Coalition plans stricter rules for sick notes

Union and SPD want to abolish phone-based sick notes and require a doctor's certificate from the first day of absence. Doctors' representatives and economists criticize the plans as symbolic politics.

Chancellor Friedrich Merz justified the plans with excessively high numbers of sick days. In future, employees are to present a sick note from the first day of illness, while the phone-based sick note option introduced at the end of 2023 is to be abolished. Both measures are still to be fleshed out in the legislative process.

Nicola Buhlinger-Göpfarth of the Hausärztinnen- und Hausärzteverband called the changes pure symbolic politics. She instead called for action against providers of video consultations that aggressively advertise quick sick notes.

Economist Daniel Graeber from the DIW warned that a certificate requirement from day one could increase infection risks. A YouGov survey found that 59 percent of respondents oppose the earlier certificate requirement.

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Chancellor Friedrich Merz presenting a reform package for growth to coalition members in a government setting.
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Coalition agrees on reform package for growth

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The federal government agreed on a package of more than 30 reform measures on Wednesday evening. Chancellor Friedrich Merz presented it on Thursday.

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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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.

German Health Minister Nina Warken (CDU) has defended her planned savings package, which includes higher financial burdens for nursing home residents. In an ntv show, she admitted imposing cuts on people and viewed the broad criticism as evidence of balance. The draft is set for the federal cabinet on April 29.

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Chancellor Merz complains that Germans work too little. The SPD now wants to increase vacation entitlements.

Economists criticize the SPD's proposal to tie retirement age to contribution years, warning of disadvantages for academics and the erosion of solidarity-based pensions. Amid ongoing reform debates sparked by Jens Südekum's idea and mixed public opinion, coalition frictions intensify ahead of the pension commission's report.

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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.

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