
Bärbel Bas, Germany’s federal labor minister and co-leader of the center-left SPD, publicly questioned the coalition’s plan to require a doctor’s note from the first day of sick leave, saying on Friday that the policy’s practicality should be reconsidered.
“Ich bin koalitionstreu, aber wir sollten uns schon nochmal fragen, ob das sinnvoll ist,” Bas told the Funke Mediengruppe, noting that exceptions for unionized companies with existing agreements could render the rule ineffective. “Wenn ich eine Pflicht einführe und anschließend 95 Ausnahmen reinschreibe, stellt sich die Frage, ob man das überhaupt noch braucht.” She added that the measure was part of a broader compromise with the center-right CDU/CSU, which had pushed for waiting periods and cuts to sick pay—both rejected by the SPD in exchange for the attestation requirement .
The proposed rule is tied to guarantees for same-day doctor appointments and stroke prevention measures, but Bas acknowledged that the health ministry’s primary care concept—necessary for the appointment guarantee—is not yet finalized. She expressed concern that minor illnesses could lead to longer absences if employees must visit a doctor immediately, stating, “Meine Sorge ist, dass dann Menschen mit einem leichten Infekt am ersten Tag zum Arzt gehen und aus einem kurzen Ausfall am Ende eine ganze Woche Krankschreibung wird” .
The debate comes as German companies reported record costs for sick pay in 2025. A study by the employer-aligned Institute of the German Economy (IW) found that businesses spent €85.6 billion on continued wage payments for sick employees last year, up from €81.2 billion in 2024. The figure includes €72.5 billion in gross wages and an estimated €13.1 billion in employer social security contributions. The IW attributed the rise to higher wages, increased employment, and a statistically significant increase in reported sick leave since the 2022 introduction of electronic sick note tracking. The institute noted that the actual impact on workplace absences remains unclear, but the current sick leave rate is well above pre-pandemic levels .
Bas also addressed pension reforms, indicating openness to a five-year transition period for phasing out the early retirement option without deductions after 45 years of contributions. “Nötig seien ausreichende Übergangsfristen und Vertrauensschutz, damit die Menschen ihre Lebensplanung anpassen können,” she said, citing a proposal from Rentenkommission chair Constanze Janda. The measure, often referred to as the “Rente mit 63,” is a key part of the coalition’s pension reform agenda, with Union faction leader Thorsten Frei previously signaling willingness to discuss transitional rules .
Coalition leaders from the CDU/CSU and SPD reaffirmed their reform timeline on Friday, with SPD parliamentary group leader Matthias Miersch calling it a “fester Fahrplan” for implementation by year’s end .
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