Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/265066 
Year of Publication: 
2022
Citation: 
[Journal:] Tijdschrift voor economische en sociale geografie [ISSN:] 1467-9663 [Volume:] 113 [Issue:] 4 [Publisher:] Wiley [Place:] Hoboken, NJ [Year:] 2022 [Pages:] 331-347
Publisher: 
Wiley, Hoboken, NJ
Abstract: 
Currently, numerous physician practices in industrial and emerging countries are being taken over by private equity firms and integrated into novel physician corporations. This involves private equity firms producing a global wealth chain (GWC) between their investors and the target asset, using offshore financial centres to facilitate tax‐avoiding reflux of capital. Moreover, they are opening up ambulatory health care as an asset for capital investment by overcoming previous market barriers to ambulatory health care via a legal construct. In this paper, we trace the spatial links of these finance‐side and sector‐specific corporate chains based on a capital flow analysis of private equity takeovers of Medical Care Centres (MCCs) in Bavaria, Germany. With our heuristics of a double‐layered GWC, which enables the extraction of value from the German health system, we contribute to the emerging GWC debate that aims to conceptualise the complex and often opaque spatialisations of financialisation processes.
Subjects: 
private equity
global wealth chains
health care
offshore financial centre
Germany
financialisation
Persistent Identifier of the first edition: 
Creative Commons License: 
cc-by Logo
Document Type: 
Article
Document Version: 
Published Version

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