Concerns are being raised within Germany’s healthcare sector over proposals to potentially restrict medical treatments for older patients. Andreas Gassen, Chairman of the Federal Association of Statutory Health Physicians (KBV), cautioned against rationing procedures like hip replacements for individuals aged 80 and above. He voiced concerns that such a measure would echo a problematic policy previously implemented in the United Kingdom, arguing it is neither necessary nor productive.
Gassen emphasized the foundational principle of Germany’s statutory health insurance system, which prioritizes providing needed medical services regardless of age, gender, or income. The discussion follows earlier suggestions from Thomas Lemke, CEO of the Sana-Kliniken group, who previously questioned the provision of certain senior services.
Acknowledging the need for cost-saving measures, Gassen suggested focusing on alternative areas for reform within the healthcare system. He highlighted hospitals as a primary driver of expenses, citing almost 300 million euros spent daily, alongside rapidly increasing pharmaceutical costs. He proposed a reduction in the number of hospitals to strengthen remaining institutions and achieve significant cost reductions.
Beyond hospitals, Gassen advocated for a broader review of systemic factors. He pointed to the need to appropriately fund non-insurance related healthcare costs borne by those receiving citizen’s income (Bürgergeld) through tax revenues. Furthermore, he suggested exploring patient management strategies and considering intelligently designed, socially balanced co-payment models to prevent unsustainable rises in social security contributions.