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Streeck Calls for Binding Care Guidelines on Costly Drugs for the Oldest Patients

He directs the appeal to the medical self‑administration that sets coverage rules in Germany.

Overview

  • Federal drug commissioner Hendrik Streeck questioned routinely prescribing very expensive medicines to very old patients during an appearance on WELT TV’s Meinungsfreiheit on November 12.
  • He cited the hypothetical case of a 100-year-old patient to argue that some high-priced treatments may offer too little benefit to justify use at extreme age.
  • Pointing to advanced cancers, he referenced a theoretical study showing about a 10% mortality reduction to illustrate modest gains that may not translate for centenarians.
  • He recounted his late father’s lung cancer care, saying significant spending on the newest therapies in the final weeks brought no benefit.
  • Coverage decisions in Germany are made by the G-BA within the statutory system, where patient representatives advise without voting rights, and no policy change has been announced.