New DeZIM study on racism in healthcare

Germany has been recruiting nurses from abroad for years to address the shortage of skilled workers in the healthcare sector . For many international professionals, this represents a great opportunity: a secure job, good earning potential, and the prospect of a long-term life in Germany. However, the reality shows that not everything runs smoothly. A recent study by the DeZIM Institute highlights that internationally recruited nurses in Germany not only struggle with language and organizational hurdles, but also face racism and discrimination .

The study highlights that racism operates at various levels: in direct contact with colleagues, in the institutional processes of hospitals and care facilities, and in the general structure of the labor market. For migrant nurses, this means that they are often viewed not just as workers, but as "interchangeable resources ." This experience can lead to demotivation, stress, and even emigration—and it demonstrates how urgently change is needed.

Racialization and economization – why nurses are treated as “commodities”

The study makes it clear that two processes reinforce each other: racialization and economization. Racialization means that people are forced into a certain role and devalued based on their origin or skin color . Economization describes the reduction of people to their labor performance, i.e., the idea that labor is merely a "unit" that can be purchased and exchanged.

For international nurses, this means in concrete terms: They are often not recognized as equal colleagues, but primarily as a solution to the staffing shortage. This focus on "cheap and available labor" reinforces existing inequalities. Instead of integration and recognition, many nurses experience devaluation, discrimination, and a lack of support. At the same time, this creates the illusion that problems in the healthcare system can be solved solely through increased migration – without truly improving working conditions .

What does this mean for migrants?

For professionals considering coming to Germany, it's important to be aware of these challenges. This doesn't mean that a career in the German healthcare sector is impossible—quite the opposite: Germany offers good opportunities, long-term prospects, and legal security. But the study shows that it's necessary to be well prepared and utilize support structures.

This is where VISAGUARD comes in: We not only connect you with immigration lawyers, but also provide support with questions about labor migration. Whether it's about fair employment contracts, residence permits, or legal action against discrimination – legal advice can help identify problems early and develop solutions. Nurses and other professionals should know their rights and be aware that they are not without protection in Germany .

Perspectives: How can the system change?

The study's authors emphasize that changes are needed on several levels. These include better working conditions , mandatory controls at recruitment agencies and clinics, and a clear focus on anti-racism in training and continuing education. Mentoring programs specifically tailored to the needs of international nurses can also help.

But change doesn't happen on its own. It requires the courage of those affected to address grievances , and the support of institutions that take these concerns seriously. International nurses are not just "workers," but people with their own goals, experiences, and skills. Their perspective is crucial to making the German healthcare system fairer and more sustainable.

Conclusion: Know your rights, seize opportunities

For migrants in the healthcare sector, the study clearly shows that there are structural problems that make everyday life difficult. At the same time, Germany offers good opportunities for a long-term professional and personal future. Those who know their rights and seek support can not only overcome individual hurdles but also contribute to a fairer healthcare system. VISAGUARD helps them find the right path – with expert advice, legal support, and a network that empowers professionals in Germany.