NextFin news, On Sunday, September 28, 2025, Germany's coalition government is considering the elimination of the lowest care level, known as Pflegestufe 1, which currently provides support to approximately 863,000 patients in need of long-term care.
The proposal, reported by Tagesspiegel, aims to restructure the care level system to better reflect the needs of patients and the resources allocated for their care. The lowest care level, Pflegestufe 1, was introduced to assist individuals with minor care requirements, but the coalition is now evaluating whether this category remains effective or should be removed.
The coalition's review comes amid ongoing debates about the sustainability and fairness of Germany's long-term care insurance system. By potentially eliminating Pflegestufe 1, the government seeks to simplify the classification of care needs and possibly redirect funds to higher care levels where patients require more intensive support.
However, this change could affect nearly 863,000 patients who currently benefit from the lowest care level, raising concerns about the impact on their access to care services and financial support. The coalition has not yet finalized its decision, and discussions are ongoing among policymakers, healthcare experts, and patient advocacy groups.
The German Ministry of Health has stated that any reform will prioritize patient welfare and ensure that care remains accessible and adequate for all individuals in need. The timing of the decision and the detailed implications for patients and care providers are expected to be clarified in the coming weeks.
This consideration reflects broader challenges faced by Germany's healthcare system in adapting to demographic changes and increasing demand for long-term care services.
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