated to the hilt 167 00:09:57,617 --> 00:09:59,992 and we thought we'd get it all done quickly. 168 00:10:03,791 --> 00:10:07,791 The strike's council of delegates is meeting for the first time in Cologne. 169 00:10:08,041 --> 00:10:11,541 All organised areas of the six university hospitals have elected team delegates 170 00:10:11,572 --> 00:10:13,048 to represent them, 171 00:10:13,088 --> 00:10:15,892 and 200 of them were elected to the council. 172 00:10:15,916 --> 00:10:17,986 So were Carola and Dominik. 173 00:10:18,056 --> 00:10:21,142 Today they are preparing for the negotiations with the employer, 174 00:10:21,173 --> 00:10:23,042 starting the next day. 175 00:10:34,541 --> 00:10:36,798 Today we meet in the individual areas 176 00:10:36,830 --> 00:10:40,618 with the individual wards, with the individual professional groups 177 00:10:40,708 --> 00:10:45,458 and try to prepare as much as possible in a short time 178 00:10:45,541 --> 00:10:47,708 so that you can start the negotiations well, 179 00:10:47,791 --> 00:10:50,291 so that you are prepared to gather arguments, 180 00:10:50,375 --> 00:10:53,458 so that you can argue... 181 00:10:53,541 --> 00:10:58,314 We have said from the beginning that this movement is grassroots, 182 00:10:58,416 --> 00:11:01,845 and depends on each and every individual. 183 00:11:02,023 --> 00:11:04,041 That means we have broken up 184 00:11:04,041 --> 00:11:06,500 old union patterns and said: 185 00:11:06,583 --> 00:11:10,333 There is no such thing as person XYZ at the top deciding everything 186 00:11:10,333 --> 00:11:13,833 and at the end of the day we are then informed of the decision, 187 00:11:13,916 --> 00:11:16,141 but we decide together. 188 00:11:16,516 --> 00:11:20,172 From the negotiating table, it goes back to the bargaining commission. 189 00:11:20,234 --> 00:11:24,083 The bargaining commission passes it on to the council of delegates, 190 00:11:24,166 --> 00:11:28,041 the council of delegates to the team delegates and the team delegates to the team. 191 00:11:28,125 --> 00:11:31,314 And of course the response from the team was fed back accordingly. 192 00:11:31,361 --> 00:11:33,790 You can imagine that it's not that easy 193 00:11:33,853 --> 00:11:36,791 with so many thousands of people who took part. 194 00:11:36,875 --> 00:11:39,064 But we tried hard and tried to 195 00:11:39,134 --> 00:11:42,083 include every single person 196 00:11:42,184 --> 00:11:43,851 and that was unique. 197 00:11:48,958 --> 00:11:50,771 From the very beginning, the employees were allowed to 198 00:11:50,818 --> 00:11:53,005 have more of a say than in the day-to-day running of the hospital, 199 00:11:53,044 --> 00:11:55,625 or in the usual wage negotiations of the trade union. 200 00:11:55,708 --> 00:11:58,708 The demands of the strike were also set out together. 201 00:11:58,791 --> 00:12:03,349 18 days before the end of the ultimatum, at a meeting of all active members in Oberhausen. 202 00:12:11,208 --> 00:12:12,208 Oberhausen, 203 00:12:12,208 --> 00:12:16,208 that was the first event where I really took part, 204 00:12:16,416 --> 00:12:20,083 where all departments of the various hospital locations came together, 205 00:12:20,083 --> 00:12:22,500 so for me, for example, 206 00:12:22,500 --> 00:12:27,000 all the people from the intensive care units who were then, very specifically, 207 00:12:27,425 --> 00:12:31,034 introduced to what the demands were 208 00:12:31,083 --> 00:12:35,315 from their own hospitals, and then combined these to a general standard. 209 00:12:54,625 --> 00:12:58,687 Today is not a working day, today is strike day! 210 00:12:58,796 --> 00:13:02,041 Today is not a working day, today is strike day! 211 00:13:06,625 --> 00:13:11,085 We are here in Fulda for the collective agreement, the other thing we are doing… 212 00:13:12,757 --> 00:13:17,757 We want a TV-E for us in NRW! 213 00:13:17,835 --> 00:13:21,288 TV-E for us in NRW! 214 00:13:24,735 --> 00:13:26,070 Louder! 215 00:13:31,958 --> 00:13:35,958 Today, employees from all six university hospitals came together in Cologne. 216 00:13:36,208 --> 00:13:39,208 Not much has happened yet in the negotiations for the contract. 217 00:13:39,291 --> 00:13:41,458 But the strike has already achieved a lot. 218 00:13:41,541 --> 00:13:45,541 More and more are organising in the union and getting involved. 219 00:13:50,708 --> 00:13:53,583 So I have to say that I am extremely enthusiastic about the last four weeks 220 00:13:53,583 --> 00:13:56,083 am incredibly enthusiastic about how many people 221 00:13:56,166 --> 00:13:58,583 have managed to become active, 222 00:13:58,583 --> 00:14:01,000 how many people are now coming together here on the streets, 223 00:14:01,083 --> 00:14:02,458 how we have organised ourselves 224 00:14:02,458 --> 00:14:05,625 and people you didn't know before, who maybe didn't dare 225 00:14:05,666 --> 00:14:08,083 to say anything, suddenly come out of themselves. 226 00:14:08,166 --> 00:14:10,250 This atmosphere, which has now developed here 227 00:14:10,250 --> 00:14:13,914 in the last month, is incredible and we all have the feeling 228 00:14:13,954 --> 00:14:16,496 that together we can finally make a difference. 229 00:14:21,250 --> 00:14:23,640 Squeeze hands if you know colleagues 230 00:14:23,679 --> 00:14:26,916 who have given up the job because of the high levels of stress. 231 00:14:29,125 --> 00:14:33,125 If you've ever thought about quitting everything. 232 00:14:33,469 --> 00:14:35,510 We've all been there. 233 00:14:35,601 --> 00:14:38,958 Squeeze hands if you've ever driven home 234 00:14:38,958 --> 00:14:42,791 and didn't know if all the traffic lights were really green. 235 00:14:42,875 --> 00:14:46,541 Squeeze hands if you have struggled in the last few weeks with 236 00:14:46,625 --> 00:14:50,666 whether you can go on strike because you don't want to abandon 237 00:14:50,750 --> 00:14:52,901 your patients or colleagues. 238 00:14:52,985 --> 00:14:55,743 Squeeze hands if you have met people in the past few weeks 239 00:14:55,783 --> 00:14:59,579 that you haven’t met before 240 00:14:59,791 --> 00:15:03,083 and if in the last few weeks you have felt courage 241 00:15:03,166 --> 00:15:07,166 and hope again, which you had lost. 242 00:15:07,247 --> 00:15:08,666 Give me a hand, 243 00:15:08,740 --> 00:15:11,185 if you believe that we are currently changing 244 00:15:11,224 --> 00:15:13,968 what our work will look like in the future, 245 00:15:14,046 --> 00:15:15,351 squeeze the hand. 246 00:15:15,406 --> 00:15:17,835 if you believe that this movement will last 247 00:15:17,882 --> 00:15:20,851 and you are willing to work for it. 248 00:15:21,208 --> 00:15:25,083 Now let's gather our strength again to see this through to the end. 249 00:15:25,166 --> 00:15:28,430 Until we have a collective agreement that is fair to us. 250 00:15:30,791 --> 00:15:33,875 We will win! - We will win! 251 00:15:33,958 --> 00:15:37,242 We deserve more! - We deserve more! 252 00:15:37,305 --> 00:15:40,000 We decide how we work in the future. 253 00:15:40,083 --> 00:15:43,195 We decide how we work in the future. 254 00:15:43,258 --> 00:15:46,890 Because more of us is better for everyone! 255 00:15:47,041 --> 00:15:50,626 More of us is better for everyone! 256 00:15:50,773 --> 00:15:54,322 More of us is better for everyone! 257 00:16:06,333 --> 00:16:09,088 More of them is better for all of us. 258 00:16:09,250 --> 00:16:12,708 We have noticed this particularly during the Corona pandemic. 