- Germany's sick leave average increased to 19.5 days in 2026 from 13 days in 2018, prompting government crackdown.
- Chancellor Merz introduced reforms requiring in-person doctor visits for sick notes from January 2027, aiming to reduce absenteeism.
- Germany's system pays 100% salary for up to six weeks of sick leave, then 70% via insurance for up to 78 weeks.
- Rise in sick leave attributed to better electronic reporting (eAU system) and increased health awareness post-pandemic.
- Mental health and musculoskeletal issues are leading causes; healthcare workers have highest absenteeism rates.
- OECD data shows Germany's sick leave at 3.5 weeks (24.5 days) in 2025, lower than many European countries like Norway and Spain.