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COVID-19 TESTS

German doctors say Covid testing is too ‘expensive and bureaucratic’

Doctors in Germany have slammed the new Covid testing regime, which involves partly charging for rapid tests.

A positive Covid test at a test centre in Munich.
A positive Covid test at a test centre in Munich. Photo: picture alliance/dpa | Sven Hoppe

The German Health Ministry announced on Thursday that most people would have to pay a contribution rate of €3 to get a Covid rapid test, while they would remain free of charge for certain vulnerable groups.

But chairman of the National Association of Statutory Health Insurance Physicians (KBV), Andreas Gassen, called for an end to so-called Covid Bürgertests. 

“These nonsensical tests must be abolished,” Gassen told Bild newspaper. “They are far too expensive, the bureaucratic effort is huge and the epidemiological significance is zero.”

It is a “completely pointless exercise to test healthy people with (tests of) questionable quality for no reason,” Gassen said.

Gassen said, however, that PCR tests carried out on patients with symptoms are important to detect Covid infections.

If people in Germany have Covid symptoms, they can contact their GP who can arrange for a PCR test that is covered by health insurance. 

According to the new test regulation, which came into force on Thursday, the Bürgertests, which were previously free of charge for everyone, will now only be available for free to a limited extent.

READ ALSO: The new rules on getting a Covid test in Germany 

For instance, people who can’t get vaccinated for medical reasons can still get a free rapid test, as well as children up to five-years-old and some at-risk groups. 

Other people will be charged €3 per test, and under the new rules people have to state why they are getting the test.

Health Minister Karl Lauterbach said he hoped this would help combat fraud as well as cut down on the cost to the taxpayer. 

However, in a letter to Lauterbach, the heads of the 17 associations of statutory health insurance doctors said they “do not want to be responsible for making payments on invoices whose accuracy they cannot even begin to check”.

They said they “will no longer be able to bill and pay for the Bürgertests in the future”.

According to research by Spiegel, more than €1 billion was taken by fraudsters for Covid tests that never took place – or test centres that did not even exist.

READ ALSO: Germany starts charging for Covid tests 

On Thursday, Health Minister Lauterbach defended the new test regulation. He told broadcaster ZDF that he would have liked to keep the tests completely free of charge, “but we could no longer afford that”.

He said the additional bureaucratic effort for the tests is “manageable”.

Lauterbach also told RTL Direkt that the tests would now be more meaningful. “If everyone can just get tested as often as they want, without there being a reason for it, then too many tests will also be negative, or if they are positive, then often false positives.

“We have limited that so that the tests are more meaningful.”

In a tweet on Friday morning, Lauterbach said the Health Ministry was “already in constructive talks” with the the Association of Statutory Health Insurance Physician on the billing of tests. 

“The tests will remain, and will be invoiced correctly as of today,” he said, adding that they were “not pointless but help to prevent infected people from infecting others”.

A spokesperson for the Health Ministry told Bild: “The tests are not nonsensical, but save lives by breaking chains of infection. We assume that the KVs (associations) as corporations under public law, will continue to fulfil their mandate to bill and spot-check the test centres.”

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COVID-19 RULES

Germany to repeal last protective measures against Covid-19

Three years after Germany introduced a series of protective measures against the coronavirus, the last are set to be repealed on Friday.

Germany to repeal last protective measures against Covid-19

The remaining restrictions – or the requirement to wear a mask in surgeries, clinics and nursing homes – are falling away a couple of days after German Health Minister Karl Lauterbach (SPD) made an announcement that the Covid-19 pandemic is “over.”

“We have successfully managed the pandemic in Germany,” said Lauterbach at a press conference on Wednesday.

In light of low infection numbers and virus variants deemed to be less dangerous, Germany has been steadily peeling away the last of its longstanding measures. 

READ ALSO: Germany monitoring new Covid variant closely, says Health Minister

The obligation to wear a mask on public transport was lifted on February 2nd. 

During the height of the pandemic between 2020 and 2021, Germany introduced its strictest measures, which saw the closure of public institutions including schools and daycare centres (Kitas).

“The strategy of coping with the crisis had been successful overall,” said Lauterbach, while also admitting: “I don’t believe that the long school closures were entirely necessary.”

Since the first coronavirus cases in Germany were detected in January 2020, there have been over 38 million reported cases of the virus, and 171,272 people who died from or with the virus, according to the Robert Koch Institute. 

Voluntary measures

In surgeries and clinics, mask rules can remain in place on a voluntary basis – which some facilities said they would consider based on their individual situations. 

“Of course, practices can stipulate a further obligation to wear masks as part of their house rules, and likewise everyone can continue to wear a mask voluntarily,” the head of the National Association of Statutory Health Insurance Physicians (KBV), Andreas Gassen, told DPA.

But Gassen said it was good there would no longer be an “automatic obligation”, and that individuals could take the responsibility of protecting themselves and others into their own hands. 

READ ALSO: Is the pandemic over in Germany?

“Hospitals are used to establishing hygiene measures to protect their patients, even independently of the coronavirus,” the head of the German Hospital Association (DKG), Gerald Gaß, told DPA.

With the end of the last statutory Covid measures, he said, we are entering “a new phase” in dealing with this illness. 

“Hospitals will then decide individually according to the respective situation which measures they will take,” he said, for example based on the ages and illnesses of the patients being treated.

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