259 00:16:12,849 --> 00:16:15,310 However, the problem of staff shortages is not new, 260 00:16:15,345 --> 00:16:17,396 but the result of a longer development, 261 00:16:17,459 --> 00:16:19,725 which Carola has experienced in full. 262 00:16:22,876 --> 00:16:27,830 It was 1985 when I started my training. 263 00:16:28,189 --> 00:16:31,142 I had the impression that there were enough staff. 264 00:16:31,196 --> 00:16:34,548 I also didn't have the impression that my colleagues were stressed. 265 00:16:34,595 --> 00:16:36,500 And I never had the feeling 266 00:16:36,583 --> 00:16:41,620 that I am now completely exhausted, overworked, overwhelmed, 267 00:16:41,875 --> 00:16:43,674 which then changed... 268 00:16:44,000 --> 00:16:46,250 This was already becoming apparent at the end of the 90s, 269 00:16:46,250 --> 00:16:50,666 when it was announced that the hospitals had to be profitable. 270 00:16:50,750 --> 00:16:52,541 That wasn't the case before, 271 00:16:52,625 --> 00:16:57,005 but then they got the money from the state just as they needed it. 272 00:16:57,625 --> 00:16:59,708 But that became too expensive. 273 00:16:59,791 --> 00:17:01,880 That's why in the 90s they started to 274 00:17:01,927 --> 00:17:03,983 commercialise the hospitals. 275 00:17:04,888 --> 00:17:08,041 The Federal Minister Ms Ulla Schmidt. 276 00:17:08,333 --> 00:17:11,125 In 2004, under Health Minister Ulla Schmidt, 277 00:17:11,195 --> 00:17:14,148 radical changes were made how hospitals receive money 278 00:17:14,208 --> 00:17:18,208 with the introduction of the flat-rate per-case or DRG system. 279 00:17:18,583 --> 00:17:21,875 Karl Lauterbach played a major role in its development. 280 00:17:21,958 --> 00:17:25,833 Since then, hospitals have received a certain amount of money for each patient. 281 00:17:25,916 --> 00:17:29,875 For hospital it pays to perform more operations, even on sicker patients 282 00:17:29,958 --> 00:17:31,833 and save on staff. 283 00:17:31,916 --> 00:17:35,119 This is how the private clinics can generate more profit. 284 00:17:35,262 --> 00:17:39,055 The university hospitals have to use the money to at least cover their own expenses. 285 00:17:39,916 --> 00:17:43,833 We had enough staff, we had enough equipment, everything was great. 286 00:17:43,916 --> 00:17:47,000 Then, at the beginning of the 2000s, they brought 287 00:17:47,083 --> 00:17:51,458 these people into the administration to make sure that the red pen was used. 288 00:17:51,541 --> 00:17:53,500 And they did that in a big way. 289 00:17:53,583 --> 00:17:55,375 In terms of personnel planning, that meant 290 00:17:55,375 --> 00:17:58,208 we had to work three weekends in a row. 291 00:17:58,317 --> 00:18:01,625 They abolished maternity cover and 292 00:18:01,625 --> 00:18:04,000 they didn't hire any new people either. 293 00:18:04,083 --> 00:18:06,487 That means that the colleagues who had completed their training 294 00:18:06,512 --> 00:18:08,481 were standing on the street unemployed 295 00:18:08,520 --> 00:18:10,166 and could see how they made ends meet. 296 00:18:10,166 --> 00:18:13,791 They had to register as unemployed, they didn't get any jobs. 297 00:18:13,875 --> 00:18:17,791 And it was like a slap in the face, where I thought 298 00:18:17,791 --> 00:18:20,250 What's the point of this? And that's when they started 299 00:18:20,333 --> 00:18:23,708 to dismantle medical schools through consulting firms. 300 00:18:23,755 --> 00:18:25,630 And it was already clear 301 00:18:25,666 --> 00:18:28,315 that at some point it would hit the wall. 302 00:18:28,375 --> 00:18:33,000 Because people there didn't put up with it and said, 303 00:18:33,083 --> 00:18:35,250 I'll see to it that I change job and do something else. 304 00:18:35,333 --> 00:18:39,833 Then, of course, the demographic change over the years comes into it 305 00:18:39,924 --> 00:18:43,549 and at some point there were not enough of us. 306 00:18:45,600 --> 00:18:47,850 The permanent under- staffing only ensured 307 00:18:47,875 --> 00:18:49,323 that there would be strikes. 308 00:18:49,448 --> 00:18:51,059 But what happens to the patients 309 00:18:51,083 --> 00:18:53,041 when people don't go to work anymore? 310 00:18:53,125 --> 00:18:55,221 How is their safety guaranteed? 311 00:18:59,166 --> 00:19:01,500 That is the job of the strike committee. 312 00:19:01,583 --> 00:19:04,153 Because if there are too few employees on a ward, 313 00:19:04,223 --> 00:19:07,004 they call a few strikers into the morning shift. 314 00:19:07,166 --> 00:19:11,809 One person to the paediatric intensive care unit and one to the paediatric area please 315 00:19:22,416 --> 00:19:25,041 The minimum number of people who have to work in each area 316 00:19:25,041 --> 00:19:27,541 is clarified in the emergency service agreement. 317 00:19:27,875 --> 00:19:30,750 At the beginning of the shift, the strikers always come to the picket line. 318 00:19:30,833 --> 00:19:33,000 There they decide whether they can stay outside 319 00:19:33,000 --> 00:19:35,375 or have to go on emergency duty. 320 00:19:48,291 --> 00:19:50,666 ...two have to be there. 321 00:19:50,750 --> 00:19:52,708 But we have all that in the spread-sheet, don't we? 322 00:19:52,791 --> 00:19:55,087 Exactly, that's all in this master spread-sheet, 323 00:19:55,166 --> 00:19:57,212 where we see how many beds are there 324 00:19:57,283 --> 00:19:59,970 and how that affects the emergency staffing. 325 00:20:00,083 --> 00:20:02,250 The minimum staffing level is smaller than normal, 326 00:20:02,333 --> 00:20:06,141 because only the most necessary things are done and some beds are closed. 327 00:20:06,219 --> 00:20:08,219 Just because we close beds doesn't mean 328 00:20:08,250 --> 00:20:11,250 that we are putting any people on the street. 329 00:20:11,333 --> 00:20:12,750 We planned and announced this beforehand. 330 00:20:12,750 --> 00:20:14,458 That means that the employer knew 331 00:20:14,458 --> 00:20:17,833 how strong strike participation is and how many beds have to be closed 332 00:20:17,916 --> 00:20:21,500 then the employer has enough time to transfer these patients 333 00:20:21,500 --> 00:20:23,508 to other hospitals. 334 00:20:23,750 --> 00:20:26,625 Yes, I can understand that people see this critically. 335 00:20:26,708 --> 00:20:29,043 But we still care for people who 336 00:20:29,098 --> 00:20:32,291 have the need for care in a university clinic. 337 00:20:32,353 --> 00:20:34,379 They are still with us. 338 00:20:38,583 --> 00:20:40,666 Every day, the university hospitals lose money, 339 00:20:40,750 --> 00:20:44,315 because many treatments are carried out at other hospitals. 340 00:20:44,794 --> 00:20:48,627 After 37 days, this pressure seems to start working. 341 00:20:48,875 --> 00:20:52,875 The employers are making counter- offers for the very first time. 342 00:21:03,708 --> 00:21:07,708 Kira was sitting in on the negotiations for intensive care. 343 00:21:08,850 --> 00:21:10,974 There is no unanimous opinion. 344 00:21:11,004 --> 00:21:15,771 For us in Cologne, the offer would already be an improvement. 345 00:21:16,250 --> 00:21:18,000 In other hospitals it wouldn’t. 346 00:21:18,083 --> 00:21:20,000 But that's why we're all doing this together, 347 00:21:20,000 --> 00:21:22,875 because we want the results to benefit everyone. 