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German row over plan for workers to need sick note on first day of illness

BBC World · 2026-07-03

AI SUMMARY

• What happened: Germany's coalition government announced new sick leave regulations requiring workers to provide a doctor's note on the first day of illness, reversing a previous policy from the COVID-19 pandemic. • Why it matters: The change has sparked criticism from medical professionals who argue it could increase health risks by forcing sick individuals to visit crowded medical facilities, while the government claims it is necessary to address high absenteeism rates that impact the economy. • What to watch next: Ongoing discussions among stakeholders, including medical professionals and labor representatives, will influence the final implementation of the new sick leave rules and potential adjustments to the proposal.

**Title: Controversy Erupts in Germany Over New Sick Leave Regulations**

A significant debate has emerged in Germany following the coalition government's announcement of new sick leave regulations that will require workers to present a doctor's note on the first day of their illness. This change, which reverses a previous policy allowing for telephonic consultations introduced during the COVID-19 pandemic, has sparked criticism from medical professionals and raised concerns about the implications for public health.

Chancellor Friedrich Merz, leader of the conservative Christian Democratic Party (CDU), stated that the number of sick days taken by workers in Germany is "too high." Under the existing rules, employees are only required to provide a medical certificate if they are unfit for work for more than three days. However, the new regulations will mandate that a doctor's note be presented immediately, a move Merz argues is necessary to address what he describes as "exorbitant" levels of sick leave post-pandemic.

"This is a tough decision," Merz remarked, emphasizing the need to mitigate what he views as a competitive disadvantage for businesses caused by prolonged employee absences. He added that Germany is "returning to the arrangements we had before the coronavirus pandemic," suggesting that the changes are part of a broader effort to revive the economy amid ongoing challenges.

The coalition government, which includes Merz's CDU and the Social Democrats (SPD), has faced backlash from various medical groups. The National Association of Statutory Health Insurance Physicians (KBV) criticized the new requirement, stating it "bordered on madness" to compel individuals suffering from illnesses, such as coughs or gastrointestinal infections, to visit crowded medical facilities merely to obtain a sick note. They argued that such policies could exacerbate health risks by increasing the spread of infections in waiting rooms.

The Association of General Practitioners echoed these concerns, warning that the new rules could lead to an influx of patients seeking documentation for minor illnesses, further straining healthcare resources.

In an effort to address the controversy, Vice-Chancellor Lars Klingbeil, leader of the SPD, acknowledged the need for "workable solutions" and expressed a commitment to finding sensible arrangements regarding the proposed changes. Labour Minister Bärbel Bas, also from the SPD, indicated that she would review the requirement for a doctor's certificate on the first day of illness, clarifying that it was not her original proposal. Bas emphasized the importance of assessing whether the new requirement would effectively address the issues at hand or create additional complications.

In defense of the new regulations, Jens Spahn, leader of the CDU's parliamentary group, highlighted that Germany's sick leave rate is among the highest in the European Union, averaging approximately 18 sick days per employee annually. He acknowledged that while genuinely ill individuals should be allowed to stay home, the government must also consider the broader economic implications of high absenteeism.

The introduction of these changes is part of a larger package of reforms aimed at revitalizing Germany's economy, which includes adjustments to tax, labor, and pension policies. As the debate continues, stakeholders from various sectors are calling for a balanced approach that considers both the health of the workforce and the economic needs of the country.

The situation remains fluid, with ongoing discussions expected to shape the final implementation of the new sick leave rules. As the coalition government navigates this contentious issue, the perspectives of medical professionals, labor representatives, and business leaders will play a critical role in determining the future of sick leave policies in Germany.

Source: BBC World
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