Germany lacks the political will to protect its citizens from chronic diseases

Although Germany's healthcare expenditure is high by international standards, its citizens' health is inadequate. Many cases of illness and premature death caused by chronic (non-communicable) diseases could be prevented by implementing effective prevention measures. However, Germany lags significantly behind other European countries in this respect. Evidence-based adjustments to tobacco and alcohol policies, as well as binding measures to promote healthier eating, could significantly improve health outcomes in Germany. The Public Health Index 2025 criticises the lack of political willpower to implement such measures. Political leaders must take action against the excessive consumption of tobacco, alcohol, and unhealthy food. For example, they could increase taxes on these products, restrict advertising, and prevent lobbyists from influencing health policy decisions. Given the current issues with health and long-term care insurance in Germany, reducing the overall disease burden is of the utmost importance. If prevention were regarded not as a private matter, but as a political responsibility, much suffering could be prevented.