348 00:21:22,958 --> 00:21:27,091 But basically we are all quite positive because it's 349 00:21:27,208 --> 00:21:28,333 better than expected. 350 00:21:28,375 --> 00:21:31,041 It's a real high. That's totally awesome. 351 00:21:31,041 --> 00:21:33,750 Finally a start, even if it took far too long. 352 00:21:33,833 --> 00:21:36,138 But now things really get going. 353 00:21:37,945 --> 00:21:41,820 We have to think about how we feed back 354 00:21:41,929 --> 00:21:43,835 what we just discussed. 355 00:21:44,541 --> 00:21:48,541 For the intensive care unit, that was already a major step forward. 356 00:21:48,625 --> 00:21:50,083 But the patient transport 357 00:21:50,166 --> 00:21:53,156 or patient service did not even receive an offer! 358 00:21:53,281 --> 00:21:55,320 And the central emergency wards were offered 359 00:21:55,360 --> 00:21:57,626 that everything would remain as it is. 360 00:21:58,416 --> 00:22:01,500 In Cologne the central emergency department 361 00:22:01,583 --> 00:22:05,458 and the affiliated ward and specialised treatment rooms 362 00:22:05,541 --> 00:22:07,291 have only four nurses on night duty. 363 00:22:07,375 --> 00:22:11,101 That's just enough for a single resuscitation. 364 00:22:11,187 --> 00:22:13,250 What happened in the days that followed, 365 00:22:13,250 --> 00:22:14,958 however, further strained the relationship 366 00:22:14,958 --> 00:22:18,055 between the employers and the strikers even further. 367 00:22:21,416 --> 00:22:25,416 TV-E also for the UKW. 368 00:22:29,958 --> 00:22:33,958 Now, after a 100-day ultimatum and after a 40-day strike 369 00:22:34,041 --> 00:22:37,083 the employers see that they can't get out of this one. 370 00:22:37,166 --> 00:22:39,836 The pressure on them and on us is growing. 371 00:22:40,445 --> 00:22:42,666 The University Hospital of Bonn 372 00:22:42,750 --> 00:22:46,750 is trying to stop the strike by taking legal action. 373 00:22:47,666 --> 00:22:50,750 The Bonn hospital management has filed a temporary injunction 374 00:22:50,750 --> 00:22:52,750 to end the strike. 375 00:22:52,833 --> 00:22:57,151 Management doubts whether staffing levels can be determined by a strike at all. 376 00:22:57,500 --> 00:23:01,458 I'll talk about that with Professor Holzgräber, the chairman of the board. 377 00:23:02,291 --> 00:23:05,500 The question is 378 00:23:05,500 --> 00:23:08,833 what ratio of caregivers to patients is right? 379 00:23:08,875 --> 00:23:11,463 You can imagine, they vary greatly 380 00:23:11,643 --> 00:23:15,159 whether it's in a skin clinic or in an intensive care unit. 381 00:23:15,250 --> 00:23:17,583 These are very different Staffing ratios. 382 00:23:17,666 --> 00:23:20,333 But determining them is not easy. 383 00:23:20,333 --> 00:23:23,958 What is adequate and right? 384 00:23:24,016 --> 00:23:26,933 And there is the question: Who is responsible for this? 385 00:23:26,958 --> 00:23:29,000 In Germany, there are committees 386 00:23:29,041 --> 00:23:31,583 there is the so-called Joint Federal Committee, 387 00:23:31,684 --> 00:23:33,184 there is an InEK institute. 388 00:23:33,271 --> 00:23:35,192 There is another issue: 389 00:23:35,270 --> 00:23:40,184 is a strike at all possible in the situation 390 00:23:40,278 --> 00:23:42,082 And what do you do next? 391 00:23:42,129 --> 00:23:46,301 If you have no clarity, you can consult the legal system. 392 00:23:46,541 --> 00:23:49,805 That is an option in a constitutional state. 393 00:23:49,830 --> 00:23:51,455 That is why politicians 394 00:23:51,509 --> 00:23:53,728 so often address the Federal Constitutional Court, 395 00:23:53,775 --> 00:23:56,197 so that they then clarify fundamental issues. 396 00:23:58,759 --> 00:24:02,167 TV-E for us in NRW! 397 00:24:03,318 --> 00:24:04,708 The lawsuit has the potential consequence of 398 00:24:04,794 --> 00:24:08,666 nullifying the strike and the collective agreement completely 399 00:24:08,750 --> 00:24:12,552 and with it the hopes of the employees for a better future. 400 00:24:12,634 --> 00:24:14,167 What do you think of that? 401 00:24:16,541 --> 00:24:18,275 What do you think of that? 402 00:24:19,447 --> 00:24:21,033 What do you think? 403 00:24:21,104 --> 00:24:22,619 It’s shit! 404 00:24:23,750 --> 00:24:25,625 The Cologne strikers demand in a letter, 405 00:24:25,666 --> 00:24:29,666 that their board of directors distances itself from the behaviour of the Bonn University Hospital. 406 00:24:29,844 --> 00:24:32,273 We, the staff on strike here, 407 00:24:32,336 --> 00:24:35,375 are very disappointed with the situation at the University Hospital Bonn 408 00:24:35,458 --> 00:24:39,458 and feel that this step is a major breach of trust towards us. 409 00:24:40,000 --> 00:24:42,416 During the last negotiations, it became apparent 410 00:24:42,500 --> 00:24:45,541 that we are moving in a constructive direction towards a positive outcome 411 00:24:45,541 --> 00:24:48,541 for the hospitals in North Rhine- Westphalia and their employees. 412 00:24:48,625 --> 00:24:52,500 Both federal state politics and you as clinic management, 413 00:24:52,500 --> 00:24:55,041 assured us that there will be a collective relief agreement. 414 00:24:55,125 --> 00:24:57,437 For this reason, we are all the more irritated that 415 00:24:57,458 --> 00:24:59,992 this project is being attacked. 416 00:25:08,875 --> 00:25:11,382 But we did expect 417 00:25:11,461 --> 00:25:14,093 that such steps would be taken at some point, 418 00:25:14,166 --> 00:25:19,445 because it is relatively common for lawsuits to be filed at some point. 419 00:25:19,916 --> 00:25:21,908 That's why we were already prepared. 420 00:25:21,955 --> 00:25:25,431 Especially as a member of the bargaining commission, 421 00:25:25,456 --> 00:25:28,666 We were told much more precisely what the situation is 422 00:25:28,666 --> 00:25:30,958 and what the consequences might be, 423 00:25:31,041 --> 00:25:32,750 it was of course also very clear to us: 424 00:25:32,750 --> 00:25:37,083 If we lose this, the strike is over, the leverage is gone 425 00:25:37,166 --> 00:25:40,117 and in the worst case, we get nothing. 426 00:25:42,583 --> 00:25:46,166 Today the court will decide whether the strike will be stopped. 427 00:25:46,304 --> 00:25:49,145 That's why all six university hospitals in Bonn have come together 428 00:25:49,247 --> 00:25:50,927 to show their anger. 429 00:25:53,163 --> 00:25:56,788 When an employer takes such a shitty action, 430 00:25:56,875 --> 00:25:59,041 you're bound to get a reaction. 431 00:25:59,125 --> 00:26:03,250 And it's clear that we, all six university hospitals, stand together 432 00:26:03,439 --> 00:26:07,075 and we won't let ourselves be beaten. 433 00:26:12,541 --> 00:26:15,642 Carina, a surgical assistant from Bonn, 434 00:26:15,775 --> 00:26:17,583 is coming with us to the courtroom today. 435 00:26:18,283 --> 00:26:21,333 So we've taken a lot of night shifts over the weekend 436 00:26:21,333 --> 00:26:25,500 many night shifts to prepare well for this trial. 437 00:26:26,250 --> 00:26:29,333 We have all the other five university hospitals behind us. 438 00:26:29,333 --> 00:26:30,958 We have the strikers behind us, 439 00:26:31,041 --> 00:26:34,095 and I am confident that we will win this case. 440 00:26:34,120 --> 00:26:35,953 Nevertheless, it is of course very exciting. 441 00:26:35,978 --> 00:26:38,583 You never know what the judge is like. 442 00:26:38,666 --> 00:26:42,156 It remains very exciting, but I'm feeling positive. 