Nina Warken to Prepare Healthcare System for Defense Scenarios - Germany's Healthcare Crisis: Urgent Reforms for War Readiness by 2026
Germany's healthcare system is facing urgent reforms to prepare for potential war scenarios. Health Minister Nina Warken has highlighted serious gaps in crisis readiness, including hospital closures and a lack of clear emergency plans. A new Health Security Act, due this summer, aims to address these weaknesses.
Since 2020, financial pressures and hospital reforms have led to between 10 and 20 closures each year across Germany. By 2026, estimates suggest 50 to 100 hospitals may shut, particularly in rural regions. North Rhine-Westphalia, Rhineland-Palatinate, Saxony-Anhalt, and parts of Saarland, Berlin, and Saxony have already seen facilities close in towns like Tönisvorst, Boppard, and Zerbst.
The proposed Health Security Act will focus on maintaining medical care for civilians and treating injured soldiers in wartime. Key priorities include clear leadership roles, reliable communication, and stockpiles of essential supplies. The Health Ministry will lead the effort, collaborating with the Bundeswehr and other government departments, though final oversight remains under discussion.
Minister Warken has also stressed the need for better situational awareness, data access, and crisis training. Medical education must adapt to ensure enough skilled workers are available in emergencies. The ongoing hospital reform, while aimed at efficiency, must now account for maintaining critical capacities in rural areas.
The draft Health Security Act is set to be introduced this summer, marking a step toward strengthening Germany's healthcare resilience. Without these changes, the system risks being overwhelmed in a crisis. The reforms will determine how well the country can protect both civilians and military personnel in future conflicts.
