Germany to require doctor’s note from day one of illness

The cabinet led by Chancellor Friedrich Merz (CDU) and the SPD‑led coalition has announced a tightening of sick‑leave rules. From the first day of a worker’s illness a medical certificate must be presented; the telephone‑issued sick note introduced during the pandemic will be abolished and employers may demand proof immediately. The reform aims to curb what the government sees as excessive absenteeism – German employees currently average 19.5 sick‑leave days per year – and to improve productivity.

Critics warn that the change will add a heavy administrative burden on doctors and workplaces. The Kassenärztliche Bundesvereinigung (KBV) estimates up to 30 million additional doctor visits a year, equivalent to about 208 000 work‑days lost. The CDU’s employee wing, the Christlich‑Demokratische Arbeitnehmerschaft (CDA), and trade unions have called the measure “unnecessary” and “a general suspicion of workers”. Public opinion is largely negative: a YouGov poll shows 59 % of respondents oppose the mandatory certificate, with 71 % of 18‑29‑year‑olds against it. Teachers and childcare staff are highlighted as particularly affected groups.

The proposal is part of a broader economic reform package that also includes tax relief and pension changes. While the government argues the rule will reduce misuse of sick leave, medical associations describe it as impractical and potentially harmful to patient care.