Cities Push for Overhaul of German Care Insurance

Cities Push for Overhaul of German Care Insurance

Municipalities Demand Sweeping Social Reforms to Avert Financial Crisis

German municipalities are issuing a stark warning about the escalating financial pressures on local governments, calling for radical social reforms to alleviate their burden. The German Association of Cities and Municipalities (Deutscher Städtetag) is demanding a restructuring of the social welfare system, specifically targeting the current structure of long-term care insurance, in what officials describe as a necessary measure to avert a looming municipal crisis.

Christian Schuchardt, Chief Executive of the Deutscher Städtetag, argues that transitioning the long-term care insurance system to a full insurance model would provide immediate and significant relief. Currently, when individuals are unable to cover the costs of long-term care, municipalities are forced to step in through social welfare programs, essentially acting as a safety net for the insurance system’s failures. Schuchardt estimates that a shift to a full insurance model could free up over €5 billion annually for local governments.

The current system places an untenable strain on municipal budgets. Local social welfare offices are increasingly burdened with financing care services, becoming, according to Schuchardt, “de facto guarantors” for the long-term care insurance system. This role effectively transforms municipalities from providers of local services into indirect funders of a national insurance scheme, a situation deemed unsustainable by the Deutscher Städtetag.

The association’s criticism extends to the federal government’s inaction. Schuchardt expressed disappointment that the government’s Long-Term Care Commission failed to agree on wider-ranging reforms, suggesting a lack of political will to address the systemic issues. This failure, he asserts, leaves municipalities vulnerable and unable to deliver essential local services.

While acknowledging the complexities of social welfare reform, the Deutscher Städtetag’s call highlights a growing fracture between municipalities and the federal government and underscores the urgent need for a fundamental overhaul of Germany’s long-term care financing structure to prevent what many fear could be a collapse of local government finances. The debate is expected to intensify as municipalities increasingly struggle to balance their budgets amidst rising social costs, placing significant political pressure on the federal coalition government.