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COVID-19 TESTS

German Health Minister wants to scrap free rapid Covid tests for all

German Health Minister Karl Lauterbach wants to restrict access to free rapid Covid tests - known as Bürgertests - from July.

A rapid test station in Munich.
A rapid test station in Munich. Photo: picture alliance/dpa | Sven Hoppe

According to the Health Ministry’s paper detailing Germany’s autumn Covid strategy, taxpayer-funded antigen Covid-19 tests will in future only be free to patients with Covid symptoms as well as some other selected groups. 

The plans were sent on Tuesday to the health ministers of the federal states, ahead of meetings being held on Wednesday and Thursday. 

Free Covid tests – also known as Schnelltests – are available at no cost to everyone in Germany, including tourists, until the end of June. 

However, they are not cheap – the federal government has reportedly spent more than €10.5 billion on free Bürgertests during the pandemic. Authorities also believe the free testing strategy has resulted in fraud of up to €1.5 billion.

On Tuesday evening, Lauterbach, of the Social Democrats, told German broadcaster ARD that he wants to see the tests “better controlled”.

READ ALSO: Will Germany keep free tests after June?

Under the Health Ministry’s plans, free antigen Covid tests would still be available in the following situations:

– For people with Covid symptoms.

– As part of preventive testing in nursing homes and hospitals.

– For children and people with increased contacts, for example before large events.

– For anyone who cannot get vaccinated for medical reasons, for example during pregnancy in the first trimester.

– During outbreaks in Covid hotspots.

– For refugees fleeing war in Ukraine.

It’s not clear how this would work in practice. If the plans go ahead, it would mean that anyone who doesn’t have symptoms but wants to get a rapid Covid test, and who doesn’t fall into one of these categories, would have to pay for a test themselves at a centre or buy a self-test kit.

PCR tests are already generally only available free-of-charge to people with Covid-19 symptoms, or vulnerable groups. A doctor or other health professional can arrange this for patients, and the tests are then covered by health insurance. 

The Health Minister says in the proposals that Germany’s easily accessible testing infrastructure – including in pharmacies – should be maintained.

However, the federal government wants to pay the test centres less money per rapid antigen test and PCR test in future.

“The total costs are to be reduced by about half,” the Health Ministry writes in its strategy paper. The amendment to the test regulation is to be made by the end of June, the ministry adds.

READ ALSO: The Covid rules in place across German states

What’s the reaction?

Many people want to see free tests continue to be available in Germany. 

The Stiftung Patientenschutz (Patient Protection Foundation), for instance, is calling for free tests to be extended beyond June 30th.

Meanwhile, Green Party health expert Janosch Dahmen told Deutschlandfunk radio: “We are in favour of having widely available free tests in the population also in autumn.”

Yet others support a change in testing strategy.

The chairman of the National Association of Statutory Health Insurance Physicians (KBV), Andreas Gassen, said: “We should put a stop to random Bürgertests as soon as possible – they are of very little use and cost a lot.”

The proposals will be discussed at the talks between health ministers this week.

READ ALSO: German states seek powers to enforce tougher Covid rules in autumn

Member comments

  1. I have a question for the good people at the local

    Authorities also believe the free testing strategy has resulted in fraud of up to €1.5 billion. <– Why is this 1 sentence in a news article and not news by its own right. People are stealing 1.5 billion from tax payers pockets. Why is no one enraged by this?

    Thats at least 18€ has been taken from my pocket and given to a criminal. Thats the fraud they are willing to admit. Which means its probably alot worse. But don't worry, now only people with symptoms can get a free test. A symptom of Omicron is a headache. Hmm. I cannot see any scope for fraud there. Nope. None. I wonder has anyone else taken advantage of easy fraud without consequences during this period?

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HEALTH

Could there be a new wave of Covid-19 in Germany this autumn?

It’s back again: amid sinking temperatures, the incidence of Covid-19 has been slowly rising in Germany. But is this enough to merit worrying about the virus?

Could there be a new wave of Covid-19 in Germany this autumn?

More people donning face masks in supermarkets, friends cancelling plans last minute due to getting sick with Covid-19. We might have seen some of those familiar reminders recently that the coronavirus is still around, but could there really be a resurgence of the virus like we experienced during the pandemic years?

According to virologists, the answer seems to be ‘maybe’: since July, the number of people newly infected with Covid-19 has been slowly rising from a very low level.

According to the Robert Koch Institute (RKI), nine people per 100,000 inhabitants became newly infected in Germany last week. A year ago, there were only around 270 reported cases.

Various Corona variants are currently on the loose in the country. According to the RKI,  the EG.5 (also called Eris) and XBB.1.16 lines were each detected in the week ending September 3rd with a share of just under 23 percent. 

The highly mutated variant BA.2.86 (Pirola), which is currently under observation by the World Health Organisation (WHO), also arrived in the country this week, according to RKI. 

High number of unreported case

The RKI epidemiologists also warned about a high number of unreported cases since hardly any testing is done. They pointed out that almost half of all registered sewage treatment plants report an increasing viral load in wastewater tests.

The number of hospital admissions has also increased slightly, but are still a far cry from the occupation rate amid the pandemic. Last week it was two per 100,000 inhabitants. In the intensive care units, only 1.2 percent of all beds are occupied by Covid-19 patients.

Still, a good three-quarters (76.4 percent) of people in Germany have been vaccinated at least twice and thus have basic immunity, reported RKI. 

Since Monday, doctors’ offices have been vaccinating with the adapted vaccine from Biontech/Pfizer, available to anyone over 12 years old, with a vaccine for small children set to be released the following week and one for those between 5 and 11 to come out October 2nd.

But Health Minister Karl Lauterbach has so far only recommended that people over 60 and those with pre-existing conditions get vaccinated.

READ ALSO: EXPLAINED: Who should get a Covid jab this autumn in Germany?

“The pandemic is over, the virus remains,” he said. “We cannot predict the course of coming waves of corona, but it is clear that older people and people with pre-existing conditions remain at higher risk of becoming severely ill from Covid-19”

The RKI also recommended that people with a cold voluntarily wear a mask. Anyone exhibiting cough, cold, sore throat or other symptoms of a respiratory illness should voluntarily stay at home for three to five days and take regular corona self-tests. 

However, further measures such as contact restrictions are not necessary, he said.

One of many diseases

As of this autumn, Covid-19 could be one of many respiratory diseases. As with influenza, there are no longer absolute infection figures for coronavirus.

Saarbrücken pharmacist Thorsten Lehr told German broadcaster ZDF that self-protection through vaccinations, wearing a mask and getting tested when symptoms appear are prerequisites for surviving the Covid autumn well. 

Only a new, more aggressive mutation could completely turn the game around, he added.

On April 7th of this year, Germany removed the last of its over two-year long coronavirus restrictions, including mask-wearing in some public places.

READ ALSO: German doctors recommend Covid-19 self-tests amid new variant

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