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Germany's major political parties - the CDU/CSU, SPD, Alliance 90/The Greens, AfD, and The Left - have distinct approaches to digitization, prevention, and efficiency enhancement in the healthcare sector.
CDU/CSU and SPD (Center-right and Center-left Coalition)
These parties focus on reinforcing primary care with general practitioners as gatekeepers. They support digitization efforts, aiming to increase efficiency through hybrid hospital reimbursement models shifting to outpatient care. Health technology assessment (HTA) pricing rules are maintained, but reimbursement "guardrails" for pharmaceuticals may be revised to optimize costs. Preventive care is integrated into broader reforms, but not as a separate flagship priority. Efficiency is pursued by reducing inpatient care where possible and improving outpatient services.
Alliance 90/The Greens
The Greens advocate strong investments in digital health infrastructure and public engagement to boost digital literacy and uptake. They emphasize prevention more explicitly in their health agenda, including lifestyle-related and environmental prevention measures. They support broader fiscal reform allowing higher public health spending, which could facilitate investments in prevention and efficiency improvements.
AfD
The AfD's specific healthcare policy positions on digitization or prevention are not detailed, but their general tendencies suggest a more cautious approach to digitization and less emphasis on preventive public health programs. They usually emphasize national sovereignty and conservative approaches, often skeptical of rapid digital transformation and expansive social spending.
The Left (Die Linke)
The Left prioritize equity and accessibility in healthcare with strong public health investments. They likely favor significant investments in prevention as a core component of reducing health inequalities. They support digital tools insofar as they improve access and reduce disparities, but may express caution about efficiency measures that compromise coverage or quality.
In summary, CDU/CSU and SPD focus on pragmatic digitization and structural reforms to enhance efficiency, The Greens center more on digital engagement and preventive health, The Left prioritize equity with cautious digital adoption, while AfD’s stance is less detailed but presumably more conservative and less focused on expanding digital or preventive reforms.
Germany’s universal health system under these parties maintains regulated pricing and access, with different emphases on how digital tools and prevention programs contribute to efficiency and quality. The Greens advocate for a balanced approach in modernization, combining digitalization and telemedicine with maintaining trusted points of contact like general practitioners. The Left calls for the abolition of case-based payments in hospital financing and a shift towards full coverage of operating costs. In pharmaceutical care, the Greens advocate for European solutions, aiming to secure stable supply chains. The SPD plans to introduce a fairer financing model, integrating private insurers into the risk structure equalization, and funding non-insurance-related services through taxes. General practitioners and pediatricians are to take on a stronger coordinating role in the Union's plans. The SPD aims for a fundamental reform of the healthcare system that puts equality and fairness at its core. The AfD advocates for a healthcare system oriented towards individual self-responsibility and therapy freedom. They focus on home care, advocating for financial reward for home care significantly higher and a legal staffing ratio. The AfD rejects the opt-out regulation for organ donations and cannabis legalization, as well as a ban on gender reassignment measures for minors.
[1] Source for CDU/CSU and SPD: [Link to Source] [2] Source for The Greens: [Link to Source] [3] Source for AfD: [Link to Source] [4] Source for The Left: [Link to Source] [5] Source for general information: [Link to Source]
- In terms of digitization, the CDU/CSU and SPD aim to increase efficiency through hybrid hospital reimbursement models, shifting to outpatient care, while The Greens advocate for strong investments in digital health infrastructure and public engagement for digital literacy.
- The Greens emphasize prevention more explicitly in their health agenda, including lifestyle-related and environmental prevention measures, whereas The Left prioritize equity and accessibility in healthcare with a strong focus on prevention as a core component of reducing health inequalities.
