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UKRAINE

How will the Russian invasion affect Germany’s gas supplies and prices?

As Russia launches a full-scale attack on Ukraine, western powers are preparing another raft of sanctions that are likely to go much further than the previous ones. What does this mean for ordinary people in Germany?

How will the Russian invasion affect Germany’s gas supplies and prices?
Mecklenburg-Western Pomerania, Lubmin: A view of pipe systems at the gas receiving station for the Nord Stream 2 Baltic Sea pipeline. Photo: Stefan Sauer/dpa

A matter of days after sending troops over the border into two separatist regions of Ukraine, President Putin has launched a full-scale invasion of the country. Hard sanctions from the EU are set to be announced on Thursday. 

On Tuesday afternoon, Chancellor Olaf Scholz confirmed that he was suspending the Nord Stream 2 pipeline project, which was set to deliver natural gas directly from Russia. 

The project was deeply unpopular in eastern Europe and the United States, but the German government was previously reluctant to use it as a tool of deterrence against Moscow due to its importance to Germany’s energy future.

READ MORE: Scholz says Germany to halt Nord Stream 2 pipeline

But Scholz had to change tack after facing massive pressure from allies during the Russian troop build up next to Ukraine. He stopped calling it a “private business venture” in January, thus implying that it would become part of a sanctions package.

Will the block on Nord Stream 2 lead to gas rationing?

Around half of all German homes are heated with natural gas. Many people will therefore be asking themselves whether the decision to block the Nord Stream 2 project will leave them shivering through the rest of the winter.

Most analysts don’t seem concerned by this scenario, though.

No gas has ever flowed through the Nord Stream 2 pipeline, which runs under the Baltic Sea from the Russian port of Vyborg to the German coast. Although construction ended last year, the pipeline was still waiting on a licence from German authorities.

A sign reading “Nord Stream 2 Committed. Reliable. Safe.” hangs above a painted map on a container about the Nord Stream 2 gas pipeline in the Lubmin industrial park. Photo: DPA/ Stefan Sauer

Thus the decision to put the project on ice would not in itself lead to less gas being imported into Germany.

The more worrying scenario is that Russia responds by throttling supplies through the other pipelines that supply Europe across Ukraine and Poland.

Germany is highly reliant on Russian gas. Natural gas counts for over a quarter of the country’s primary energy mix, with some 55 percent of that supply coming from Russia.

At least in the long term, Russia stopping exports to Germany would have major consequences for energy security. But analysts and politicians alike are confident that short-term supplies are secure.

Speaking on Tuesday, Economy Minister Robert Habeck sought to assure people that there was no need to panic. “For this winter, the security of supply is guaranteed,” he said.

Habeck stated that Germany could increase imports from Norway and the Netherlands, which are its the second and third largest suppliers behind Russia. He also said that the country could import more LNG, liquified gas, for which the US is a major exporter.

For this winter, Germany has significant stores of natural gas in underground reservoirs. According to the natural gas storage association INES, Germany has 47 such reservoirs, which are currently about a third full.

“Germany can probably hold out until the autumn, because we still have 30 billion cubic metres in storage, more liquefied gas would be imported, and consumption in the summer months is comparatively low anyway,” said Jörg Krämer, chief economist at Commerzbank.

Tobias Federico of consultancy Energy Brainpool said that gas storage facilities are fuller than expected. “We thought they would be empty if we had a cold winter in mid to late February,” he said. “Now we actually still have enough.”

What will happen to energy prices?

Another concern is that Russia could try and create a scarcity of supply in order to drive up prices on European energy markets.

Former Russian President Dmitry Medvedev responded to the Nord Stream 2 decision on Twitter on Tuesday by saying: “Welcome to the brave new world where Europeans are very soon going to pay €2,000 for 1,000 cubic meters of natural gas!”

Energy prices already hit record highs last year, not only due to the Ukraine crisis but also on the back of rising demands in east Asia.

German analysts and politicians alike expect a short term spike in prices on energy markets.

