Fiscal Analysis

Germany: What Labour Market Exclusion Costs the State

What it costs the state in disability and sickness benefits when people are kept out of work, compared across European countries.

€83.4bn
Spent on disability and sickness benefits
2.0%
Benefit Expenditure As share of GDP

Country Profile

As share of GDP2.0% of GDP

Direct benefit payments

BMAS Sozialbudget 2024 — function Invalidität, cash benefits, 2023 (provisional), plus statutory Krankengeld 2023 (BMG KV45) · 2023

€83.4bn

→ Disability pension

Deutsche Rentenversicherung Bund, Rentenversicherung in Zeitreihen 2025 — pensions for reduced earning capacity, 2023 · 2023

€22.4bn

→ Sickness benefit

BMG, GKV vorläufige Rechnungsergebnisse 1.–4. Quartal 2023 (KV45) — Krankengeld · 2023

€15.3bn

Local currency: €83.4bn

Per working-age adult

€1,573

Context

Germany's disability cash benefits include pensions for reduced earning capacity (Erwerbsminderungsrente, €22.4bn; 1,761,252 pensions at the end of 2023). Sick pay for the first weeks of illness is paid by employers (Entgeltfortzahlung) and is excluded, as in the other countries.

Methodology

Public cash benefits for disability (Sozialbudget function Invalidität, €68.0bn) and statutory sickness benefit (Krankengeld, €15.3bn) in 2023, the latest year with outturn data. Employer sick pay, in-kind disability support, lost tax revenue and employment-programme costs are not included. Share of GDP uses Eurostat GDP for 2023; per working-age adult means per person aged 15–64 (Eurostat, 1 January 2023).

In Practice

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