The head of the Kassenärzte suggested a practice fee of three euros per visit, sparking significant backlash from political parties, particularly the SPD, which criticized it as unfair to chronically ill and low-income individuals.
The recent proposal by the head of Kassenärzte for a three-euro practice fee per visit has triggered a considerable uproar, especially from the SPD party, which labels it as deeply unfair. The SPD emphasized that such a fee disproportionately impacts chronically ill patients and those with low incomes, positioning this issue as a potential breaking point for the current coalition government leading up to the 2026 elections. The government has drawn clear lines against passing financial burdens onto the insured, arguing that this approach is contrary to social responsibility.
Within the medical community, the practice fee proposal is seen as redundant, especially since the current co-payment system in statutory health insurance caps personal contributions for severely chronically ill patients. These individuals typically pay up to one percent of their annual income, which can amount to about 120 euros per year—often reached immediately within the first month due to medication co-pays. Health professionals argue that a new practice fee would not alleviate the financial burdens already faced by many vulnerable patients.
The SPD's counter-arguments highlight a modern contradiction in healthcare policy, emphasizing that imposing additional fees does little to resolve existing inequalities in access to medical care. This clash reflects broader tensions within the German healthcare system, where financial sustainability must be balanced with equitable access to healthcare services for all citizens, particularly those most in need. The ongoing debate will likely shape the future of health policy and influence party strategies as elections approach.
