German Coalition Clashes Over Long-Term Care Reform Plans
Health Minister Linnemann rejects SPD demand for a cost cap as coalition partners prepare for crisis talks.

KEY POINTS
- Linnemann rejects SPD demand for a 'care cost cap' (Pflegedeckel).
- SPD threatens to block reform package planned for cabinet Wednesday.
- Care funds warn of 4.4 billion euro deficit and depleted reserves within months.
- Coalition crisis talks scheduled for Monday after state election setbacks.
- SPD demands fair private insurance contributions and cap on resident co-payments.
Health Minister Carsten Linnemann (CDU) dismissed the SPD's demand for a "care cost cap" during an ARD interview on Sunday. The SPD parliamentary group, led by Matthias Miersch, had threatened to block Linnemann's savings package slated for cabinet approval this Wednesday, arguing it lacks necessary structural reforms.
The long-term care insurance funds warned that reserves could be depleted within months. Association head Oliver Blatt stated a deficit of 4.4 billion euros is expected by year-end, urging the SPD not to delay legislative action. Care Commissioner Katrin Staffler (CSU) echoed the warning, saying delays endanger care security for millions.
“In the care sector, alert level red prevails. In a few months, the money is simply gone.”
Chancellor Friedrich Merz (CDU) pressed for swift decisions following state election losses in Mecklenburg-Vorpommern and Berlin. Internal crisis talks are scheduled for Monday, with a government spokesperson describing them as "working-level negotiations." Linnemann acknowledged the dispute but criticized the public nature of the conflict.
The SPD insists on a "fair contribution" from privately insured citizens and a cap on out-of-pocket costs for nursing home residents. Verdi union board member Sylvia Bühler welcomed the SPD's critique, while consumer advocate Ramona Pop argued current plans weaken care provision rather than strengthen it.
Linnemann noted the care fund lent the state five billion euros during the pandemic, suggesting repayment from the Finance Ministry under Lars Klingbeil (SPD) would create fiscal room. Parallel work on a structural reform continues alongside the immediate financing debate.
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