# German Doctor on Practice Budgets and Child Health Checkups - Original post: https://www.twitter.com/i/status/2119681399749742973 - Source account: [@MagdalenaJxxx](https://x.com/MagdalenaJxxx) - Source language: German - Target language: English - Duration: 6:17 - Published: 2026-11-09 - Machine translated. Check the original before quoting. - Canonical URL: https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups - Original-language version: https://www.translate.mom/transcript/tyKW5QiXXqat/de/kv-abrechnung-und-praxisbudgets-arzt-warnt-vor-folgen-f%C3%BCr-u-untersuchungen.md ## Transcript [0:01](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=1) Evening. Yeah, so, Sunday evening, quarter to seven. [0:08](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=8) Uh, there were some acquaintances here for a short while with their child, who had fallen down. [0:14](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=14) You have to get it checked. It's all good. [0:17](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=17) Uh, I do that too, and I'm happy to do it, but it's only proper. [0:24](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=24) But what I said last time, um, it's November now. [0:29](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=29) We have about six, six and a half weeks until Christmas, if I haven't miscounted. [0:35](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=35) Um, I just got the billing statement for the practice from the National Association of Statutory Health Insurance Physicians for the second quarter, so, for the uh, things we did between April— or in April, May, and June. [0:55](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=55) It's November now. So, now we're getting paid. [0:58](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=58) For German bureaucracy, that's pretty prompt, too. [1:03](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=63) Um, I just wanted to, just wanted to say, if, over the next six, six and a half weeks if nothing is done to fix this statutory health insurance contribution freeze, then things will get really tight. [1:20](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=80) Um, just because I happen to have the figures here right now, um, so people know what we're talking about, I might as well say. [1:33](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=93) So, an oral and maxillofacial surgeon gets— where did I put it? [1:39](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=99) Uh, when they see a patient, a basic fee once per quarter. [1:47](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=107) Um, that means, no matter how often the patient comes in, you get that basic fee just once per quarter, every three months. [1:58](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=118) Uh, you get— uh, there are two age groups. [2:00](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=120) Let's put it very roughly, uh, young, middle-aged, and, and older. [2:07](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=127) Eleven euros and sixty-one cents, age group two, eleven euros and forty-eight cents, age group three, thirteen euors and one cent for older patients. [2:16](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=136) Because sometimes they're a bit more medically complex, that comes to thirteen euros and one cent. [2:21](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=141) Um, buuut I hadn't really considered that either. [2:27](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=147) Of course, um, we exceeded our budget. So once again, we worked too much, mm-hm, so we saw too many patients, um. [2:38](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=158) That was always very important at the hospital, you know. [2:40](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=160) Also in all those certifications I did. You have to be a center surgeon, and then it was always very important to have lots and lots of surgeries. [2:49](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=169) And they said that if you do things often, you do them well. [2:52](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=172) It's different in practice. Uh, you mustn't do them that often there. [2:56](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=176) If we've exceeded the quota we're given, then starting with the patient beyond the limit, we get We won't get the eleven euros for the slaughter fee paid off, thirteen euros and one cent. Exactly. [3:11](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=191) We still get sixteen one point zero percent. [3:16](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=196) So, sixteen, not sixty, sixteen point one percent of the thirteen euros. [3:25](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=205) Yeah, um, I find that pretty steep. It's now, it's, uh, November 2026. [3:33](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=213) On January first, twenty-seven, that drops to zero. [3:38](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=218) For everyone. For all doctors, it drops to zero. [3:42](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=222) Um, on Friday I was at a conference of pediatricians in neonatology. [3:50](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=230) Really wonderful people, they, who, they live for it, they're really, really passionate about their field. [3:57](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=237) You really, really can't accuse them of wanting to somehow enrich themselves now. [4:03](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=243) Definitely not. Um, among other things, they do all these well- child checkups as pediatricians. [4:10](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=250) Um, when you talk to them a little, the ones in private practice. [4:16](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=256) Well, the well-child checkups are subject to budget limits. [4:20](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=260) So they don't get anything then. Or what? [4:23](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=263) I don't know how much you get for a well- child checkup. [4:25](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=265) Uh, probably a lot of money. I could Google it now. [4:28](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=268) I don't know. Um, but if they've exceeded the quota, then nothing. [4:33](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=273) Um, on the other hand, it's a required examination. [4:38](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=278) Required by the state. So the state requires an examination. [4:41](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=281) I get letters from the Youth Welfare Office about my kids. [4:44](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=284) A well-child checkup is due on such-and-such a date. [4:47](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=287) So then I want to get it done, but I can't get an appointment, because I'm covered by statutory health insurance too. [4:52](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=292) And, um, what happens then? Will the youth welfare office come and complain to me, saying I'm neglecting my children because I don't go to U- checkups, so, no U-examinations, because I can't get any appointments, because the same system that tells me to do certain things makes it impossible to do them. [5:15](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=315) This is getting really weird, really weird. [5:19](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=319) Really, really weird. I don— I don't understand this. [5:24](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=324) I don't understand, and you've said this before: I don't understand who would do this. [5:28](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=328) How can anyone come up with regulations like these? [5:36](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=336) Well, before people start saying again that we all have to go on strike and so on. [5:40](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=340) Um, there were consultations, and there were also the relevant, the relevant experts were consulted. [5:47](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=347) It was all just completely ignored, obviously. [5:52](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=352) Um, we really need to think about whether we want it that way and what the consequences will be, right? [6:01](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=361) So, if, if it's six weeks, six and a half weeks until Christmas. [6:04](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=364) Nothing happens after Christmas, either. [6:08](https://www.translate.mom/transcript/tyKW5QiXXqat/en/german-doctor-on-practice-budgets-and-child-health-checkups?t=368) Um, you're always supposed to stay positive, but it's really getting hard for me now, I have to say.