# Nordic sick‑leave policy reforms > Live situation record from CLSTR: https://clstr.news/situations/nordic-sickleave-policy-reforms > Updated: 2026-08-05T16:00:34.000Z. Sources: 5. Developments: 2. In late July 2026, Swedish officials and commentators debated whether to retain the sick‑pay deduction (karensavdraget). They argued that its removal in the 1980s had led to some of Europe’s highest absenteeism rates, and warned that dropping it again could increase short‑term sick leave and burden employers. The discussion referenced Norway’s lack of a deduction and its high sick‑leave rates, as well as Germany’s stricter doctor‑note requirements, framing the issue within broader pre‑election labour policy debates. A few days later, in early August 2026, Norway introduced a new tariff for general practitioners that ties higher fees to the issuance of sick‑leave certificates, aiming to reduce overall sick‑leave rates and promote graded certifications. The scheme quickly attracted ethical criticism from health‑care committee leaders and physicians, who argued it could undermine doctor‑patient trust and professional autonomy. While the policy is set for a one‑year trial, political opposition suggests it may be reconsidered before its expiry. Together, the snapshots illustrate a regional focus on reforming sick‑leave compensation mechanisms in the Nordic countries, with Sweden debating the retention of existing deductions and Norway experimenting with incentive‑based physician payments. ## Timeline ### 2026-08-05: Norway GP sick‑leave payment scheme faces ethical criticism Norway's new GP payment system rewards doctors for not issuing sick notes, prompting Kjersti Toppe and health experts to label it unethical and threaten doctor‑patient trust. 3 sources. https://clstr.news/cluster/norway-gp-sickleave-payment-scheme-faces-ethical-criticism ### 2026-07-31: Sweden debates retaining sick‑pay deduction amid rising absenteeism concerns Swedish officials argue against scrapping the sick‑pay deduction (karensavdraget), citing 1980s high absenteeism, cost concerns, and Norway’s high leave rates without it. 2 sources. https://clstr.news/cluster/sweden-debates-retaining-sickpay-deduction-amid-rising-absenteeism-concerns --- Cite as: Nordic sick‑leave policy reforms. CLSTR, https://clstr.news/situations/nordic-sickleave-policy-reforms