The Christian Democratic Union/Christian Social Union (CDU/CSU) parliamentary group is pushing for sweeping structural reforms within Germany’s healthcare system, signaling a potential shift away from incremental adjustments towards a fundamental reassessment of its core operations. Simone Borchardt, the CDU/CSU’s spokesperson for health policy, articulated the urgency of the situation, stating that isolated cost-cutting measures and minor corrections are no longer sufficient to ensure the long-term viability of the system.
Borchardt’s call for reform echoes proposals recently put forward by the Confederation of German Employers’ Associations (BDA), which include measures like increased patient co-payments, mandatory consultation fees for doctor visits and restrictions on family insurance coverage. While acknowledging the relevance of the BDA’s suggestions – describing them as addressing “long overdue” issues – she emphasized the need for a holistic strategy impacting financing, structures and care delivery.
Conservative estimates suggest potential savings of up to €40 billion within the healthcare system, stemming from inefficiencies Borchardt identified. A key focus will be on improved care coordination, recognizing that approximately four million cases currently requiring inpatient treatment could potentially be managed in an outpatient setting, reducing costs and alleviating strain on personnel while potentially enhancing patient experience.
The planned reforms also address a significant financial imbalance – the burden of so-called “insurance alien benefits”. Borchardt points out that roughly €10 billion annually is currently placed on health insurance funds, funds which should, in her view, originate from general taxation. This structural misalignment is seen as unsustainable and demands immediate correction.
Crucially, Borchardt’s approach emphasizes collaborative responsibility. She highlighted the importance of awaiting the findings of the GKV finance commission, advocating for a unified approach encompassing politicians, health insurance funds, healthcare providers, employers and patients. The success of any reform, she insists, hinges on a shared commitment to its long-term sustainability.
The role of digital innovation – including artificial intelligence and streamlined digital documentation – is also being elevated as a means toward process simplification and acceleration. However, critics will likely scrutinize the proposed measures, particularly concerning potential impacts on patient access and fairness, arguing that cost containment should not compromise the quality and accessibility of care, particularly for vulnerable populations. The debate promises to be politically charged, demanding a careful balance between fiscal responsibility and the paramount value of public health.