translate English to French: As far as those arguments are concerned, it must be concluded that, in enacting Paragraph 18(3) of the RettDG 1991, the application of which involves prior consultation of the medical aid organisations in respect of any application for authorisation to provide non-emergency patient transport services submitted by an independent operator, the legislature of the Land of Rheinland-Pfalz gave an advantage to those organisations, which already had an exclusive right on the urgent transport market, by also allowing them to provide such services exclusively.
Force est de constater que le législateur du Land de Rhénanie-Palatinat, en adoptant l'article 18, paragraphe 3, du RettDG 1991, dont l'application entraîne la consultation préalable des organisations sanitaires sur toute demande d'autorisation de fournir des services de transport non urgent de malades présentée par un opérateur indépendant, a favorisé ces organisations, déjà titulaires d'un droit exclusif sur le marché du transport d'urgence, en leur permettant également de fournir exclusivement de tels services.