Germany's Sick Note Surge: Illness or Burnout?

Workers in Germany took an average of about 22 sick days in 2024, prompting government plans to tighten sick-note rules and increase productivity. The proposed changes include eliminating telephone sick notes and requiring medical certificates from the first day of absence.

However, researchers indicate that rising absenteeism might stem from underlying issues like mental health strains and deteriorating working conditions. Professions such as nursing, care work, and teaching report higher absence rates due to chronic understaffing, low pay, and high emotional demands.

Mental disorders contribute significantly to absence duration, with a 47% rise in related sick days since 2014. International comparisons of sick leave rates are complex, influenced by various factors beyond policy. Studies have not found widespread abuse of the current sick-note system.

The government plans allow companies flexibility, enabling them to retain current sick-note requirements if they choose. Critics argue the proposed changes reflect a "culture of mistrust" towards employees and could overburden medical practices.