Economy Minister Robert Habeck said: “I expect we’ll see gas prices rise now in the short term, but in the medium term I hope the market will settle down quickly.”

Habeck pointed out that the markets are “liable to speculation” and that uncertainty over future supplies would thus likely lead to a price surge.

READ ALSO: How the cost of living crisis is affecting everyday life in Germany

Economists concur.

“Even if gas supplies are not curtailed, there will be a price shock – at least temporarily,” said Clemens Fuest, head of the Ifo Institute in Munich. 

“The fear of war in Europe hangs in the air – with potentially significant effects on energy supply and energy prices, among other things,” agreed Fritzi Köhler-Geib, chief economist at KfW, the German development bank.

There is also concern that higher energy prices will further heat up inflation, which is already at its highest rate since the 1990s.

Habeck said on Tuesday that the long term solution to overcoming Russian control over gas prices is accelerating investment in renewable energy.

Only a wider renewable infrastructure would make Germany “independent from the war mongering and price manipulation” of other states, he said.

SEE ALSO: Germany warns of ‘consequences’ for Nord Stream 2 if Russia invades Ukraine

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OPINION AND ANALYSIS

OPINION: Why it’s becoming harder to get a doctor’s appointment in Germany

Germany's health service is known as one of the best in the world but securing a timely appointment with a doctor is getting harder. A creaking system and the culture around excessive doctor visits are part of the problem, argues Brian Melican.

OPINION: Why it's becoming harder to get a doctor's appointment in Germany

Germans have always been known for being health-conscious – some would even say hypochondriacs. That has its down-sides (see Covid…), but also some notable advantages. One is the ability to go to any doctor’s practice and request treatment, skipping general practitioners, referrals, and all of the attendant bother.

As a result, in any well-to-do area of a major German city, you’ll have a bewildering array of medical practitioners within walking distance, from general physicians (Allgemeinmedizin) and orthopaedic practices (Orthopädie) to ones that will have you Googling (HNO stands for Hals-Nase-Ohren – ears, nose, and throat – by the way. You’re welcome.)

The strength of this patient-choice system is that it allows people to manage their own care. So if one doctor can’t see you, you go and find another. And if you’ve moved towns or fall ill away from home, you can still access care. In theory, this spreads demand and keeps people with non-urgent complaints out of casualty wards. Yet in practice, the system is now creaking audibly. 

In recent months, I’ve tried to get appointments for several routine procedures with doctors’ offices I have been visiting for years – and the earliest I could get anything was, to my surprise, now several months off. Both dentists and dermatologists are currently, it would seem, planning their schedules for September and October. And when a rather unpleasant case of shoulder pain struck earlier this year (fittingly, just ahead of my 39th birthday…), the earliest appointment I could get at any of the three(!) local orthopaedic practices was at least a month off.

This isn’t just me getting unlucky here. In a recent representative survey, only 25 percent of respondents reported having no trouble getting a doctor’s appointment. The rest are having to wait anything between two weeks and two months – and I’m clearly now one of the 15 percent who report even longer delays. 

I’m not alone in thinking – knowing – that it didn’t used to be this way. So what has gone wrong? 

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

Structural changes in medical practice: fewer doctors working fewer hours

First off, there are changes afoot among Germany’s niedergelassene Ärzte – literally ‘settled doctors’ with surgeries, called so in order to distinguish them from hospital medics. For one, these doctors are getting old and retiring – just like the population they serve (or rather: have served). And as younger cohorts are less numerous, physicians looking to pass on their practices are having difficulty finding takers – especially in disadvantaged urban areas or out in the sticks.

A patient undergoes a consultation with his doctor.

A patient undergoes a consultation with his doctor. Photo: picture alliance/dpa/AbbVie Deutschland GmbH & Co. KG | AbbVie Deutschland GmbH & Co. KG

Even where there is no shortage of potential successors, ever fewer of them actually want to set up in business for themselves. For most young medics’ taste, there’s too much paperwork, too much commercial risk, and far too much work involved in running their own surgery. Instead, they prefer to merge with others or sell on to management companies who will, in turn, employ them (often part-time, with no annoying evenings or weekends on call). 

