Social contributions must be capped – Tauberbischofsheim

Tauberbischofsheim. Germany has one of the best healthcare systems in the world. The corona pandemic has made this clear. “However, the future of reliable and quality care in health and care is not guaranteed. There is a need for action here. This was the joint conclusion of a conversation between Michaela Lierheimer, managing director of AOK Heilbronn-Franken, Rolf Blaettner, deputy chairman of the AOK district council, and the deputy speaker of the state parliament. , Professor Dr. Wolfgang Reinhart, together.

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Currently, the biggest challenge for statutory health insurance is the structural deficit of the health insurance funds. Already this year, the federal government must inject 28.5 billion euros. In the coming year, another estimated coverage gap of €17.5 billion is expected.

“Health insurance companies must maintain their independence, be able to finance themselves largely by themselves and not be dependent on financial injections from the legislator”, clarified Michaela Lierheimer, “otherwise the best possible health care could be replaced by care based on health insurance funds.”

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The load should not increase

On the other hand, however, the burden on contributors, both on the part of the insured and the employer, should not be overburdened, added Wolfgang Reinhart. “The ceiling for social security contributions must remain at 40%, otherwise labor and production costs in Germany will be too high,” confirmed Rolf Blaettner, who represents employers’ concerns in the self-governing body for the AOK.

The interlocutors agreed that all actors involved in the health system must contribute to ensure sustainable funding. This includes, for example, the hospital sector which, with nearly 33%, is the largest item of expenditure for statutory health insurance. “We still have too many small hospitals, especially in Baden-Württemberg. Large hospitals are more efficient and offer better quality. This is why we need a reform of hospital planning that ensures basic care close to home, but at the same time allows centralization and higher quality medicine in larger sites,” explained the CEO of AOK.

The statement that no homes in the Main-Tauber district are currently implicated has been approved. “We did our homework here and made the right decisions some time ago and created effective hospital care,” Wolfgang Reinhart stressed. “We don’t have to have painful discussions about the closure of clinics, as they are currently taking place in other parts of the country,” the MP stressed.

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Another topic was the savings potential of the pharmaceutical industry, which, with just under 18%, is the third biggest expense for health insurance companies. The limitation of drug prices required by mutual insurance companies, the reduction in value added tax for drugs and the reintroduction of a 16% manufacturer’s discount were mentioned.

“However, such regulation should not jeopardize the objective of bringing the production of medicines back to Europe. The corona pandemic has shown how important this is, ”recalled the former Minister for Europe.

Deficit in long-term care insurance

The ambulatory field and long-term care insurance were also discussed. The latter is now also struggling with a deficit. But that’s not the biggest problem. The decisive factor is that dignified and appropriate care for the elderly people concerned is also ensured in the future. The same applies to the supply of general practitioners and specialists. “37% of general practitioners in the country are over 60 and will be retiring in the next few years,” explained Michaela Lierheimer. “We need to meet this challenge with flexibility and use different approaches,” says Reinhart. And further: “The country doctor’s scholarship, for which I fought successfully during the last legislature, is one of them.” Okay

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