443 00:26:43,125 --> 00:26:45,458 Okay, we have to get in. 444 00:26:47,921 --> 00:26:50,379 Well, if the court decides 445 00:26:50,458 --> 00:26:51,898 that our strike is illegal, 446 00:26:51,937 --> 00:26:54,336 then we are liable to prosecution if we continue to strike. 447 00:26:54,500 --> 00:26:58,458 That would mean that from tomorrow we would all go back to work. 448 00:26:58,541 --> 00:26:59,708 Business as usual . 449 00:26:59,708 --> 00:27:01,708 and we've gained nothing. . 450 00:27:17,125 --> 00:27:20,500 During the court hearing, the employees' demonstration starts. 451 00:27:20,583 --> 00:27:22,125 Many are angry. 452 00:27:22,208 --> 00:27:25,000 If the strike is banned, everything will stay the same. 453 00:27:25,083 --> 00:27:28,296 They will continue to work under- staffed, further endangering patients, 454 00:27:28,359 --> 00:27:30,174 and continue to burn out. 455 00:27:30,460 --> 00:27:33,117 Today is not a working day, today is a day of strike! 456 00:27:35,525 --> 00:27:38,442 Collective relief agreement now! 457 00:27:38,579 --> 00:27:41,946 Collective relief agreement now! 458 00:27:43,250 --> 00:27:44,583 The hearing is over 459 00:27:44,666 --> 00:27:48,666 and Carina is coming back from the courtroom to announce the verdict. 460 00:27:49,958 --> 00:27:53,226 We are still waiting until everyone is standing and everyone can hear. 461 00:27:53,708 --> 00:27:58,000 My favourite saying about this strike is that 462 00:27:58,083 --> 00:28:00,875 we are only going back to take another run at it. 463 00:28:02,453 --> 00:28:05,494 And today we really took a run at it 464 00:28:05,541 --> 00:28:07,219 and we won the thing! 465 00:28:31,791 --> 00:28:35,791 In the end, it was about 40 surgeries being cancelled every day. 466 00:28:36,958 --> 00:28:40,333 But the judge also agreed with us that 467 00:28:40,416 --> 00:28:45,000 these surgeries are not necessarily dependent on a university hospital, 468 00:28:45,083 --> 00:28:48,182 and that there are enough hospitals in the area that 469 00:28:48,245 --> 00:28:51,042 can take care of these patients. 470 00:28:51,167 --> 00:28:55,541 And that in a strike situation, it is just not the best time to plan surgeries. 471 00:28:56,041 --> 00:28:59,375 It was pretty hyped up at some point. 472 00:28:59,458 --> 00:29:02,583 The mood was very frosty, at some point she also became aggressive, 473 00:29:02,661 --> 00:29:05,250 banging on the table and everything. 474 00:29:05,333 --> 00:29:09,208 And then they considered what kind of sentence had now been passed. 475 00:29:09,208 --> 00:29:11,958 And the judge with her two colleagues 476 00:29:12,041 --> 00:29:14,416 withdrew for half an hour. 477 00:29:15,185 --> 00:29:17,216 And then the trembling really started. 478 00:29:17,255 --> 00:29:19,708 We were confident that we would make it, 479 00:29:19,708 --> 00:29:23,708 but you only really know for sure when you hear the verdict. 480 00:29:25,875 --> 00:29:28,583 And then the half an hour was up. 481 00:29:28,666 --> 00:29:33,000 We sat there anxiously and then the verdict was announced 482 00:29:33,083 --> 00:29:35,646 that we had won and that our strike could not 483 00:29:35,685 --> 00:29:39,041 be declared illegal and that we could continue to strike for 484 00:29:39,142 --> 00:29:43,126 better staffing and for better working conditions. 485 00:29:53,250 --> 00:29:54,958 The demonstrators have won. 486 00:29:55,041 --> 00:29:57,916 But the other side is taking the matter to the next higher court. 487 00:29:58,000 --> 00:30:00,140 The clinic management is defending itself against the TV-E, 488 00:30:00,203 --> 00:30:01,983 but emphasises that they are taking other measures 489 00:30:02,007 --> 00:30:04,512 to ensure more staff and relief, 490 00:30:04,541 --> 00:30:09,095 for example, more flexible working hours, bonuses and more days off. 491 00:30:09,416 --> 00:30:13,416 We recruit abroad because, in the current situation in Germany, 492 00:30:13,583 --> 00:30:17,541 not in the federal state itself, 493 00:30:17,541 --> 00:30:22,047 we can't find the required number of nurses. 494 00:30:22,416 --> 00:30:27,333 That means we are doing a great deal to actually provide relief 495 00:30:27,416 --> 00:30:28,916 through more carers. 496 00:30:29,000 --> 00:30:33,750 And in this respect, there is absolutely no contradiction at all between 497 00:30:34,166 --> 00:30:39,500 what the union Verdi means by relief and what we are doing. 498 00:30:41,250 --> 00:30:44,046 At the University Hospital in Bonn, there are many nurses who 499 00:30:44,083 --> 00:30:47,166 have come from the Philippines to work in Germany. 500 00:30:47,250 --> 00:30:49,687 Chuck is one of them. 501 00:32:11,750 --> 00:32:13,541 But there is still no answer if a collective agreement will be concluded 502 00:32:13,642 --> 00:32:17,642 and whether the international workers get the extended training period. 503 00:32:17,875 --> 00:32:21,875 Today they are demonstrating in Düsseldorf because many departments 504 00:32:22,000 --> 00:32:25,333 still have not received an offer from the employers. 505 00:32:25,416 --> 00:32:28,523 Since 2020, hospitals have been reimbursed the money that they spent 506 00:32:28,594 --> 00:32:31,975 for bedside nursing care. It is being refinanced. 507 00:32:32,000 --> 00:32:34,458 But in many areas there is still a need to save money. 508 00:32:34,541 --> 00:32:37,250 This also applies to Ellis' department, the patient service. 509 00:32:40,333 --> 00:32:43,875 Patient service is ward work. 510 00:32:43,958 --> 00:32:47,792 We provide the patients with food and drink, 511 00:32:47,875 --> 00:32:51,875 we order the food, so everything to do with the meals. 512 00:32:52,125 --> 00:32:54,958 Then we do a lot of cleaning. 513 00:32:55,135 --> 00:32:58,250 We clean 514 00:32:58,333 --> 00:33:00,958 the bedside cabinets in the rooms, 515 00:33:01,041 --> 00:33:05,041 when patients are discharged, these beds are reprocessed. 516 00:33:05,125 --> 00:33:06,500 We restock materials. 517 00:33:06,500 --> 00:33:10,620 So all the work that relieves the nurses. 518 00:33:13,500 --> 00:33:15,416 If there are staff shortages in patient services, 519 00:33:15,478 --> 00:33:17,812 then more work is added to the work of the nursing staff. 520 00:33:17,911 --> 00:33:21,079 And then they are under more time pressure. 521 00:33:22,791 --> 00:33:26,333 The nurses were very poorly staffed, under stress, 522 00:33:26,416 --> 00:33:30,416 and were just getting the insulin syringes ready for the diabetics 523 00:33:30,500 --> 00:33:34,500 and they said: No, wait, we don't have time now. 524 00:33:34,916 --> 00:33:37,666 I said that the patient was cramping on the bed 525 00:33:37,666 --> 00:33:39,750 and that he had already used the call bell. 526 00:33:39,833 --> 00:33:43,833 Then they dropped everything and went to the room. 527 00:33:45,208 --> 00:33:48,875 They immediately called the people from the other ward 528 00:33:48,958 --> 00:33:51,875 and they came with this trolley. 529 00:33:51,958 --> 00:33:56,083 I quickly moved my food trolley, moved on 530 00:33:57,041 --> 00:34:01,041 and I think they resuscitated the patient. 531 00:34:01,833 --> 00:34:03,250 That's all I saw, 532 00:34:03,250 --> 00:34:04,958 what exactly happened. 533 00:34:05,041 --> 00:34:07,708 I can't see it so well, because I can't sleep 534 00:34:07,791 --> 00:34:09,239 when something like that happens. 