The collapse of Germany’s government coalition has cast doubt on the future of the “Healthy Heart Law.” This legislation was set to play a pivotal role in the prevention, early detection, and treatment of cardiovascular diseases—the leading cause of death in Germany, with 358,000 fatalities in 2022. The delay endangers potential advancements that could save lives, enhance patient quality of life, and reduce healthcare costs.
The law proposed strengthening preventive care through systematic check-ups, including for individuals aged 25, 40, and 50, while considering the inclusion of those over 70. Structural heart diseases (SHDs), such as heart valve disorders that often go undiagnosed until late stages, could have been identified earlier under these measures.
Without the legal framework of the “Healthy Heart Law,” crucial opportunities for prevention and care remain unfulfilled, particularly for vulnerable groups for whom improved early detection is essential. Furthermore, existing health inequalities are likely to worsen: women and individuals with lower socioeconomic status already face limited access to SHD diagnosis and treatment. Additionally, essential investments in innovative solutions like early detection and telemedicine risk being delayed, stagnating healthcare advancements and leaving potential cost savings unrealized.
Prof. Holger Thiele, President of the German Society of Cardiology, urged the incoming government to seize the momentum and include key strategies from the Healthy Heart Law and a national cardiovascular strategy in the next coalition agreement. Despite the setbacks, Thiele highlighted the unprecedented political visibility cardiovascular diseases have gained during these discussions. While the current political climate may delay the legislation, he emphasized that this should not signify failure but rather a temporary postponement in addressing cardiovascular risk factors.
Many political leaders have acknowledged the importance of heart health reform. Health Minister Prof. Karl Lauterbach has been a vocal supporter of the legislation and expressed regret over the delays, underscoring the necessity of prioritizing prevention and early detection of cardiovascular diseases even after the election.
The Structural Heart Disease Coalition calls on all political stakeholders to promptly revive and advance the law. Already supported by medical societies and patient organizations, the draft provides a robust foundation for essential reforms.
The Coalition remains steadfast in its commitment to keeping heart health at the forefront of political discourse, offering expertise and data to assist policymakers. Only swift action can secure Germany’s cardiovascular care infrastructure and save lives.