Carola Reimann, the Chairman of the AOK Federation, suggested that health insurance contributions could decrease if the federal government consistently implements the recommendations put forth by the expert commission. Speaking about the expert proposals to “Bild am Sonntag” Reimann noted that a reduction in the contribution rate seems possible overall, but questioned whether the governing coalition truly possesses the necessary political strength to enact such changes. She also stressed that policy changes should not continue to burden insured persons, particularly if the government addresses spending areas-such as hospitals, independent practitioners, and the pharmaceutical industry.
According to Reimann, if these spending blocks are tackled head-on, there would be no need for additional financial burdens on policyholders. She argued that insured individuals have already paid their due with the current higher contribution rates, essentially acting in anticipation. Therefore, suggestions like imposing further co-payments or altering family insurance provisions are unnecessary if the expenditures are managed consistently.
The commission has, in her view, established a “very good basis for decision-making” regarding a health care reform. The responsibility now lies with the government. Reimann stated that the coalition is tasked with achieving success, warning that if nothing is done, the gap between revenue and expenditure will continue to widen, which in turn would likely trigger another contribution shock.
Reimann viewed potential increases in taxes on tobacco and spirits, as well as sugar-sweetened beverages, positively, noting that the commission found these areas receptive. She cited neighboring countries as models, pointing out that experience shows these measures are beneficial not only for generating revenue but, more importantly, for reducing illnesses and improving overall public health.