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EDI - European Association of Dental Implantologists

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42<br />

<strong>EDI</strong><br />

<strong>EDI</strong> News<br />

Interview with Christa Stewens, Bavarian State Minister <strong>of</strong> Labour<br />

and Social Welfare, Family Affairs and Women<br />

Federal Health Fund:<br />

“Dispose <strong>of</strong> it Properly!”<br />

There is hardly a day on which the Federal Health Fund, whose stated objective is to reconcile the differences and financial<br />

clout <strong>of</strong> the various statutory health insurers, does not make the headlines. <strong>EDI</strong> Journal had already reported on this.<br />

Federal Minister for Health Ulla Schmidt and Chancellor Angela Merkel stubbornly cling to the fund and its starting date<br />

<strong>of</strong> 1 January 2009. But they appear to be the only ones. Bavaria, Germany’s largest state by area, will be electing a new state<br />

parliament this autumn – and this election may show the federal government how little appreciation their Federal Health Fund<br />

is getting. BDIZ <strong>EDI</strong> president Christian Berger talked to Christa Stewens, Bavarian State Minister <strong>of</strong> Labour and Social Welfare,<br />

Family Affairs and Women, about the homework that Federal Minister for Health Ulla Schmidt still has to do.<br />

Ms Stewens, your party – the Christian Social Union,<br />

CSU, the regional Bavarian conservative party – has<br />

approved the Federal Health Fund at a federal level.<br />

Why do many within the CSU no longer stand by this<br />

Great Coalition compromise?<br />

We stand by what we have agreed on. But we also<br />

expect the same from our coalition partner. This is<br />

why we will look closely at whether what we agreed<br />

on and what has been defined in the pertinent law is<br />

being both respected and actually implemented. This<br />

also includes the convergence clause, exactly as<br />

defined by the law, but also the correct implementation<br />

<strong>of</strong> the morbidity-based risk adjustment pool and<br />

workable insolvency rules that eliminate any liability<br />

on the part <strong>of</strong> the State <strong>of</strong> Bavaria. To this day, only<br />

fragments <strong>of</strong> the expert opinion on the convergence<br />

clause required by the law – which is supposed to<br />

quantify the effects <strong>of</strong> the Federal Health Fund<br />

before it is realized – have been completed. We cannot<br />

accept that and we will not accept that.<br />

Your ministry has tasked a committee <strong>of</strong> experts led<br />

by Pr<strong>of</strong>essor Udo Steiner, former judge at the Federal<br />

Constitutional Court, to examine the situation <strong>of</strong><br />

physicians and dentists in private practice. What is<br />

their objective, and when can we expect results?<br />

This committee will investigate where and how we<br />

can assist physicians and dentists in private practice.<br />

This is a fairly tall order, because it is the federal government<br />

that creates the legal framework for statutory<br />

health insurance and, consequently, for all contractual<br />

medical providers. The only way Bavaria can<br />

exert its influence is indirectly, through Bundesrat,<br />

the Second Chamber, on a federal level. The expert<br />

committee will therefore mainly be looking for<br />

potential solutions that can be implemented at the<br />

Bavarian level. In addition to the pr<strong>of</strong>essional fees <strong>of</strong><br />

Bavarian physicians, we are also talking about a new<br />

generation <strong>of</strong> physicians and about ensuring adequate<br />

access to general practitioners in rural areas.<br />

The goal is to give recommendations for improving<br />

the situation <strong>of</strong> Bavarian physicians in private practice,<br />

especially general practitioners. A number <strong>of</strong><br />

suggestions will be published by this upcoming<br />

autumn.<br />

Christa Stewens:<br />

Basic tariff may<br />

constitute a<br />

threat.

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