A debate has emerged in Germany regarding potential changes to the healthcare system, specifically concerning patient co-payments for medical consultations. Federal Drug Commissioner Hendrik Streeck recently proposed introducing a “moderate, socially compatible” patient contribution for doctor’s visits as a means of curbing what he termed “bagatellbesuche” or minor consultations. He highlighted comparative data showing German citizens access medical professionals an average of ten times annually, a figure higher than in countries like France (five visits) and Denmark (four visits). Streeck argued such a measure would streamline the system and promote fairness.
This proposal has drawn sharp criticism from Jan van Aken, leader of the Left party (Die Linke). Van Aken accused Streeck of unfairly portraying working individuals as exploiting the system simply for utilizing a service they are entitled to. He emphasized the importance of individuals having the right to seek medical attention when ill.
Van Aken countered Streeck’s suggestions by pointing to the Drug Commissioner’s own financial situation, arguing that as a civil servant, Streeck does not contribute to the statutory health insurance system to the same extent as other citizens. He suggested that Streeck should examine his own practices if he is genuinely interested in equitable solutions.
Further escalating the discussion, van Aken voiced concerns that the proposal represents a step towards a three-tiered healthcare system in Germany, suggesting that only those with sufficient financial resources would receive adequate care. As an alternative, he advocated for the abolishment of the income threshold used for calculating social security contributions, a measure he believes would ensure universal access to quality healthcare.