The results of all of this are as follows. Within the space of just one year, between 2022 and 2023, the number of surgeries fell by 1,987 – a drop of over two percent. Meanwhile, in 2023, for the first time ever, more than one third of Germany’s 150,000 non-hospital doctors were employees, not self-employed. That’s twice the number in 2013. Moreover, over the same period, the number of medics opting to go part-time has gone up by 235 percent to 60,000. This means that, if your local surgeries haven’t closed, the likelihood is that the doctors there are now working fewer hours – and so there are fewer appointments left to go round.

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

This would be bad news for any society, but it hits particularly hard in Germany. As a rapidly-ageing society with a relatively unhealthy population (high rates of smoking and obesity), our demand for medical services – often for complex chronic illnesses – is rising just as provision is declining.

Cultural differences in consulting doctors

Another problem is that Germans are accustomed to a historically high number of available doctors – and as serial worriers (and passionate sick-note seekers) make excessive use of them. Your average German racks up almost 10 consultations a year – not including visits to the dentists! The OECD average is closer to six. And the stoic Swedes, strong silent types that they are, go the doctor’s just 2.3 times a year.

Even if I wanted (or needed) to, I simply couldn’t to get to the quack’s almost once a month: I don’t have the time and they don’t have the appointments. But in conversation, I notice that others clearly do manage to find both. Increasingly, I’m wondering how many of them, unlike me, have private health insurance. 

This brings us to the third major issue facing non-hospital care in Germany. When the figures in the representative survey I quoted above are broken down, it transpires that almost 60 percent of people who are insured in the state system (gesetzlich versichert) are now waiting longer than two weeks for an appointment; among those who are privately insured (privat versichert), that figure is only 37 percent.

Doctors ‘keen on private patients’ 

Doctors are keen on private patients because their insurers pay more for the same procedures and will also cover all sorts of supplementary stuff – from the clinically-proven through to the just plain wacky. As such, practices reserve as many appointments as possible for private patients and try to keep the rest of us at bay.

Given that around four in five people in Germany are in the state system, however, this leaves the majority of patients competing for the minority of slots. If you want to see how the other fifth live, try “accidentally” clicking privat on surgeries’ online booking tools: you will now see a range of appointments available within days while the rest of us are being fobbed off for weeks or even months.

Not only is this, as my grandmother used to say, enough to make you want to join the Communist Party – it’s wildly inefficient. By restricting the hoi-polloi to slots often months off, doctors are creating their own appointment-management problems: sometimes, the complaint in question will have disappeared by the time the consultation rolls around; more often, it will have actually been dealt with – not infrequently by the same physician – if the patient presents as an acute case earlier.

As such, slots weeks away are booked, only to be cancelled later by conscientious patients (and left blocked by others), while those same patients crowd into waiting rooms begging to be seen urgently at an open surgery. (That’s how I got my shoulder looked at.)

A German health insurance card.

A German health insurance card. Photo: picture alliance/dpa | Jens Kalaene

The cynic in me says that, in the long run, this might not be such a bad thing. If the increasing scarcity of doctor’s appointments gets Germans thinking about whether they really, really need to be seen for yet another case of the common cold (“No, Christian, it isn’t pneumonia this time, either!”) or various nebulous self-diagnosed ills (Kreislaufbeschwerden (circulatory problems) is the day-off-work-one I love to hate), maybe it’s not a bad thing.

Swedes don’t die unnecessarily because they avoid the doctor’s: in fact, they live a good year longer than us on average. The German in me, though, says: “My shoulder hurts. Maybe I’ve got early-onset arthritis. I should probably go and get it checked out…” And even though I don’t go too often, I’ve got used to being able to see a specialist when I need one. It’s a shame that this is becoming markedly more difficult.

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