Welti F
Institut für Sozialrecht und Sozialpolitik in Europa der Christian-Albrechts-Universität zu Kiel.
Rehabilitation (Stuttg). 2002 Aug;41(4):268-73. doi: 10.1055/s-2002-33268.
The SGB IX is the legal basis of rehabilitation in Germany since 2001. It is embedded in the codification of the German social code, the Sozialgesetzbuch (SGB). There it has an intermediate function between the general social law and the special laws of the social insurance and social security institutions. Rehabilitation in Germany is working in a system of several different institutions with different legal roots. In special these are compensation of damages caused by employment accident and war and the avoidance of disability benefits by rehabilitation and activation. Inequality of treatment of disabled people according to the cause of their disability and to their employment status are accepted less; common principles of rehabilitation are being searched. Important reforms of rehabilitation law have taken place in 1974 and 1975. Since then problems have become visible in implementation and in the coordination of the complex system. SGB IX is a new effort for a general rehabilitation law. Open questions remain in handling the relations between rehabilitation and sickness treatment, long term care and prevention. Important are the newly defined terms for participation (Teilhabe) and disability (Behinderung), which build the linkage of SGB IX with constitutional law and with the health sciences. A weak point is still the relation of disability and age. Political attempts for unequal benefits in health insurance endanger the now reached level of rehabilitation law.
自2001年起,《社会法典》第九编成为德国康复的法律基础。它被纳入德国社会法典(SGB)的编纂之中。在该法典中,它在一般社会法与社会保险及社会保障机构的特别法之间发挥着中间作用。德国的康复工作在一个由几个具有不同法律渊源的不同机构组成的体系中开展。特别而言,这些机构涉及工伤事故和战争造成损害的赔偿,以及通过康复和激活措施避免残疾福利。根据残疾人的残疾原因和就业状况而产生的待遇不平等现象越来越不被接受;人们正在探寻康复的共同原则。1974年和1975年对康复法进行了重要改革。从那时起,在该复杂体系的实施和协调方面出现了一些问题。《社会法典》第九编是制定一部一般康复法的新尝试。在处理康复与疾病治疗、长期护理和预防之间的关系方面,仍存在一些未解决的问题。新定义的参与(Teilhabe)和残疾(Behinderung)术语很重要,它们建立了《社会法典》第九编与宪法以及健康科学之间的联系。残疾与年龄之间的关系仍然是一个薄弱环节。医疗保险中不平等福利的政治尝试危及目前已达成的康复法水平。