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‘Homosexuality is not an illness’: Germany plans to ban conversion therapy

German Health Minister Jens Spahn said Tuesday he plans to write a law this year to ban so-called conversion therapies that aim to make gays and lesbians heterosexual.

'Homosexuality is not an illness': Germany plans to ban conversion therapy
Health Minister Jens Spahn at a press conference on Monday. Photo: DPA

“My position is clear: homosexuality is not an illness, which is why it does not need to be treated,” said Spahn, who is gay and married to a man.

“I would very much like to have a bill this year that could then be presented to parliament,” he told a Berlin press conference.

READ ALSO: Germany joins push to ban gay conversion therapies

Medical experts consider psychological or spiritual interventions to change someone's sexual orientation pseudo-scientific, ineffective and often harmful.

The most controversial techniques involve administering electric shocks as subjects view images of homosexual acts, or injections of the male hormone testosterone.

In Germany, there are an estimated 1,000 attempts a year to “re-educate” homosexuals – from family members, “coaches” and therapists, and sometimes involving prayers and even exorcisms, said Jörg Litwinschuh-Barthel of the anti-discrimination Magnus Hirschfeld Foundation.

Germany's LGBT community, which has long been calling for a ban, welcomed Spahn's announcement.

“This ban would, of course, be a signal to the people who propose (conversion therapies), but also to those affected who will know: 'what is being done to me is wrong',” said Markus Ulreich, a spokesman for the Lesbian and Gay Federation in Germany (LSVD).

Early last year the European Parliament adopted a non-binding text that called on EU members to ban the practice, something that so far only Malta and some Spanish regions have done.

READ ALSO: German priest calls homosexuality a sickness

Ban is possible

Spahn has commissioned two reports and a 46-member expert panel which have concluded that a ban is both “medically necessary and legally possible,” his ministry said.

Several people who underwent such therapies testified about their suffering to the panel, said the ministry in a statement.

One gay patient reported how during standard psychotherapy, the doctor suddenly declared sexual conversion a “therapy goal” and pursued it through “indoctrinating conversations”.

When electric shock treatment was also proposed, the patient terminated the treatment.

The health ministry said it plans to release a final report in August, to pave the way for a law to be written before the end of the year.

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HEALTH

The German states struggling most with a doctor shortage

Germany's GP shortage will significantly worsen over the coming years, according to the health minister. Some regions - including Hamburg - are already struggling with too few doctors.

The German states struggling most with a doctor shortage

Many foreigners in Germany may have found it difficult to register for a GP if they arrived in Germany in recent years. 

Notices saying that GP offices aren’t taking on new patients are common, particularly in cities. 

So it may not be surprising to hear that Health Minister Karl Lauterbach has been warning about the “difficult supply situation” when it comes to GPs.

The SPD health expert told broadcaster ARD at the weekend that there will be a shortage of tens of thousands of doctors in Germany in the coming years.

He said that one issue is how training is set up across Germany. “We lack 5,000 study places per year,” said Lauterbach. “As a result, we will have a total shortfall of 50,000 doctors over the next 10 years. Everyone will feel that.”

According to Lauterbach, German states are refusing to fund study places for doctors. 

The minister wants to counteract this with a planned law aimed at providing greater security for local care.

But the problems are already visible. Figures from the National Association of Statutory Health Insurance Physicians (KVB) for 2023 show which federal states are struggling with a shortage of doctors.

Hamburg and Baden-Württemberg lag behind

The northern city of Hamburg brings up the rear with 1,329 GPs for 1.84 million residents. There are only 1.9 GPs per 1,000 people in the city state, the health insurance figures show. 

The situation is similarly tense in Bremen. In 2023, 444 GPs were based there. For Bremen’s population of just under 570,000, that’s just 2.1 GPs per 1,000 inhabitants.

Hamburg doctor surgery

A doctor’s surgery in Hamburg. Photo: picture alliance/dpa | Christian Charisius

The situation isn’t much better in the southern state of Baden-Württemberg. Although a total of 7,036 GPs are based there, on average there are only 2.2 GPs per 1,000 residents.

The lack of GPs may help explain why, according to a recent study by Cambridge University, a patient in Germany is allocated an average of just 7.6 minutes during an appointment – significantly less than in other European countries. 

There are also often long waiting times to see a GP even if you’ve made an appointment, showing the strain on GPs.

READ ALSO: Do doctors in Germany have too little time for their patients?

Mecklenburg-Western Pomerania and Schleswig-Holstein lead

There are some states where the supply situation is much better. The frontrunner is Mecklenburg-Western Pomerania with 3.4 GPs per 1,000 inhabitants, closely followed by Schleswig-Holstein, where there are 3.3 GPs per 1,000 patients.

Thuringia (2.8 doctors per 1,000 inhabitants), Lower Saxony (2.7) and Saxony (also 2.7) are around the middle, while the supply in Hesse (2.3), Bavaria (2.4) and North Rhine-Westphalia (also 2.4) is beginning to strain. 

In Berlin there are 2,617 GPs for around 3.5 million residents. That means there are about 2.6 doctors per 1,000 people in the city. 

As part of his proposals, Lauterbach wants to get rid of upper remuneration limits, which he says is important to attract new talent. If budgets are abolished, a larger proportion of young doctors will opt for the GP profession, he said.

READ ALSO: 7 things to know about visiting a doctor in Germany

The German government has also been relaxing visa procedures in order to attract people from non-EU countries to try and stem the general worker shortage. 

“A new generation of medical personnel is urgently required in Germany,” says the government’s Make it in Germany site.

The government outlines that the demand will continue to grow as doctors retire. 

“When it comes to local doctors, general practitioners as well as family doctors are in demand,” the government adds.

READ ALSO: The changes to Germany’s immigration rules in March 2024

How does Germany compare to the rest of the world?

Despite the predictions that Germany’s shortage will get worse, currently the availability of doctors is fairly high in an international comparison.

With 4.5 doctors per 1,000 inhabitants, Germany is ahead of countries such as France (3.4 doctors), the USA (2.7 doctors) and China (2.5 doctors), according to data from the Organisation for Economic Co-operation and Development (OECD) compiled by Statista.

The higher number of doctors in Germany per resident in this ranking could be down to different data being used or that, overall, people living outside of German cities are severed well by GPs.

Neighbouring Austria leads this ranking with 5.5 doctors per 1,000 residents, while India is at the bottom with a figure of 0.9.

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