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Germany’s 2024 Sick-Leave Bill Tops €200 Billion, Official Data Show

Employer groups push waiting days, with telephone sick notes under fire.

Overview

  • Government and BAuA figures show employees were on sick leave an average of 20.8 days in 2024, adding up to 881.5 million days of incapacity.
  • Production losses rose to €134 billion, with each missed workday costing about €152 per employee.
  • The combined burden from lost output and continued pay exceeded €200 billion, which reports equate to roughly 4.7% of GDP.
  • Employers’ continued-wage costs were €72.3 billion per federal accounts, while the Institut der deutschen Wirtschaft estimates €82 billion when social contributions are included.
  • AOK reports the highest sickness rates in care (9.36%), metal production (9.33%), public administration (8.70%) and retail (7.14%), as musculoskeletal and mental health conditions account for large shares of absence and fuel calls for prevention, waiting days and tighter sick-note practices.