535 00:34:10,353 --> 00:34:13,728 Soon after that, the one wing of the ward was then also closed, 536 00:34:14,000 --> 00:34:15,968 due to staff shortages. 537 00:34:21,250 --> 00:34:23,000 Putting patients at risk does not only arise 538 00:34:23,083 --> 00:34:25,473 when there are not enough staff at the bedside. 539 00:34:25,543 --> 00:34:28,625 A lack of staff in the non-refinanced areas 540 00:34:28,695 --> 00:34:31,973 such as patient transport can have terrible consequences. 541 00:34:33,500 --> 00:34:36,583 My colleague had brought an oxygen-dependent patient 542 00:34:36,583 --> 00:34:39,125 to the radiology department. 543 00:34:39,208 --> 00:34:42,041 After his examination, the patient had to wait three hours 544 00:34:42,041 --> 00:34:45,333 waiting for his pickup. 545 00:34:45,416 --> 00:34:49,416 He passed away unnoticed. 546 00:34:50,166 --> 00:34:52,416 Due to lack of oxygen, 547 00:34:52,500 --> 00:34:55,281 because there was no staff to notice 548 00:34:55,324 --> 00:34:58,937 that his oxygen tank had run out. 549 00:35:02,458 --> 00:35:05,590 In principle, patients can 550 00:35:05,668 --> 00:35:08,645 only be well cared for 551 00:35:08,750 --> 00:35:12,750 if there are enough staff in all professional groups . 552 00:35:18,625 --> 00:35:22,476 from the cleaning staff, from the laboratory and from the nursing staff, 553 00:35:22,703 --> 00:35:26,619 from the daycare centre, from the technical staff to the therapy staff. 554 00:35:26,757 --> 00:35:28,916 A hospital is a huge organisation 555 00:35:29,000 --> 00:35:31,750 with many cogs, with many professional areas. 556 00:35:31,833 --> 00:35:33,750 We need relief in all areas, 557 00:35:33,833 --> 00:35:36,726 to ensure patient care. . 558 00:35:36,773 --> 00:35:38,373 That's what we're here for. 559 00:35:39,000 --> 00:35:42,208 The same day was also the first meeting of the new state parliament. 560 00:35:42,291 --> 00:35:45,375 The very first vote of the new legislative period 561 00:35:45,458 --> 00:35:49,458 was about the legal amendment that is needed so that the university hospital 562 00:35:49,541 --> 00:35:52,041 can independently conclude a TV-E. . 563 00:35:52,125 --> 00:35:55,500 The next day they had to decide about the financing commitment, 564 00:35:55,583 --> 00:36:00,242 whether the money that the university hospitals lose as a result of the collective agreement 565 00:36:00,320 --> 00:36:02,791 will be returned to them by the state. 566 00:36:02,875 --> 00:36:05,750 Without these two commitments, the collective agreement would be 567 00:36:05,750 --> 00:36:07,820 completely unthinkable. 568 00:36:13,250 --> 00:36:15,000 And if politics gives us 569 00:36:15,083 --> 00:36:20,041 this financial commitment, then there is nothing standing in the way of the TV-E. 570 00:36:20,090 --> 00:36:21,708 That's the background. 571 00:36:21,791 --> 00:36:25,458 So those hospital departments that are not refinanced, 572 00:36:25,541 --> 00:36:28,651 need this firm commitment, 573 00:36:28,711 --> 00:36:32,174 because otherwise they will not come to an agreement with us. 574 00:36:32,921 --> 00:36:34,760 Carola is also at the demonstration today, 575 00:36:34,785 --> 00:36:37,323 although her mood is really starting to hit rock bottom. 576 00:36:37,583 --> 00:36:39,291 I've had enough, I thought. 577 00:36:39,291 --> 00:36:42,000 I don't want to see any more demonstrations, I don't want to see any more people. 578 00:36:42,000 --> 00:36:45,375 I just want the negotiations to be concluded. 579 00:36:46,458 --> 00:36:50,612 And then it was the best demonstration of all those I've been to, 580 00:36:51,000 --> 00:36:56,995 because the politicians had to listen to 581 00:36:57,112 --> 00:37:00,041 what I had to say to them on the stage. 582 00:37:04,375 --> 00:37:07,958 16th day of the trial - and what is on the table? 583 00:37:08,041 --> 00:37:09,987 Nothing of substance. 584 00:37:14,750 --> 00:37:18,083 You come from different departments and you know it exactly, 585 00:37:18,166 --> 00:37:20,875 all the colleagues in the black T-shirts, 586 00:37:20,931 --> 00:37:25,259 these are the refinanced departments, and there is not even an offer for them. 587 00:37:28,000 --> 00:37:30,083 We have said, a collective agreement 588 00:37:30,145 --> 00:37:33,796 Has to be for everyone and we stand by that. 589 00:37:35,166 --> 00:37:39,166 I didn't even know until ten minutes before this demonstration that I 590 00:37:40,000 --> 00:37:44,000 go on stage at the state parliament and say anything at all. 591 00:37:46,166 --> 00:37:48,791 After the talks on the stage end, the politicians 592 00:37:48,791 --> 00:37:50,791 go to the decisive session. 593 00:37:50,875 --> 00:37:54,354 Kira is coming to the state parliament and will watch the vote. 594 00:37:58,291 --> 00:38:01,041 It is a great honour for me to make the first substantive contribution 595 00:38:01,041 --> 00:38:03,223 in this new legislative period 596 00:38:03,293 --> 00:38:06,325 and then on such an important topic, 597 00:38:06,416 --> 00:38:08,458 namely the topic of nursing in hospitals, 598 00:38:08,458 --> 00:38:13,000 nursing in general, but also all employees in the university hospitals. 599 00:38:13,642 --> 00:38:17,767 And we come to the vote on the draft law in document 58. 600 00:38:18,000 --> 00:38:20,875 In the first of two readings. 601 00:38:20,958 --> 00:38:22,958 Who would like to approve this bill? 602 00:38:22,958 --> 00:38:24,500 I ask you to show your hand. 603 00:38:24,500 --> 00:38:28,875 These are CDU, SPD, the Green Party and AfD. 604 00:38:28,958 --> 00:38:32,708 Who votes against it, that is the FDP. Are there any abstentions? 605 00:38:32,708 --> 00:38:33,791 That is not the case. 606 00:38:33,875 --> 00:38:35,424 This means that the draft bill 607 00:38:35,471 --> 00:38:39,721 as been adopted at the first reading, as has just been established. 608 00:38:40,333 --> 00:38:43,583 The factions have agreed to the second reading immediately. 609 00:38:43,666 --> 00:38:44,916 The law has been amended, 610 00:38:45,000 --> 00:38:49,000 the funding was promised and that in the first two days of the government. 611 00:38:49,583 --> 00:38:52,166 You can see how much the pressure achieved. 612 00:38:52,250 --> 00:38:53,625 The legal legitimacy of the strike 613 00:38:53,702 --> 00:38:56,410 has also been confirmed again by the Higher Labour Court. 614 00:38:58,250 --> 00:39:00,875 But in the negotiations there is still not much progress. 615 00:39:00,958 --> 00:39:02,357 That is why the strikers 616 00:39:02,388 --> 00:39:05,708 publish the Black Book, to make their problem heard, 617 00:39:07,000 --> 00:39:10,099 as a last resort. 618 00:39:17,416 --> 00:39:19,000 The Black Book is simply 619 00:39:19,041 --> 00:39:23,041 a collection of reports from everyday life in the hospital. 620 00:39:23,509 --> 00:39:25,486 And not just any reports, 621 00:39:25,549 --> 00:39:28,314 but reports that we wouldn't otherwise tell. 622 00:39:28,902 --> 00:39:32,189 Stories where people really have been harmed, 623 00:39:32,291 --> 00:39:35,833 whether it was the staff or the patients, it doesn't matter. 624 00:39:35,916 --> 00:39:38,791 But stories where people have been harmed 625 00:39:38,876 --> 00:39:42,647 and especially have been harmed due to staff shortages. 626 00:39:44,291 --> 00:39:46,791 We have already sent versions 627 00:39:46,875 --> 00:39:51,041 to managing directors and chief physicians. 