New BCN study shows: Germans demand far-reaching reforms in healthcare system and policy

How do people in Germany feel about health, digitalization, politics, and vaccinations? The new “BCN Deutschland-Puls” study, presented at the BCN Health Lab 2025, provides a detailed snapshot of public opinion for the first time – and the results are a clear wake-up call for policymakers and stakeholders in the healthcare sector.

Only 22% of Germans trust the healthcare system, and just 14% trust health policy. Satisfaction levels are even lower: currently, only 12% are satisfied with health policy. Women in particular express greater dissatisfaction and show significantly less trust than men. Structural disadvantages in medicine – often referred to as the Gender Health Gap – could be a key reason for this. Overall, 53% of respondents believe that fundamental changes in health policy are needed. Other criticisms include high costs, concerns about rising insurance premiums, and fear of not being able to afford coverage in old age. Only half of the population still trusts their health insurance provider.

Even though digital health solutions are on the rise, trust remains cautious. The electronic patient record (ePA) is already known to 88% of respondents and is considered a step forward by many – but 30% are concerned about data privacy. 46% believe the ePA will simplify doctor visits, and 44% consider it an improvement for preventive care. The e-prescription, introduced in 2024, has been used by 65% of respondents. While most welcome the convenience, about one in five express reservations. Privacy concerns remain a recurring issue across many digital health solutions.

Artificial intelligence in healthcare also reveals a clear opinion trend: 67% believe that AI will never be able to replace humans in medicine. One third view its use positively, and 30% see its potential to improve the healthcare system. Most respondents see AI as a supportive tool rather than a substitute for medical professionals.

Vaccinations remain another sensitive issue. Although almost all respondents are familiar with vaccines such as COVID-19 (95%), influenza (90%), and tetanus (90%), only 55% trust vaccines in Germany. Concerns range from possible side effects to inadequate research and a lack of long-term studies. The perception of the COVID-19 vaccination is particularly reserved: only 51% of respondents believe it was the right and important decision in retrospect. This may be due to the fact that the virus is no longer perceived as a serious threat. A societal review of the pandemic therefore appears necessary.

“The study reveals a strong need for education and provides solid insights into public attitudes toward key health issues,” says Susanne Müller, Managing Director Markets at BCN. The Deutschland-Puls is set to be published annually and aims to support decision-makers in media, research, politics, and business with data-driven insights to help shape a more responsive and trusted healthcare system.