Apoteker planlægger protestdag for højere gebyrer

På den kommende mandag vil mange apoteker over hele Tyskland holde lukket hele dagen for at protestere for højere gebyrer. Lovpligtige sygeforsikringer kritiserer aktionen og anklager apotekerne for falske påstande, da gebyrerne er steget siden 2013.

Den tyske apotekerforening Abda organiserer protestdagen, hvor apotekerne lukker, mens vagttjenesten forbliver tilgængelig. Foreningsformand Thomas Preis beskriver et '13-årigt gebyrstop', på trods af at omkostningerne er steget med 65 procent. Næsten 20 procent af apotekerne er lukket siden 2013; ved udgangen af 2025 var der 16.601, det laveste antal siden 1977. Apotekerne kræver, at det faste gebyr hæves fra 8,35 til 9,50 euro pr. pakning, hvilket vil koste cirka en milliard euro ekstra. 'Vi forsvarer os mod, at apoteker bliver drevet i ruin', sagde Preis. Sygeforsikringerne svarer igen: Næstformand for foreningen, Stefanie Stoff-Ahnis, udtalte, at gebyrerne steg fra 1,5 til 7,1 milliarder euro, en stigning på 26 procent frem mod 2024. Dette inkluderer et tillæg på tre procent pr. pakning, der stiger med priser og volumener, samt betalinger for nattevagt, leveringer og mangelsituationer. Stoff-Ahnis efterlyser differentierede gebyrer: højere til apoteker i landdistrikter med lav volumen, og lavere til apoteker i byområder med høj omsætning. En undersøgelse fra Iges-instituttet viser ingen sammenhæng mellem gebyrer og lukninger; tilgængeligheden er stabil, hvor næsten alle kan nås i bil på 15 minutter og 42 procent til fods. Sundhedsminister Nina Warken (CDU) har sagt ja til en forhøjelse, men finansieringen er uklar midt i et underskud på 12 milliarder euro i sygeforsikringen.

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Press conference photo of health insurance chief Andreas Gassen calling for abolition of voluntary services to save 1 billion euros amid 12 billion euro gap.
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Health insurers' chief demands abolition of voluntary services

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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.

Markus Blumenthal-Beier, head of the German house doctors' association, calls on statutory health insurers to cut their administrative costs. He proposes halving them mid-term rather than restricting patient care. CSU politician Klaus Holetschek advises seeking cooperations and mergers.

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Chancellor Friedrich Merz stated that the draft health reform bill is »practisch fertig« and will be voted on in the cabinet on Wednesday. Health Minister Nina Warken's (CDU) savings package aims to cut around 19.6 billion euros next year. The proposal faces criticism from associations, health insurers, and parts of the coalition.

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Following coalition negotiations and a December 2025 mediation effort on her stalled savings law, Federal Health Minister Nina Warken (CDU) received a major boost on Monday as a government-appointed commission of ten scientists presented a 480-page report with 66 reform measures for statutory health insurers in Berlin. The proposals aim to close a projected 15.3 billion euro deficit next year and generate over 40 billion euros in short- to medium-term savings, preventing contribution increases.

Andreas Gassen, head of the Kassenärztliche Bundesvereinigung (KBV), dismissed demands for a guarantee of specialist doctor appointments within three weeks as „bullshit“ and „socialist regulatory frenzy“. He stressed that appointment allocations must be based on medical need. Gassen was responding to SPD parliamentary group leader Matthias Miersch.

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