628 00:39:51,898 --> 00:39:53,219 That wasn't enough, 629 00:39:53,266 --> 00:39:55,875 there was no reaction or almost no reaction. 630 00:39:55,875 --> 00:39:58,617 And then we said OK, we're going to take the last step 631 00:39:58,656 --> 00:40:02,507 and publish it in such a way that the public is aware of it, 632 00:40:02,570 --> 00:40:04,210 that the press writes about it. 633 00:40:04,296 --> 00:40:05,866 And that's just 634 00:40:05,921 --> 00:40:08,026 an outcry in society about 635 00:40:08,051 --> 00:40:10,176 what actually happens in a hospital, 636 00:40:10,218 --> 00:40:12,018 where otherwise no one talks about it. . 637 00:40:22,750 --> 00:40:25,666 In the paediatric cardiac ward, a critically ill child 638 00:40:25,736 --> 00:40:29,736 needs surgery. 639 00:40:30,500 --> 00:40:35,901 The child is deliberately scheduled last, that is, in the evening. 640 00:40:36,416 --> 00:40:40,416 Before that, there are three elective cardiac catheterisations. 641 00:40:41,125 --> 00:40:45,166 Elective means that they can actually be scheduled at any time. 642 00:40:46,208 --> 00:40:50,208 In contrast to the seriously ill child in the intensive care unit, 643 00:40:50,583 --> 00:40:53,424 their lives are not acutely threatened. 644 00:40:54,083 --> 00:40:57,448 Why are the urgent, immediately important cases 645 00:40:57,495 --> 00:41:00,500 not scheduled first? 646 00:41:00,583 --> 00:41:02,375 Quite simply, because these urgent surgeries 647 00:41:02,458 --> 00:41:06,458 have to be performed no matter how late it gets. 648 00:41:07,166 --> 00:41:10,291 That's why the elective cases are done first. 649 00:41:10,375 --> 00:41:14,390 So that none of them have to be postponed or even cancelled. 650 00:41:15,023 --> 00:41:17,666 So that the numbers add up. 651 00:41:17,833 --> 00:41:20,458 It's not about the children. 652 00:41:20,541 --> 00:41:22,667 This is about money. 653 00:41:22,916 --> 00:41:27,875 Everyone involved and those responsible for the organisation are aware 654 00:41:28,416 --> 00:41:32,083 that in the afternoon and evening only a minimum staff, 655 00:41:32,185 --> 00:41:36,275 both nursing and medical, is available. 656 00:41:36,916 --> 00:41:38,958 When I arrive I ask: 657 00:41:39,041 --> 00:41:42,958 What do I do when the late shift leaves at 20:00? 658 00:41:43,041 --> 00:41:47,666 Then I'm left alone, even though the child needs at least two people. 659 00:41:48,833 --> 00:41:52,833 I am then told that they are finished by 20:00. 660 00:41:53,750 --> 00:41:56,791 The late shift leaves at 20:00. 661 00:41:56,875 --> 00:42:01,242 My fear and concern proved to be true. 662 00:42:02,333 --> 00:42:06,520 At 20:45 we start to resuscitate. 663 00:42:06,840 --> 00:42:10,208 My anaesthetist and I are alone. 664 00:42:10,291 --> 00:42:13,708 A thousand questions are running through my mind. 665 00:42:13,791 --> 00:42:17,666 The actual resuscitation protocol doesn't work for two people. 666 00:42:17,750 --> 00:42:21,750 The child only just managed to survive. 667 00:42:22,333 --> 00:42:27,293 I cried at 1:00 at night when I was done cleaning up. 668 00:42:32,291 --> 00:42:36,681 The failings of our health system concern us all, 669 00:42:37,541 --> 00:42:40,416 so today we break our silence 670 00:42:40,500 --> 00:42:44,500 not only for us, but for our patient. 671 00:42:52,333 --> 00:42:53,375 All of us 672 00:42:53,458 --> 00:42:57,458 and our friends, parents or children can end up in hospital at any time. 673 00:42:58,166 --> 00:43:00,973 And sooner or later, we probably will. 674 00:43:01,500 --> 00:43:04,273 Then we depend on the health system 675 00:43:04,383 --> 00:43:05,405 to catch us. We need 676 00:43:05,429 --> 00:43:08,500 the cooperation between the different areas to work. 677 00:43:08,583 --> 00:43:11,708 We need the nursing staff to have time for us. 678 00:43:11,791 --> 00:43:15,791 But with the current conditions, it can happen to us and our loved ones that 679 00:43:15,853 --> 00:43:19,853 at moments that are crucial for life, there are too few specialist staff. 680 00:43:20,333 --> 00:43:24,109 That in our last moments, we are alone and in pain. 681 00:43:24,375 --> 00:43:27,833 The person who died because of the empty oxygen tank 682 00:43:27,916 --> 00:43:31,000 could have been one of our relatives or friends 683 00:43:31,083 --> 00:43:34,041 and the child in the cardiac theatre, too. 684 00:43:34,125 --> 00:43:37,500 That's why the understaffing is not a problem 685 00:43:37,583 --> 00:43:39,750 of those who work in the hospital, 686 00:43:39,833 --> 00:43:42,622 but for all of us. 687 00:43:51,416 --> 00:43:55,166 Thanks to the Black Book, the strike was covered by the news for the first time ever. 688 00:43:55,250 --> 00:43:59,393 In general, however, the media and public interest was limited. 689 00:43:59,666 --> 00:44:04,083 The nation is up in arms when it can't fly on holiday, 690 00:44:04,166 --> 00:44:06,603 because hospital workers are on strike 691 00:44:06,673 --> 00:44:09,333 and there are no security staff to direct them. 692 00:44:09,416 --> 00:44:13,416 This is a hot topic that has filled the whole summer. 693 00:44:13,625 --> 00:44:17,750 But when people die because there are not 694 00:44:17,833 --> 00:44:21,125 enough nursing staff, then it doesn't matter, 695 00:44:21,208 --> 00:44:22,458 because it doesn't affect everyone. 696 00:44:24,000 --> 00:44:25,708 Climate change, 697 00:44:25,791 --> 00:44:29,244 what is already happening is that it seems a bit more sunny. Isn't that nice! 698 00:44:29,291 --> 00:44:32,166 We had a hot summer, I heard that on the news yesterday 699 00:44:32,250 --> 00:44:36,125 and I also said, stunned, ‘Are you serious?’ 700 00:44:36,208 --> 00:44:38,291 And we have that with every topic. 701 00:44:38,375 --> 00:44:43,083 Where fun and games are concerned, 702 00:44:43,875 --> 00:44:47,166 people get really angry when they don't get what they want. 703 00:44:47,500 --> 00:44:51,500 Health, illness, care, 704 00:44:52,041 --> 00:44:53,583 even on their last journey, 705 00:44:53,666 --> 00:44:54,708 palliative care. 706 00:44:54,750 --> 00:44:57,416 These are all things where people just think, 707 00:44:57,416 --> 00:44:59,666 it's none of their business because it won't affect them. 708 00:44:59,793 --> 00:45:02,833 No, that's not true. They can go outside, 709 00:45:02,916 --> 00:45:05,333 then suddenly fall over and have a stroke. 710 00:45:05,333 --> 00:45:07,125 No one knows what's going on in their head. 711 00:45:07,125 --> 00:45:09,926 Me neither. It could happen to me at any time. 712 00:45:13,041 --> 00:45:16,458 Whether the Black Book had an effect or the strike simply became too expensive, 713 00:45:16,541 --> 00:45:19,416 or whether there was an intervention from politicians, it was unclear, 714 00:45:19,517 --> 00:45:22,791 but the fact is that employers now want to negotiate for so long, 715 00:45:22,875 --> 00:45:25,250 until an agreement is reached today. 716 00:45:25,333 --> 00:45:27,648 No matter how late it gets. 717 00:45:28,750 --> 00:45:31,625 If the key issues are decided tonight 718 00:45:31,708 --> 00:45:33,416 and ver.di union members 719 00:45:33,500 --> 00:45:37,500 confirm it in the next few days, then the strike is over, 720 00:45:38,000 --> 00:45:40,791 and I would be very happy if it were so. 721 00:45:40,875 --> 00:45:44,791 I don't feel like coming here anymore, because 722 00:45:44,875 --> 00:45:47,708 it's just emotionally so upsetting. 