2025-07-07 16:55:09
Health
Economy

Germany's Care Insurance Faces Crisis Amid Rising Demand and Caregiver Shortage

Germany's long-term care insurance system is grappling with significant challenges, primarily due to an increasing number of individuals requiring care and a shortage of caregivers. The system is structured such that both employers and employees contribute to the care insurance through a shared percentage of the gross salary, with additional contributions from childless individuals. However, as the number of care recipients has nearly doubled over the past decade, the financial strain on the system has intensified. By 2023, the system's expenditures surged to over 59 billion euros, far outpacing its income, resulting in substantial deficits.

Projections indicate that the number of people needing care will continue to rise, potentially reaching 7.6 million by 2055. This demographic shift, coupled with the 2017 reform that expanded the definition of who qualifies for care assistance, has put additional pressure on resources. The anticipated shortage of up to 500,000 caregivers by 2034 compounds the problem, despite recent increases in caregiver wages.

In response, the German government plans to stabilize the system with substantial loans, amounting to 0.5 billion euros in 2025 and 1.5 billion euros in 2026. Despite these efforts, a long-term solution remains necessary, as deficits are projected to grow significantly, potentially reaching 12.3 billion euros by 2029. A federal-state commission has been established to devise a comprehensive reform, aiming to ensure the sustainability of the system. However, various stakeholders, including healthcare associations and political parties, emphasize the need for structural reforms, with suggestions ranging from reducing bureaucracy to establishing a full insurance model that covers all care costs.

n-tv.de
7. Juli 2025 um 08:42

Minister wants to balance the billion-dollar deficit in nursing care from the budget to keep contribution rates stable - n-tv.de

Federal Health Minister Nina Warken wants to balance the billion-dollar gap in long-term care insurance through a subsidy from the budget in order to keep contribution rates stable. Otherwise, higher contributions would threaten for all payers. The financial distress in nursing care has become chronic and has doubled within ten years.
AFP
7. Juli 2025 um 11:09

The Long-Term Care Insurance Faces Major Challenges

The long-term care insurance in Germany faces major challenges. The federal-state working group 'Future Pact for Care' is to develop a care reform to secure the financing. Childless people have to contribute a higher surcharge of 0.6 percent and the pay of care workers is increasing. The Federal Court of Auditors forecasts deficits in the billions for 2026 and 2029. The coalition is planning billion-dollar loans and a reform to stabilize the statutory long-term care insurance.
AFP
7. Juli 2025 um 12:47

Meeting of the Federal-State Commission: Associations Demand Fundamental Nursing Care Reform

The federal-state commission on nursing care reform has met for the first time to stabilize the financing of long-term care insurance. Federal Health Minister Nina Warken wants to avoid premium increases and seek sustainable solutions. Professional associations such as the GKV and BKK are calling for forward-looking decisions, while the Left Party is proposing a solidarity-based citizens' insurance. The commission is to present a bill to solve the financing problem of long-term care insurance,..
AFP
7. Juli 2025 um 12:22

Report: Warken expects higher contributions in health and long-term care insurance in 2026

Federal Health Minister Nina Warken expects an increase in contributions to statutory health and long-term care insurance for the year 2026. The average additional contribution could rise from 2.5 to 3.0 to 3.1 percent, which would mean an additional burden of around 150 euros per year for average earners and their employers. Without the planned loan payment of 2.3 billion euros from the federal government to the statutory health insurance fund, the contribution could even rise to 3.3 or 3.4 p..
CW

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