3 questions for ... Medical Councilor Dr. med. Franz Gadomski, President of the Saarland Medical Association
Federal Minister of Health Ulla Schmidt considers the introduction of citizens' insurance by the legislator to be possible even after the Karlsruhe ruling. Do you agree? Gadomski: Anyone who describes the coexistence of private and statutory health insurance (PKV / GKV) as antisocial and wants to see the green light in the judgments of the Federal Constitutional Court in favor of uniform insurance is doing so for ideological reasons. I stick to it, the Federal Constitutional Court has clearly confirmed the right of the private health insurance to exist, and not only for the additional insurance, but as separate pillar alongside the statutory health insurance. Why do you think it would be better for two systems to coexist? Gadomski: For me, the high medical standard in Germany is not least the result of the interaction between the two insurance systems. Precisely because of the coexistence of statutory and private health insurance, full health insurance to be precise, both the disadvantages of state health systems, such as long waiting times, restrictions on patient confidence and the emergence of "gray" health markets, as well as the risks of purely free-market systems with de-solidarization and price competition, have so far been eliminated At the expense of the patient, hardly anything would be gained by the compulsory integration of the private health insured into the GKV: The hoped-for relief effect would quickly vanish again, and sooner or later the new unified insurance would be caught up with the structural deficits taken over from the GKV. < b> You are working at full speed in the German Medical Association on new fee schedule for doctors (GOÄ). When could this come into force? Gadomski: A more competitive healthcare system needs more than ever single-service, sector-based mountain maturing reference fee regulations, precisely because of their protective function for both patients and doctors. We therefore see good chances of being able to convince both the private health insurance and the BMG of our proposal. After the federal election, however, the amendment of the fee schedule for dentists (GOZ) will first be on the political agenda.