Intended for healthcare professionals


German doctors’ leader calls for debate on rationing

BMJ 2009; 338 doi: (Published 20 May 2009) Cite this as: BMJ 2009;338:b2045
  1. Annette Tuffs
  1. 1Heidelberg

    Patients should pay for more diagnostic procedures and treatments out of their own pockets, the leader of the German Medical Association has proposed.

    Jörg-Dietrich Hoppe, the association’s president, has called for a public debate about the rationing of health care in Germany. He has proposed that a committee of doctors, lawyers, and patient representatives be established to suggest to politicians which diagnostic procedures and therapies should in future be paid by the patients themselves and no longer by health insurance companies.

    Emergency cases as well as patients with stroke, heart attack, and other severe diseases, such as malignant tumours, should have first priority, …

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