723 00:45:47,708 --> 00:45:49,041 And I would be really happy 724 00:45:49,041 --> 00:45:51,333 if you could just put a tick behind it 725 00:45:51,416 --> 00:45:53,541 and say ‘okay, from now on I'm on holiday’, 726 00:45:53,541 --> 00:45:56,333 without having to dwell on it again: 727 00:45:56,333 --> 00:45:58,125 ‘what's going on in Cologne, how will it continue?’ 728 00:45:58,166 --> 00:46:00,625 Can we do it? Without arbitration? 729 00:46:00,625 --> 00:46:02,250 We can do it. 730 00:46:02,333 --> 00:46:06,541 This is extremely trying for everyone. 731 00:46:07,250 --> 00:46:10,050 It could just come to an agreement tomorrow, yes. 732 00:46:10,075 --> 00:46:13,923 That is very much a possibility. And then we'll go back to work. 733 00:46:14,142 --> 00:46:16,900 And I didn't think that it would be over today, 734 00:46:22,059 --> 00:46:24,559 we'll just have to wait and see. 735 00:46:25,041 --> 00:46:26,916 I won't be happy 736 00:46:27,000 --> 00:46:30,289 before I have a beer in my hand to celebrate the agreement. 737 00:46:52,458 --> 00:46:55,041 The negotiations drag on until late into the night. 738 00:46:55,125 --> 00:46:58,416 The mood at the picket line is good, but also a bit agitated. 739 00:46:58,500 --> 00:47:00,958 Tomorrow the strike could end successfully. 740 00:47:01,041 --> 00:47:04,556 But the negotiations could still fail. 741 00:47:08,652 --> 00:47:12,645 Today is not a working day, today is a day of action! 742 00:47:15,500 --> 00:47:18,710 We are now going to meet with the wage commission. 743 00:47:20,166 --> 00:47:23,666 And then suddenly we were called into the negotiation room, 744 00:47:23,759 --> 00:47:26,970 and I thought, ‘what is going on now?’ 745 00:47:32,458 --> 00:47:36,208 And then they told us that arbitration was imminent, 746 00:47:36,309 --> 00:47:38,051 I was stunned. 747 00:47:39,458 --> 00:47:42,416 The negotiations are now on hold and the conclusion of the TV E 748 00:47:42,416 --> 00:47:44,625 is once again in jeopardy. 749 00:47:44,708 --> 00:47:47,000 When collective bargaining is deadlocked during strikes, 750 00:47:47,000 --> 00:47:49,791 the official arbitration body is called upon. 751 00:47:49,875 --> 00:47:51,708 The strike is then ended. 752 00:47:51,791 --> 00:47:54,791 The arbitrators read up on the matter and make a decision about 753 00:47:54,875 --> 00:47:57,500 whether there is a collective agreement and what it looks like. 754 00:47:58,500 --> 00:47:59,820 Because of past arbitration rulings 755 00:47:59,882 --> 00:48:01,791 the strikers fear that the result will be 756 00:48:01,791 --> 00:48:04,083 too employer-friendly. 757 00:48:04,166 --> 00:48:06,291 That many departments will not be included in the collective agreement 758 00:48:06,375 --> 00:48:08,437 and that the agreement does not force the employer 759 00:48:08,500 --> 00:48:11,125 to hire new skilled workers. 760 00:48:11,208 --> 00:48:14,101 Then everything would have been in vain. 761 00:48:15,875 --> 00:48:18,916 Yes, and then 762 00:48:19,000 --> 00:48:21,166 I went home and thought: 763 00:48:21,250 --> 00:48:25,458 What will you do if it doesn't work out? 764 00:48:25,541 --> 00:48:27,791 What are you doing? 765 00:48:27,892 --> 00:48:31,892 Are you going to quit and get another job? 766 00:48:32,708 --> 00:48:37,875 I really had concerns that the whole thing would not work out at all. 767 00:48:47,333 --> 00:48:49,750 I just have no expectations anymore. 768 00:48:49,833 --> 00:48:54,333 I'm just going with the flow, because it's all speculation. 769 00:48:54,416 --> 00:48:57,916 And if I start worrying about whether we'll get an arbitration, 770 00:48:58,000 --> 00:48:59,250 and we don't, 771 00:48:59,250 --> 00:49:03,208 or I'm happy that they're settling it today and we're not. 772 00:49:04,791 --> 00:49:07,833 I no longer know what to think of that bunch of bastards in there. 773 00:49:07,916 --> 00:49:10,791 I really don't know anymore, because they're so... 774 00:49:12,250 --> 00:49:16,291 They negotiate for three days, and then at the end they tell us 775 00:49:16,375 --> 00:49:20,083 that they want arbitration now? It doesn't make any sense. 776 00:49:20,166 --> 00:49:21,541 I'll just wait and see. 777 00:49:21,541 --> 00:49:23,416 If it's good, I'll be pleased, 778 00:49:23,416 --> 00:49:26,125 and if it's bad, I expected it. 779 00:49:26,125 --> 00:49:28,500 But then I personally am not so disappointed at first. 780 00:49:28,583 --> 00:49:30,291 I would just draw my own conclusions 781 00:49:30,291 --> 00:49:32,611 from this whole thing. 782 00:49:32,663 --> 00:49:34,697 My commitment to this clinic 783 00:49:34,768 --> 00:49:37,087 will be significantly less than it was before. 784 00:49:37,166 --> 00:49:38,337 That's already clear. 785 00:49:38,431 --> 00:49:41,727 And that's just because of the monkey dance that's taking place over there. 786 00:49:42,416 --> 00:49:44,500 The situation is uncertain. 787 00:49:44,583 --> 00:49:46,166 Kira is sitting in the meeting about 788 00:49:46,250 --> 00:49:48,759 what the strikers will do in the event of a settlement. 789 00:49:49,583 --> 00:49:52,956 Then a message comes from the employers' side. 790 00:49:53,791 --> 00:49:58,064 Heinz had a call from Mr Schöneck during the meeting, 791 00:49:58,119 --> 00:50:01,587 That an offer may come again this afternoon. 792 00:50:01,708 --> 00:50:03,875 Or that the employers' wage commission 793 00:50:03,958 --> 00:50:07,958 is now meeting at 12:00 and will then decide on it. 794 00:50:08,025 --> 00:50:10,501 That is why arbitration is not an issue at the moment. 795 00:50:10,541 --> 00:50:13,294 We have only talked about eventualities. 796 00:50:14,666 --> 00:50:16,916 The negotiations therefore continued. 797 00:50:17,000 --> 00:50:19,333 The next evening they were halted yet again. 798 00:50:19,434 --> 00:50:22,955 But over the weekend, the negotiating groups were finally able to reach an agreement. 799 00:50:23,863 --> 00:50:25,785 After eleven weeks of strike action. 800 00:50:25,980 --> 00:50:28,500 On Tuesday, all university hospitals will vote on 801 00:50:28,625 --> 00:50:31,000 Whether or not the contract is accepted. 802 00:51:01,489 --> 00:51:04,489 So far, 5 out of 6 locations have voted 803 00:51:04,583 --> 00:51:06,750 and 5 out of 6 locations have agreed. 804 00:51:06,833 --> 00:51:13,192 So we are done and after the vote of the employees, we have a TV-E! 805 00:51:21,750 --> 00:51:25,289 The collective agreement has redefined how many employees 806 00:51:25,320 --> 00:51:27,375 must work in which area. 807 00:51:27,458 --> 00:51:29,468 If you work in a shift that is understaffed, 808 00:51:29,523 --> 00:51:31,541 you get a relief point. 809 00:51:31,625 --> 00:51:34,375 If you have seven points you get a free shift. 810 00:51:34,458 --> 00:51:38,416 Some non-refinanced departments did not get this model. 811 00:51:38,500 --> 00:51:39,958 They get a few more staff, 812 00:51:40,041 --> 00:51:42,276 which they also have to divide among themselves. 813 00:51:42,750 --> 00:51:46,500 That is why the University Hospital of Düsseldorf was the only one 814 00:51:46,583 --> 00:51:49,260 to vote against the TV-E. 815 00:51:49,757 --> 00:51:53,757 But the contract applies across the board, so it also applies to them. 816 00:51:55,501 --> 00:51:57,710 In Cologne, hope is in the air. 817 00:51:57,958 --> 00:51:59,661 The emergency room is particularly pleased 818 00:51:59,754 --> 00:52:03,004 where the night shift is to be expanded from 4 to 17 people. 