Auction!

The Dutch government is transferring the elderly care to the local governments; e.g. the local government needs to provide care for the elderly with a budget that the Dutch government has set...

With this budget, local governments are "buying" care with the care providers. But since the budgets do not suffice, the local governments need to make most of what they got.

The solution they came up with... AUCTION!!!
(read this piece in the Dutch newspaper)

The care provider that is the cheapest can get the contract... That is the way the Dutch done it all along: The VOC mentality... (VOC is the Company that sailed around the world in the golden age to get herbs from India and slaves from Africa)

Welcome to the 21st century care system. 

Word to the wise: If you tend to get old, please stay healthy...