[anthonj]

"As part of Merz's proposals, from January next year, workers will no longer be able to get a sick note over the phone. They must visit a doctor in person and on the first day of illness."

Can't wait to share the sbahn with feverish people or seeing a live diarrhea attack.

[NekkoDroid]

> Can't wait to share the sbahn with feverish people or seeing a live diarrhea attack.

The 2 results I see from this change in policy is:

1. People go sick to work and possibly infect other people

2. Doctors give multi day sick notes (when 1 day would have been enough) to not be bothered again the next day, resulting in people being home longer when not needed.

I genuinely don't understand who looked at this policy change and thought "this will probably help with people working more". The only people that will be working more are the "Hausärzte".

[joe_mamba]

>I genuinely don't understand who looked at this policy change and thought "this will probably help with people working more".

Lawmakers aren't smarter than average people. In fact, they're often more out of touch with reality despite fancier education and credentials. They just make laws based on feels to score brownie points with a certain voter base or demographic. In this case it's with retired boomers who think young workers today are too weak and dodging work to sit at home doing nothing on the taxpayer's dime because that's the impression they got from the tabloid media who portrays zoomers and immigrants as lazy and avoiding work living on welfare.

For example in Austria during Covid the government shortened supermarket opening times to so called "protect our service workers" while missing the fact that this meant that people were now doing the same volume of shopping but spread over a smaller time period of the day, which meant more crowds and less social distancing, meaning more chance of spreading the virus.

So not only were they actually NOT protecting the supermarket workers with this measure, on the contrary, but they were also actively making the spread worse through the increased crowds of shoppers. But nobody in the public understood this second order effect, and actively cheered for this measure as a sign the government care about the average worker. That's how laws are passed nowadays, cheap low-iq populism with zero though for the second order effects and externalities on others.

[HiPhish]

I had a migraine attack recently; I was able to call my doctor and have him write a sick note for a day over the phone and have it transmitted digitally to my employer. What the fuck would be the point of tormenting myself for half an hour on a noisy public bus in bright daylight in the middle of summer, the waiting in a bright room for half an hour, wait at the bus stop in bright daylight for up to an hour for the next bus back (since I don't know how long I will be at the doctor's office I cannot plan my trip back) and then torture myself for another half hour on the bus back?

It's not like the doctor can do anything but take my word for it when I'm in his office anyway. There is no migraine test you can run. So you might as well cut out all the bullshit and let me rest so I can recover better.

[Obscurity4340]

The point is there must be a boot ever-closely infringing on your neck and your reasonable breakdown of the impending absurdity about to play out just doesnt take any of that into account.

[inigyou]

In Berlin there are several doctors on every block.

[tzs]

Maybe this could be addressed by partially bringing back the house call?

Before around the 1960s in many countries if you were sick you called your doctor and they came to your house. The net is telling me that the reasons that this largely stopped are that advances in medical technology led to more reliance on equipment that you really couldn't all around with you to patient homes, that doctors became more specialized, and that as the population spread out more due to the boom in cars doctors couldn't see enough patients a day.

If everyone who wants to take sick time needs a note on day 1 maybe that would be sufficient to have some doctors who just make house calls.

I'd expect that most illnesses that prompt a worker to want a sick day are simple enough that you do not need to fancy diagnostic equipment available at doctor's offices, so that gets rid of one of the main reasons house calls became infeasible.

There is still the problem of people being spread out, but I'd expect the visits should be pretty quick so maybe it would be possible to do enough per day to handle to load. I think the visits would be quick because the doctor should just need to verify that you have something that justifies taking a day off work. For most cases that's going to be some kind of cold or flu or some chronic condition acting up, which should to quick to check. E.e., the patient has a fever and a cough...you don't have to figure out exactly what they have to know they shouldn't be going into work. Approve the note and collect a blood sample to drop off at the end of the day to get more information tomorrow.

If this is still too much for doctors to handle maybe introduce a new type of practitioner. In the US we have Nurse Practitioners (NPs) and Physician Assistants (PAs).

NPs are licensed registered nurses who get additional training and certification. NPs can diagnose and treat acute and chronic conditions, write prescriptions, order and interpret lab work and imaging, and counsel patients. What they cannot do is perform surgery (although they can assist) and manage complex cases. In some states they cannot prescribe certain drugs like opioids without oversight from a doctor, and in some states they have to work under the supervision of a doctor. NPs do not have to go through a residency, and require about an order of magnitude less clinical training than doctors.

PAs are roughly similar from a patient point of view, but they always work with a doctor. Their training requirements are more doctor-like. Their focus is also more doctor-like, focusing on biological aspects of disease, whereas NPs are more holistic. PAs are also better as generalists, whereas NPs must choose during their schooling a specialty like family car or geontology or pediatrics.

The net is telling me Germany does have non-doctors that can do some of the things doctors do but says none of them are like NPs and PAs who can independently diagnose and treat, so would probably not be able to substitute for a doctor in seeing patients to produce a sick note. It also is telling me Germany has a doctor shortage, so maybe something like NPs or PAs that can take much of the routine load of dealing with routine issues would be a good idea even without the new sick note requirements.

[on_the_train]

People who call in sick by phone aren't sick

[pixelpoet]

People who make such blanket statements only see things in black and white.

[jkman]

How do you figure?

[anthonj]

My friend if my thermometer reads 38-39 I don't need a walk to the doctor to confirm I need to rest for the day.