819 00:52:03,500 --> 00:52:05,500 It seems that working conditions 820 00:52:05,500 --> 00:52:07,625 will improve significantly for many people. 821 00:52:07,708 --> 00:52:09,375 This also applies to Carola. 822 00:52:10,166 --> 00:52:14,166 So for my part, I'm very satisfied because 823 00:52:14,484 --> 00:52:17,275 I got what I wanted in the intensive care area 824 00:52:17,500 --> 00:52:20,875 and I am in the lucky position of 825 00:52:20,958 --> 00:52:24,875 working with a nursing manager who implemented it immediately. 826 00:52:24,958 --> 00:52:28,958 On Thursdays we fought for it and 827 00:52:29,250 --> 00:52:33,695 on Mondays, she had already implemented the staffing ratio in our department. 828 00:52:38,250 --> 00:52:42,208 77 days of strike just gone. 829 00:52:42,291 --> 00:52:46,291 It wasn't until the bargaining commission came back to announce the end of the strike that 830 00:52:46,500 --> 00:52:49,893 many people really felt that they had finally made it. 831 00:53:21,360 --> 00:53:25,360 More of us is better for everyone! 832 00:53:28,250 --> 00:53:31,000 You're happy that it's over. 833 00:53:31,000 --> 00:53:33,958 But somehow you've also grown fond of a lot of people. 834 00:53:33,958 --> 00:53:36,791 We have become a real community. 835 00:53:36,861 --> 00:53:39,915 We have made so many new friendships! 836 00:53:39,986 --> 00:53:41,041 We've been here together 837 00:53:41,125 --> 00:53:45,541 through so many weeks of industrial action. 838 00:53:45,625 --> 00:53:49,625 And it will also be a loss not to see these people regularly anymore. 839 00:53:57,809 --> 00:53:59,833 The collective relief agreement is of course not 840 00:53:59,903 --> 00:54:02,000 the immediate solution to all problems. 841 00:54:02,083 --> 00:54:05,916 How this whole thing went was an emergency call. 842 00:54:06,000 --> 00:54:10,083 Everything that would happen now, without such collective agreements would be even more dramatic. 843 00:54:10,210 --> 00:54:12,538 It would be even worse. 844 00:54:19,083 --> 00:54:20,426 It won't stop there. 845 00:54:20,473 --> 00:54:24,041 More and more hospitals will want them and more and more hospitals will initiate them. 846 00:54:24,125 --> 00:54:29,418 And at some point we might even have these collective agreements throughout Germany. 847 00:54:29,875 --> 00:54:31,041 The University Hospital Frankfurt 848 00:54:31,041 --> 00:54:34,166 only needed a short token strike to get the TV-E. 849 00:54:34,250 --> 00:54:37,166 And in other hospitals, organising is already taking place. 850 00:54:37,250 --> 00:54:40,791 It is clear that our health care system is in crisis. 851 00:54:40,875 --> 00:54:43,666 But it is also clear that there are workers in the hospitals who 852 00:54:43,750 --> 00:54:46,083 who are trying to turn things around. 853 00:54:46,166 --> 00:54:48,958 And now it seems that something is happening in politics too. 854 00:54:49,041 --> 00:54:52,997 Karl Lauterbach has announced the biggest health reform in 20 years. 855 00:54:53,750 --> 00:54:55,291 We are making a big reform now, 856 00:54:55,291 --> 00:54:59,125 it's about overcoming this system of flat-rate payments. 857 00:54:59,208 --> 00:55:02,791 The next few years will show how much these changes will achieve. 858 00:55:02,875 --> 00:55:04,916 The employees of the university hospitals in North Rhine-Westphalia 859 00:55:05,000 --> 00:55:07,625 have already taken a big step. 860 00:55:07,708 --> 00:55:10,041 They cannot solve the serious problems 861 00:55:10,041 --> 00:55:12,458 in our health system alone. 862 00:55:14,958 --> 00:55:17,708 After the end of the strike, I visited Carola again. 863 00:55:17,791 --> 00:55:20,474 At the agreement ceremony in Münster. 864 00:55:21,958 --> 00:55:25,575 The university hospitals are the smallest part of hospitals in Germany, 865 00:55:25,614 --> 00:55:27,791 the largest part is formed by municipal and religious providers. 866 00:55:28,041 --> 00:55:31,041 Something has to be done about that, and something urgently has to be done about that. 867 00:55:31,125 --> 00:55:32,541 It is one stage 868 00:55:32,625 --> 00:55:36,958 on the long road to changing this entire health system. 869 00:55:37,166 --> 00:55:38,750 This is about a lot. 870 00:55:38,750 --> 00:55:41,125 It’s about the whole big cake. 871 00:55:41,208 --> 00:55:43,458 About the financing of hospitals. 872 00:55:43,516 --> 00:55:47,308 It’s about the increase in staff in every area. 873 00:55:47,333 --> 00:55:49,458 But it is also about the willingness of colleagues to 874 00:55:49,541 --> 00:55:51,916 to be unionised . 875 00:55:52,000 --> 00:55:55,833 And of course there also has to be a willingness 876 00:55:55,833 --> 00:55:57,750 on the part of the government. 877 00:55:57,833 --> 00:56:01,916 Because Mr Lauterbach is the one who helped bring DRGs into being, 878 00:56:02,166 --> 00:56:04,958 who is responsible for the fact that this system 879 00:56:05,041 --> 00:56:07,416 has been the way it is for 20 years. 880 00:56:07,500 --> 00:56:10,916 And as long there is a lack of understanding, 881 00:56:11,000 --> 00:56:14,041 that the pressure from below is missing, 882 00:56:14,125 --> 00:56:17,833 that only hospital staff of whatever colour, can exert pressure. 883 00:56:17,916 --> 00:56:20,500 But the pressure must come from the public itself. 884 00:56:20,583 --> 00:56:23,180 But as long as people are not interested, 885 00:56:23,958 --> 00:56:27,601 we are at the first hurdle. 886 00:56:30,791 --> 00:56:34,212 The story is about a person, 887 00:56:38,488 --> 00:56:39,942 about a person, 888 00:56:40,041 --> 00:56:41,833 who, of course, is just one example of how 889 00:56:41,833 --> 00:56:45,333 many of you and I have grown beyond ourselves. 890 00:56:45,416 --> 00:56:47,041 It's about Carola. 891 00:57:00,416 --> 00:57:04,125 At one of the first organisational meetings that Carola was at, 892 00:57:04,125 --> 00:57:06,750 shortly before the petition was handed in. 893 00:57:06,750 --> 00:57:09,000 At some point, we collected signatures for a petition. 894 00:57:10,422 --> 00:57:13,505 So I said to Carola: You give the speech at the delivery 895 00:57:13,583 --> 00:57:15,278 and Carola said: No, no way! 896 00:57:15,340 --> 00:57:17,916 And of course Carola gave this speech afterwards. 897 00:57:18,001 --> 00:57:22,497 As a sensible organiser, I of course threw her in at the deep end 898 00:57:22,583 --> 00:57:25,750 and I would say: It was worth it. 899 00:57:25,833 --> 00:57:28,471 It's been a steep career. 900 00:57:28,535 --> 00:57:31,924 Carola has become one of the best speakers at all the demonstrations. 901 00:58:04,125 --> 00:58:07,453 So what we've done is history, quite simply. 902 00:58:07,583 --> 00:58:11,583 And we can be proud of that. 903 00:59:05,125 --> 00:59:06,906 If you liked the film 904 00:59:06,945 --> 00:59:08,750 and you would like to support the project financially, 905 00:59:08,875 --> 00:59:10,916 then there is a link at the top of the description. 906 00:59:11,000 --> 00:59:13,375 I can just get money sent to me via PayPal. 907 00:59:13,458 --> 00:59:15,250 I would really, really appreciate it, 908 00:59:15,250 --> 00:59:18,291 because I don't actually earn anything from the whole thing . 909 00:59:18,375 --> 00:59:20,859 I would be very happy. 910 00:59:20,945 --> 00:59:24,875 Donation link at the top of the description. Have a nice day.