There may be a few sore heads and impeccably timed phone-calls to bosses in England this morning, after last night’s win over Mexico in the World Cup, but any football fans must be thankful they don’t live in Germany where workers will have to report to a doctor in person, to get a sick note on the first day they are ill, under sweeping new reforms.
The government is “tired of its workers calling in sick”, said the Deep Dive, but unions and family doctors are opposed to the new law.
What is Germany doing?
“The number of sick days is too high,” said Friedrich Merz, the German chancellor, announcing the plan. The government is “creating a set of tools that will enable those involved, both employees and companies, to correct this,” he added.
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The “tough” new rules are “aimed at boosting Germany’s stagnating economy”, wrote Hans van Leeuwen, international economics editor of The Telegraph.
Although they will be “welcomed” by employers, they have “angered” the country’s “powerful trade unions”. The services sector union, Verdi, accused Merz of creating a “culture of distrust of employees”.
Doctors also have “opposed” the new system because they believe the new requirements will “swamp” GP surgeries with “unnecessary appointments”.
What are sickness policies like elsewhere?
In the Netherlands, employers are generally obliged to pay employees on sick leave 70% of their wages for up to two years. If that amount is less than minimum wage, then the employer must boost this to the minimum wage for the first year. Norway is even more generous: it provides up to a year of income replacement at 100% of salary (subject to an earnings cap).
Although the US is one of the richest countries in the world, there is no nationwide entitlement to paid sick leave in the US, so access depends largely on state laws, local ordinances and employer policies. This means coverage varies considerably. Only 14 of the 50 states have paid sick leave mandates in place, which means sick workers are often forced to rely on health insurance pay-outs to cover their wages.
In the UK employees who earn over £125 a week and are off sick for four or more days in a row, are entitled to £123.25 per week of statutory sick pay for up to 28 weeks. This equates to around 15% of the average UK weekly wage. Employees need to give their employer proof if they’re ill for more than seven days. Many employers have a sick pay policy which is more generous.
How many sick days do people take?
In 2025, 149 million working days were lost to sickness or injury in Britain – an average of more than four days per worker. On average, Americans take roughly one to three days of sick leave per year.
In Germany, workers take about three weeks, or 15 working days, of sick leave per year. This is lower than in France, but higher than Sweden, the Netherlands, Denmark, Poland and Italy.
