Germany Mandates Day-One Sick Note, Scraps Covid Phone Rule

SkimNews Take
Reverting pandemic-era sick-note flexibility transfers verification burden onto a physician workforce already signaling capacity strain, meaning the friction cost of the policy likely lands on the healthcare system rather than on the workers it nominally targets.
Get the Geopolitics newsletter
Daily geopolitics — wars, elections, sanctions, the diplomatic moves that move markets. Free.
- Germany's coalition government agreed to require employees to present a doctor's note from day one of an illness, ending the current three-day grace period and abolishing phone-issued certificates introduced during the Covid-19 pandemic.
- Chancellor Friedrich Merz (CDU) justified the shift by calling current sick-leave levels "exorbitant" and warning Germany could no longer afford the competitive disadvantage, with CDU parliamentary leader Jens Spahn citing a rate of roughly 18 sick days per employee per year — among the steepest in the EU.
- The KBV, Germany's national association of statutory health insurance physicians, called the plan "bordered on madness," warning that mildly ill workers — coughing or suffering gastrointestinal infections — would flood waiting rooms when they should be in bed.
- SPD co-leader and Vice-Chancellor Lars Klingbeil publicly searched for "workable solutions," while Labour Minister Bärbel Bas (also SPD) said "That wasn't my proposal" and pledged to examine whether the day-one requirement would have any effect at all.
- The reform was bundled into sweeping tax, labour, and pension measures aimed at reviving Germany's economy, with Merz noting individual businesses remain free to agree to alternative arrangements with staff.
- Under existing rules, a certificate is required only from the fourth consecutive day of illness, though employers may request one sooner; the new policy eliminates that buffer entirely.
Why it matters: The reform directly affects every employed worker in Germany and could overwhelm general-practice clinics, since day-one certification for routine colds would redirect hundreds of thousands of mild cases into surgeries — and the SPD's public distancing (Bas: "That wasn't my proposal") signals the policy may not survive its own coalition intact.




