Disagreement Persists Between CDU and SPD Over Telephone Sick Notes

Mon 23rd Feb, 2026

The ongoing debate within Germany's political landscape regarding the continuation of telephone-based sick notes has highlighted distinct differences between the Christian Democratic Union (CDU) and the Social Democratic Party (SPD). At a recent party conference, the CDU advocated for discontinuing the option of obtaining a sick note via telephone, expressing concerns over potential misuse and the impact on workplace absenteeism rates.

In contrast, the SPD reaffirmed its support for maintaining the practice, emphasizing the benefits to both healthcare providers and patients. According to the SPD, enabling sick leave certification by phone helps alleviate the burden on medical practices and reduces the risk of infection in waiting rooms. The party asserts that the policy plays a critical role in safeguarding public health by minimizing unnecessary in-person visits, especially for individuals with minor or easily diagnosed illnesses.

The CDU's position is driven by apprehensions that making it easier to acquire sick leave documentation could contribute to higher rates of absenteeism. The party referenced internal discussions and party motions suggesting that simplified procedures might encourage employees to opt for sick leave more readily, even in cases where it may not be strictly necessary. The party leadership, including the Federal Chancellor, has cited concerns about rising sick leave statistics as a rationale for revisiting the current regulations.

Meanwhile, the SPD has pointed to existing agreements within the coalition government, which include commitments to address misuse of online sick notes specifically, rather than rolling back the broader practice of remote certification. The SPD argues that efforts should focus on strengthening safeguards against fraudulent claims instead of questioning the legitimacy of telephone sick leave as a whole. The party believes that most patients act responsibly and should not be subjected to automatic suspicion due to isolated incidents of abuse.

This policy discussion occurs in the context of broader debates about healthcare system efficiency and workplace health management in Germany. Recent studies have indicated that high levels of employee absenteeism can have significant economic consequences, with estimates suggesting substantial losses for the national economy. Critics of telephone-based sick notes argue that stricter regulations are necessary to counteract these trends. However, supporters maintain that the convenience and public health benefits outweigh the potential risks when appropriate oversight is in place.

The conversation reflects a balancing act between ensuring the integrity of sick leave certification and supporting modern, accessible healthcare services. While the CDU calls for a re-evaluation of remote sick notes, the SPD maintains that the practice is essential for easing pressure on healthcare facilities and protecting patients, particularly in times of heightened concern over communicable diseases. The coalition government faces the ongoing challenge of reconciling these differing perspectives while upholding both public health and economic stability.


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