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Lauterbach Warns Against Scrapping Care Level 1 as Government Pushes Adjusted Hospital Overhaul

The government is set to move a revised hospital plan prioritizing quality and specialization with safeguards for rural emergency care.

Overview

  • Lauterbach used an ARD appearance to call inequality the "elephant in the room" and to denounce a two‑tier health system with long waits for publicly insured patients.
  • He argued that abolishing Pflegegrad 1, which reports say is under consideration, would remove preventive supports and risk higher long‑term care needs.
  • The former minister criticized Germany’s health system as inefficient and costly, saying spending is Europe‑leading while life expectancy ranks lowest in Western Europe.
  • The federal cabinet plans to advance an adjusted hospital reform that assigns specialties, introduces new payment rules to curb unnecessary procedures, and reduces clinic numbers without triggering uncontrolled closures.
  • Draft provisions include temporary exceptions to protect basic and emergency services in rural areas, and Lauterbach acknowledged failing to pass a prevention law during his tenure while voicing support for Olaf Scholz over Friedrich Merz.