MIL OSI Translation. Region: Germany / Deutschland –
Source: CDU CSU
Emmi Zeulner (CDU / CSU):
Dear Madam President! Dear Colleagues! Our promise in the coalition agreement between the CDU, CSU and SPD was that we wanted to readjust the health professions and give them more responsibility. We implemented this with the reform of the pharmaceutical-technical assistants, the midwives, but also in the last legislative period with the nursing staff. I am pleased that we are now making the medical and technical professions future-proof.
The law we are debating today at first reading is an example of where we are giving more responsibility everywhere. Above all, it is a sign of appreciation for the skills of the people who work in this field.
(Applause from the CDU / CSU)
These professions are more than mere assistance activities; they are independent specialist professions. People in these professions have a high sense of responsibility. You have great ability and enormous potential. For example, our laboratories and their employees have not only been an important pillar of our healthcare system since Corona.
In order to make this clear from the outset, we are introducing a new professional title with the present law, namely the “Medical Technologist”. This renaming implements the technical and content-related changes in the practice of the profession that have already taken place due to medical-technical progress.
We are modernizing the training objectives in the four different disciplines: laboratory analysis, radiology, functional diagnostics and veterinary medicine. We make the training goals more competence-oriented, expand the scope of the practical training with written practical instructions and make the training contract a mandatory basis.
Two points were also particularly important to us: We are abolishing school fees for another training occupation and at the same time introducing training allowances. We are therefore adding a further component to the overall concept of the health professions and in doing so show politicians the appreciation that these professions urgently need and deserve. This is an important aspect, especially in light of the fact that the various industries are in competition. I would therefore like to thank the specialist department of the Federal Ministry of Health for bringing these points along with it.
Another point that is taken up in this law and for which the federal states have been promoting for a long time – above all Saxony and Bavaria – is legal certainty for our emergency paramedics. Besides me, many of my Bundestag colleagues are in favor of an adjustment. Many colleagues have a deep connection with the blue light family. Some of them are themselves chairmen of the sponsoring associations; the former regional group leader Gerda Hasselfeldt, for example, is chairwoman of the German Red Cross. For us, the top priority is that we support those who stand by our side in an emergency, and that is the emergency paramedics.
The policy of our Federal Minister of Health stands for tackling issues. It stands for not looking the other way where there are problems, but instead offering solutions and also appreciating constructive contributions. I am very grateful for that. With the emergency paramedics, my reflections always start with the question: What do people learn in their training and what do they want to implement in their everyday work as a result?
The answer can be found in § 4 Emergency Paramedic Act, including in paragraph 2, number 1c: The training should enable the emergency paramedic to carry out medical measures on patients in an emergency on their own until the emergency doctor arrives in order to prevent the patient’s situation from worsening in the event of an impending emergency Danger to life or, if significant consequential damage is to be expected, to be prevented.
As a policy, I see it as our responsibility to protect the emergency paramedics when they apply what they have learned within this limited framework and to give them the security that they will not be prosecuted for exceeding their authorizations or for failing to provide assistance.
It is not my concern that we give the emergency paramedics a comprehensive medical license. It remains clear to me: As soon as the doctor is at the scene of the accident, he is always the boss. But we have to create a regulation that gives legal certainty, that has the patient’s welfare in mind and that leads to a really noticeable relief in practice.
For me it is therefore important that we agree on the goal: to find a legally secure solution for the small time window until the doctor arrives on site, and which enables the paramedic to do what he has learned to save lives and avert great harm.
With the draft of § 2a Emergency Paramedic Act, as it is now, we are of course also pursuing the goal of creating legal certainty. We keep the patient’s well-being in mind. But – and this is just as important to me – the regulation must also be implemented in practice. For me, as the rapporteur responsible for the health professions, it is actually one of the crucial points. And that is why we will now be very careful in the further deliberations – also together with our colleague Heidenblut – that this regulation passes the practical test. With this in mind, I look forward to further discussions.
(Applause from the CDU / CSU and members of the SPD)
EDITOR’S NOTE: This article is a translation. Apologies should the grammar and / or sentence structure not be perfect.