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Germany’s economy is so bad even sausage factories are closingIWHThe Economist, January 15, 2026
We examine the survival prospects, employment profiles, and patient outcomes at private equity (PE)-acquired hospitals. Target hospitals maintain their survival rates while significantly reducing employment and wage expenditures. The number of core medical workers drops temporarily, but returns to its pre-acquisition level in the long run. However, administrative job and wage cuts persist over the long term, particularly at previously nonprofit hospitals. Using proprietary insurance claims data, we find no significant changes in patient demographics or inpatient prices at PE-acquired hospitals. While patient satisfaction declines, there is no evidence of increased patient mortality or readmission rates at PE-acquired hospitals.
We compare the effects of external financing shocks on patient mortality at nonprofit and for-profit hospitals. Using confidential patient-level data, we find that patient mortality increases to a lesser extent at nonprofit hospitals than at for-profit ones facing exogenous, negative shocks to debt capacity. Such an effect is not driven by patient characteristics or their choices of hospitals. It is concentrated among patients without private insurance and patients with higher-risk diagnoses. Potential economic mechanisms include nonprofit hospitals' having deeper cash reserves and greater ability to maintain spending on medical staff and equipment, even at the expense of lower profitability. Overall, our evidence suggests that nonprofit organizations can better serve social interests during financially challenging times.
This paper documents substantial fiscal waste in the context of one the world’s largest regional development programs – the EU Cohesion Policy. We study Italy, and find that 20% of funding commitments are never paid out and funneled into unfinished or never-started projects. In our setting, this happens for reasons unrelated to fiscal constraints – municipalities appear to simply leave money on the table. Foregone spending is more prevalent in Southern regions, but there is also stark variation across municipalities within regions. We show that such under-utilization of available funds is strongly associated with limited administrative capacity of local governments.
We exploit an information shock related to the German Supply Chain Due Diligence Act and use detailed customs data to analyze how smaller, non-listed firms respond when expecting accountability for externalities beyond their organizational boundaries. Product-level regressions reveal a substantial reduction in imports from high ESG-risk production sectors. Adjustments occur mainly at the extensive margin, indicating that firms cut ties with high-risk suppliers. The product-level results translate into meaningful changes in overall international procurement for firms with Big Four auditors. Our findings suggest potential limits to mandates requiring firms to integrate broad sustainability considerations into operational decisions.
Trotz der Handelskonflikte zeigt sich die Weltwirtschaft bislang robust und dürfte weiter in mäßigem Tempo expandieren. Die Weltproduktion steigt im Jahr 2025 um 2,6% und im Jahr darauf um 2,4%. Ob sich die deutsche Wirtschaft auf Erholungskurs befindet, ist weiterhin nicht erkennbar, zumal sie in der zweiten Jahreshälfte den Dämpfer höherer US-Zölle zu verkraften hat. Erst für 2026 stehen die Chancen gut, dass finanzpolitische Impulse zusammen mit niedrigen Leitzinsen eine konjunkturelle Belebung bewirken. Das Bruttoinlandsprodukt dürfte dann um 0,8% zunehmen, nach 0,2% im Jahr 2025.
We exploit staggered real estate transaction tax (RETT) hikes across German states to identify the effect of house price changes on mortgage credit supply. Based on approximately 33 million real estate online listings, we construct a quarterly hedonic house price index (HPI) between 2008:q1 and 2017:q4, which we instrument with state-specific RETT changes to isolate the effect on mortgage credit supply by all local German banks. First, a RETT hike by one percentage point reduces HPI by 1.2%. This effect is driven by listings in rural regions. Second, a 1% contraction of HPI induced by an increase in the RETT leads to a 1.4% decline in mortgage lending. This transmission of fiscal policy to mortgage credit supply is effective across almost the entire bank capitalization distribution.
In seinem Beitrag beleuchtet Oliver Holtemöller, wie sich die ostdeutsche Wirtschaft seit der Wiedervereinigung bis heute entwickelt hat. Dazu vergleicht er die ostdeutsche Wirtschaft auch mit der westdeutschen sowie mit der restlichen EU. Dabei werden der Konvergenzprozess dessen wichtigste Determinanten beschrieben. Zudem geht Holtemöller auf die weiteren Perspektiven des Wirtschaftswachstums in Ostdeutschland ein. Zwar beschreibt er den wirtschaftlichen Aufholprozess Ostdeutschland als Erfolgsgeschichte, bemerkt aber auch, dass die Erwartungen an den Aufholprozess zur Zeit der Wiedervereinigung höher als die tatsächliche Entwicklung war.
This paper investigates the relationship between heterogeneity in sectoral price stickiness and the response of the economy to aggregate real shocks. We show that sectoral heterogeneity reduces inflation persistence for a constant average duration of price spells, and that inflation persistence can fall despite duration increases associated with increases in heterogeneity. We also find that sectoral heterogeneity reduces the persistence and volatility of interest rate and output gap for a constant price spells duration, while the qualitative impact on inflation volatility tends to be positive. A relevant policy implication is that neglecting price stickiness heterogeneity can impair the economic dynamics assessment.
We provide evidence for a psychological component of inflation concerns. Higher inflation concerns relate in a positive and significant way to respondents’ reported levels of concerns about their financial situation. Results hold when controlling for income and financial constraints.
This paper examines the impact of complex yet precise language, particularly financial jargon, on information dissemination and ultimately market efficiency. As a natural laboratory, we analyze the information exchanged during earnings conference calls, where we instrument jargon with the Plain Writing Act of 2010. Our findings suggest that the Act‘s promotion of plain language usage results in a reduction in complex financial jargon for US firms. However, in contrast to the presumed benefits of accessible language, this reduction in jargon is associated with a decrease in market efficiency, implying that the Act may inadvertently hinder information flow. This finding is particularly important at the juncture where human-generated information is received by machines, which are known to be vunerable to ambiguous inputs.
