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HEALTH

Don’t use new WhatsApp sick note service, German doctors advise

A Hamburg startup has started offering people who’ve picked up a cold the chance to buy a sick note without visiting a doctor. But medical associations are concerned about the business venture.

Don’t use new WhatsApp sick note service, German doctors advise
A woman in bed with a cold. Photo: DPA

Since December, people suffering from a cold in northern Germany no longer need to visit the doctor to obtain a sick note that will secure them recovery time away from work. Instead they can use Hamburg startup AU-Schein which connects them with a doctor via messaging service WhatsApp.

The startup took advantage of a law passed last year that loosened the ban on doctors assessing patients without actually being in the same room as them.

The relaxation of the so-called Fernbehandlungsverbot (ban on remote treatment) was meant to provide a reliable alternative to “doctor Google” for people who would rather research their symptoms online than go to a doctor.

But AU-Schein believes that the law has other applications.

People who have picked up a cold can visit the company’s website and fill out an online form with questions about their symptoms such as whether they feel nauseous. If their symptoms match those common to a cold, they are connected with a doctor via the encrypted messaging service WhatsApp. If the doctor is satisfied that the person is sick, they will issue a sick note that allows the patient to take paid leave from work.

AU-Schein charges €9 for every sick note issued.

Not as great as it seems?

While the idea might sound great to invalids who don’t feel up to a visit to their local GP, doctors’ associations have poured cold water on the idea.

The Medical Association of Schleswig Holstein (SH) said that the service was an attempt to make money on people’s desire to pull sickies.

“The service turns the desire to be let off work into its central idea and hopes to generate profit through it,” the SH medical association said.

“Even if this business model contains a grain of vision for the future, the current implementation is legally questionable. We will examine the case further but at present can only encourage people not to use it,” the statement concluded.

Pedram Emami, head of the Medical Association in Hamburg told broadcaster NDR that he found it “problematic” that doctors working for AU-Schein were prepared to hand out a sick note without personally seeing a patient first.

Both medical associations warned that the legal basis for the business was unclear and that employers might be within their rights to reject the sick notes. They also caution that the service could be in breach of data protection law.

SEE ALSO: The 10 rules you need to know if you get sick in Germany

But the startup has assured people that it has the necessary safeguards in place to ensure that it is both safe from abuse and secure.

Founder Can Ansay points out that the service is only available for the common cold and not for more serious illnesses, thus saving time for both patients and doctors. The service can also only be used twice a year by a single person.

Ansay claims that the fact that WhatsApp is fully encrypted means that the service conforms with data protection laws.

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HEALTH

Danish parties agree to raise abortion limit to 18 weeks

Denmark's government has struck a deal with four other parties to raise the point in a pregnancy from which a foetus can be aborted from 12 weeks to 18 weeks, in the first big change to Danish abortion law in 50 years.

Danish parties agree to raise abortion limit to 18 weeks

The government struck the deal with the Socialist Left Party, the Red Green Alliance, the Social Liberal Party and the Alternative party, last week with the formal announcement made on Monday  

“In terms of health, there is no evidence for the current week limit, nor is there anything to suggest that there will be significantly more or later abortions by moving the week limit,” Sophie Løhde, Denmark’s Minister of the Interior and Health, said in a press release announcing the deal.

The move follows the recommendations of Denmark’s Ethics Council, which in September 2023 proposed raising the term limit, pointing out that Denmark had one of the most restrictive abortion laws in Western Europe. 

READ ALSO: 

Under the deal, the seven parties, together with the Liberal Alliance and the Conservatives, have also entered into an agreement to replace the five regional abortion bodies with a new national abortion board, which will be based in Aarhus. 

From July 1st, 2025, this new board will be able to grant permission for abortions after the 18th week of pregnancy if there are special considerations to take into account. 

The parties have also agreed to grant 15-17-year-olds the right to have an abortion without parental consent or permission from the abortion board.

Marie Bjerre, Denmark’s minister for Digitalization and Equality, said in the press release that this followed logically from the age of sexual consent, which is 15 years old in Denmark. 

“Choosing whether to have an abortion is a difficult situation, and I hope that young women would get the support of their parents. But if there is disagreement, it must ultimately be the young woman’s own decision whether she wants to be a mother,” she said. 

The bill will be tabled in parliament over the coming year with the changes then coming into force on June 1st, 2025.

The right to free abortion was introduced in Denmark in 1973. 

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