German workers will have to report to a doctor in person to get a sick note on the first day they are ill, under strict proposals from Friedrich Merz.

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[–] 40 points 2 months ago (2 children)

If he thinks this will "boost" the economy then he's in for a rude awakening, this will cause the overcrowded doctors offices to be even more crowded.

He and the green party are the main culprits for why the economy is stagnating and the longer he's in office the worse it will get.

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  • [–] 16 points 2 months ago (1 child)

    I wonder if the main idea was to include something so stupid that it would act like a lightning rod for the news coverage, so that this ends up in the headline instead of their real goals like raising the pension age. Then later they can walk this back and say they listened to the people, while the proposal to tie the pension age to life expectancy will still go through.

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  • [–] 37 points 2 months ago (5 children)

    So like if you have the flu, you have to go out in public and expose other people to get your paper signed? Was gonna say something about a doctors lobby, but Germany must have some variation of public healthcare, so this would just make it worse and more over burdened (maybe this is the idea, secondary to disciplining labor)

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  • [–] 29 points 2 months ago

    In Germany, the "public" healthcare operates unbelievably inefficiently. Instead of having mainly a centralized healthcare system composed of polyclinics with family doctors for general purpose visits and hospitals for specialized diagnosis and treatment, what they have is a decentralized system in which each doctor can create their own clinic and can decide whether to accept or not publicly insured patients. If they do, then when a publicly insured patient goes to a doctor, they have to scan their insurance card and the doctor gets paid by the public insurance based on the treatment, e.g. (making up the numbers) 30€ for a general diagnosis or 1000€ for an XRay.

    Doctors absolutely have economic incentives to keep their clinics incredibly busy and to treat patients as fast as possible and to over diagnose them as much as possible (since the payment for a more complicated treatment is often much more juicy than that of simple stuff). Doctors in Germany are filthy rich, and most family doctors WON'T ACCEPT BOOKINGS and instead will treat patients based on order of arrival, which means in Germany people queue outdoors since 6am sick as fuck in winter waiting for doctor to open, because otherwise you won't get into the doctor's office. They don't accept booked appointments because if the patient doesn't come, they lose 30€.

    Germany is an incredible shithole, I had the displeasure of living there for some years and my experiences with the medical system left me astonished and enraged.

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  • [–] 6 points 2 months ago (3 children)

    What if they use telehealth? I'd talk to an AI if it auto emailed my workplace after offering no resistance if I had the flu

    Though tech obviously isn't the answer because the question isn't the feasibility of of accepting volume of routine cases. The question is why would they pass such a shitty law so disrespectful of disease, autonomy, and logistics?

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  • [–] 10 points 2 months ago (2 children)

    What if they use telehealth? I'd talk to an AI if it auto emailed my workplace after offering no resistance if I had the flu

    Nope, this is also specifically not possible under that law. Doctors could write sick leaves via telephone during the Corona years, but smart economists diagnosed that as a source of malingering as well, so we can't have that.

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  • [–] 10 points 2 months ago (1 child)

    Also I don't think anyone who hasn't experienced it first hand can understand the intensity of German obsession with paper. Everything has to be printed out.

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  • [–] 31 points 2 months ago* (1 child)

    designed to boost the stagnating economy

    yeah I'm sure this will make up for the loss of cheap natural gas from Russia

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  • [–] 17 points 2 months ago* (3 children)

    Germans, on average, take about three weeks, or 15 working days, of sick leave per year.

    Fucking hell that is quite high considering it's 4.4 here in the UK.

    We don't force people to get sicknotes for every bit of time off though lmao. You require one after 7 days absence.

    Not convinced that this high figure is caused by the lack of sicknote requirement.

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  • [–] 12 points 2 months ago

    yeah the UK culture for working when sick is atrocious. People regularly clocking in despite having hyper contagious diseases, even in the food industry, or just straight up guilt and puritanism that makes you guilty to dare turn up late to the bullshit factory

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  • [–] 10 points 2 months ago* (last edited 2 months ago) (1 child)

    I get nine fully-paid sick days, which is unusually high in the UK (the standard is 0). SSP in the UK is basically nothing (and until last month WAS nothing for the first week), so people typically have no choice if they want to eat food and live in their home. Is German statutory sick pay meaningfully higher?

    To be honest if I was actually off work when I genuinely should be, it probably would average about 15 days a year.

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  • [–] 14 points 2 months ago (1 child)

    So these are unenacted proposals? Bad form by Telegraph to use past tense in the title.

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  • [–] 16 points 2 months ago

    So these are unenacted proposals?

    This was signed into law yesterday and will be enforced starting January 1st.

    There's a small chance it will enrage the medical practitioner community, Germany has a history of repealing some rather insane attempts at forcing neoliberalism. For example, 15 years ago there was a "practitioner fee" of 10 Eurinos for every doctor visit ("this will curb down on wasteful doctors visits!") - got canned after a couple of years. Or, also 15 years ago they introduced college fees and had to abandon it after a couple of years as well. Might do the same here.

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  • [–] 9 points 2 months ago

    Ah yes implementing the finest Polish ideas, Poland totally has no issue with fake doctor's notes because physicians in Poland famously have high integrity (as long as you don't check what happened in Warsaw recently)

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