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Doctors, Patient Groups Reject Employers’ Call for Per-Visit Fee in Germany

The proposal revives a scrapped practice charge widely judged ineffective in 2004–2012.

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Overview

  • Employers’ federation chief Steffen Kampeter proposed charging patients at each doctor visit to curb “Ärzte-Hopping” and ease statutory insurance costs.
  • Hausärzteverband chair Nicola Buhlinger-Göpfarth labeled the idea “unsozial” and “komplett undurchdacht,” warning it would deter necessary care and hit chronically ill people hardest.
  • Patient advocates and the Verdi union also opposed the plan, citing evidence that the former practice fee lacked a steering effect, led to late treatments, and created extra paperwork.
  • CSU politician Klaus Holetschek rejected the fee and argued for a primary-care model in which a chosen GP coordinates specialist access.
  • CDU general secretary Carsten Linnemann said broader social-insurance reforms are under commission review, and no policy change has been adopted despite fiscal pressure highlighted by the Bundesrechnungshof.