A debate is emerging in Germany regarding potential changes to the healthcare system, with concerns raised about the possibility of a tiered approach to medical access. Jan van Aken, co-leader of the Left party (Die Linke), has accused the Union parties of potentially introducing a “three-class medicine” system. He argues that proposals involving reduced benefits or expensive tariffs for those requiring treatment would effectively dismantle the current system of universal healthcare.
Van Aken voiced particular opposition to the potential introduction of a basic tariff for individuals covered by statutory health insurance. He believes this would exacerbate existing inequalities, creating a third tier of care specifically for those with limited financial resources. He advocates for a system of equitable healthcare for all, rather than a tiered structure.
The discussion follows proposals from Tino Sorge, the CDU State Secretary at the Ministry of Health, who suggested introducing such basic tariffs for health insurance companies in response to rising costs. These tariffs would be less expensive but would only guarantee a foundational level of care, with additional services requiring separate payments. Previous proposals of a similar nature have faced rejection from insurers and social organizations.
Van Aken has countered these suggestions, proposing that health insurance contributions should be income-based. He highlighted what he views as an inequity where, for example, a Member of Parliament may pay a smaller percentage of their income towards health insurance than a truck driver. He calls for the abolition or substantial increase of the contribution assessment base, asserting that this would generate sufficient funds to lower health insurance contributions and ensure comprehensive healthcare access for everyone.