Forbundskansler Merz: Sundhedsreformen er stort set klar til ministerrådet

Forbundskansler Friedrich Merz har udtalt, at udkastet til sundhedsreformen er »praktisch fertig« (praktisk talt klar) og skal til afstemning i ministerrådet på onsdag. Sundhedsminister Nina Warkens (CDU) sparepakke har til formål at skære omkring 19,6 milliarder euro næste år. Forslaget møder kritik fra foreninger, sygeforsikringer og dele af regeringskoalitionen.

Det føderale ministerråd skal stemme om lovudkastet til den lovpligtige sygeforsikring på onsdag. Forbundskansler Friedrich Merz sagde, at forslaget er stort set færdigt, og at kun de sidste forhandlinger mangler. Det vil blive drøftet sideløbende med hovedpunkterne i det føderale budget for 2027.Sundhedsminister Nina Warkens reformpakke inkluderer udgiftslofter for lægepraksisser, hospitaler og den farmaceutiske sektor. Den indeholder højere egenbetaling for medicin og restriktioner på ægtefælleforsikring. Målet er at spare 19,6 milliarder euro næste år.Foreningen af praktiserende læger kaldte forslaget et »Zerstörungsprogramm für die Hausarztpraxen« (ødelæggelsesprogram for de praktiserende lægers praksisser). Sygeforsikringerne kritiserede den planlagte forhøjelse af bidragsloftet og advarede om et skift til private forsikringer. CSU-politikeren Emmi Zeulner sagde, at reformen strider mod »jedem Gerechtigkeitsempfinden« (enhver retfærdighedsfølelse), mens SPD's parlamentariske leder Dirk Wiese bemærkede »eine gewisse Schlagseite« (en vis skævvridning) til skade for de forsikrede.Fagforeningen Ver.di har annonceret protester. Unionen og SPD blev enige om afstemningen i koalitionsudvalget. Unionen presser på for yderligere reformer midt i fortsatte forhandlings frustrationer.

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German cabinet meeting finalizing 2027 health reform draft with 16.3 billion euro savings target.
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German government finalizes 2027 health reform draft with 16.3 billion euro savings target

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Following Chancellor Merz's announcement that the bill was practically ready, the German government finalized its health reform draft on April 28, targeting 16.3 billion euros in savings from 2027—down from an initial 19.6 billion—to address a 15.3 billion euro deficit at statutory health insurers. The Greens decry it as a burden on insured people and companies, while Health Minister Nina Warken calls it balanced. Cabinet approval is set for Wednesday.

As the April 29 cabinet decision approaches, Health Minister Nina Warken and Finance Minister Lars Klingbeil signal openness to adjustments in the statutory health insurance savings package, originally based on the Finance Commission's 66 proposals. Following the recent draft release and coalition disputes, associations and opposition intensify criticisms.

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Federal Health Minister Nina Warken's (CDU) draft law to stabilize statutory health insurance—building on her April 14 announcement of the Finance Commission's 66 savings proposals—is now public, aiming for nearly 20 billion euros in relief by 2027. Coalition partners, especially the CSU, criticize the burden distribution amid a looming 15 billion euro deficit.

In response to last week's Finance Commission on Health report, German Health Minister Nina Warken (CDU) plans to implement only select proposals. She rejects abolishing free co-insurance for childless spouses under six years old and advocates exemptions for caregiving relatives.

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Andreas Gassen, chairman of the Kassenärztliche Bundesvereinigung, calls for the complete elimination of voluntary additional services provided by statutory health insurance funds to achieve savings. He estimates the potential savings at nearly one billion euros per year. This comes amid a looming financing gap of twelve billion euros in the statutory health insurance system.

Leading CDU politicians reject the SPD proposal to suspend the debt brake and demand a savings package from Finance Minister Lars Klingbeil (SPD). Tensions in the black-red coalition are rising as Klingbeil prepares the key points for the 2027 budget. The trigger is SPD parliamentary leader Matthias Miersch's push amid the ongoing Iran crisis.

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Saxony-Anhalt's Minister President Sven Schulze has insisted on the states' right to have a say in planned social reforms. He called for close coordination and special consideration of East German concerns. He made these statements in an interview with Germany's Editorial Network (RND).

 

 

 

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