Federal Health Minister Jens Spahn (CDU) has lofty goals: He wants the German health system, also in his eyes of“ the best in the world ”, even“ make better ”. In his greeting address at the opening of the 121st German Medical Congress in Erfurt (May 8th to 11th, 2018), the experienced health politician urged the medical profession to build on the joint work from the past.
The Minister's analysis: Politics has "lost confidence", democracy is "on the defensive". What Spahn wants are "constructive debates". His thanks to the "doctors for what they do every day in Germany" cannot compensate for the ministerial homework given to him by the coalition and the resulting displeasure of the medical profession.
The day before, the Chairman of the Board of the National Association of Statutory Health Insurance Physicians, Dr. med. Andreas Gassen, found clear words about individual positions of the coalition in the meeting of representatives: "More appointments, faster appointments, local appointments and the best contact person for all disciplines 24/7 - it seems like paradigm shift that has been carried out clandestinely." Gassen's answer to the demand for more Performance is only consistent. He wants to get started with the end of budgeting, and more money for more performance. A suggestion to start the constructive debate that the minister is calling for.
Spahn knows from his previous health policy school that he “can only solve the problem with satisfied doctors”. That must be his yardstick for the topics that the delegates at the German Doctors' Day deal with if it wants to regain mutual trust: Whether digitalized remote treatment, reform of the medical fee schedule, emergency admission, dealing with the shortage of doctors, increasing mental illnesses, the amendment to Training psychological psychotherapists or the amendment of the further training regulations: There is no lack of topics that show how much the world is changing.
President of the German Medical Association, Prof. Dr. med. Frank Ulrich Montgomery took this change as motive in his opening speech, at the same time affirming the will to work together. But he does not leave out what separates them: "The increase in the number of mandatory consultations seems to me to be more mood-changing than world-changing in view of the high workload of most contract doctors. His appeal to Spahn: It is important to manage patients and train more doctors.
Federal Health Minister Jens Spahn (CDU) has lofty goals: He wants the German health system, also in his eyes of“ the best in the world ”, even“ make better ”. In his greeting address at the opening of the 121st German Medical Congress in Erfurt (May 8th to 11th, 2018), the experienced health politician urged the medical profession to build on the joint work from the past.
The Minister's analysis: Politics has "lost confidence", democracy is "on the defensive". What Spahn wants are "constructive debates". His thanks to the "doctors for what they do every day in Germany" cannot compensate for the ministerial homework given to him by the coalition and the resulting displeasure of the medical profession.
The day before, the Chairman of the Board of the National Association of Statutory Health Insurance Physicians, Dr. med. Andreas Gassen, found clear words about individual positions of the coalition in the meeting of representatives: "More appointments, faster appointments, local appointments and the best contact person for all disciplines 24/7 - it seems like paradigm shift that has been carried out clandestinely." Gassen's answer to the demand for more Performance is only consistent. He wants to get started with the end of budgeting, and more money for more performance. A suggestion to start the constructive debate that the minister is calling for.
Spahn knows from his previous health policy school that he “can only solve the problem with satisfied doctors”. That must be his yardstick for the topics that the delegates at the German Doctors' Day deal with if it wants to regain mutual trust: Whether digitalized remote treatment, reform of the medical fee schedule, emergency admission, dealing with the shortage of doctors, increasing mental illnesses, the amendment to Training psychological psychotherapists or the amendment of the further training regulations: There is no lack of topics that show how much the world is changing.
President of the German Medical Association, Prof. Dr. med. Frank Ulrich Montgomery took this change as motive in his opening speech, at the same time affirming the will to work together. But he does not leave out what separates them: "The increase in the number of mandatory consultations seems to me to be more mood-changing than world-changing in view of the high workload of most contract doctors. His appeal to Spahn: It is important to manage patients and train more doctors.
Doctors and ministers seem to agree that phenomena such as globalization, digitization or - to put it in Spahn's words - "mass migration" pose immense challenges for society. It remains to be seen whether the approach sought by the respective sides is compatible with the problem. The medical profession offers health-political solutions.
Jens Spahn, as Montgomery quoted, called those who work in the health care sector “everyday heroes”. He also knows that violent attacks against these "heroes" are increasing. Hand on heart, Mr. Spahn: Is politics, with its expressions of distrust and social dismantling of the medical profession, really so to blame for such developments?
Egbert Maibach-Nagel Editor-in-Chief
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