The possibility of eliminating the lowest level of care classification, known as Pflegegrad 1, is under review as part of broader efforts to reform Germany’s long-term care system. Health Minister Nina Warken, of the Christian Democratic Union (CDU), responded cautiously to media reports suggesting the potential move, emphasizing that significant changes would not be implemented abruptly.
“We will not simply take anything away from people overnight” Warken stated in an interview with RTL and ntv. While not dismissing the possibility of eliminating Pflegegrad 1, she stressed the importance of necessary adjustments to ensure the long-term sustainability and fairness of the system. The current care system is described as a significant achievement, but requires modernization.
A newly established care commission, convened in the summer, is currently examining the financial inflows and outflows of the care insurance program and is tasked with developing reform proposals. The commission is expected to present initial suggestions by mid-October, including an assessment of the current classification system and potential revisions. Minister Warken acknowledged that a reform of the care insurance system is urgently needed and that the need for change is widely recognized. She assured that those requiring assistance would continue to receive it, while emphasizing the need for a realignment of the system to ensure its future viability.
The move has drawn criticism from opposition parties. Ines Schwerdtner, leader of the Left party, sharply condemned reports of the potential elimination of Pflegegrad 1, calling it an “attack” on individuals with limited financial resources. She argued that removing this lowest tier would disproportionately affect approximately 860,000 people currently receiving essential support. Schwerdtner criticized the government for failing to explore alternative solutions, such as incorporating civil servants, politicians and high-income earners into a joint care insurance pool. She characterized the proposed changes as a “slap in the face” to those contributing to the care and health insurance systems for years.
