Piechowiak H
Fortschr Med. 1992 Jul 20;110(20):374-6.
With their texts on Schwerpflegebedürftigkeit, the legislators have set the interpreters of legal texts a difficult task. In practice, attempts by the "users" of such texts to find solutions inexorably lead to aporias. Responsible for decision-taking is the health insurance carrier, with the physician exclusively acting as a counsellor on the medical aspects. The advised comparisons with persons of identical age with the intention of establishing Schwerpflegebedürftigkeit is not required by the legislator, and it is not easy to see what sense it is supposed to make. The corresponding guidelines drawn up by the leading associations are not unequivocal and are therefore open to misunderstanding.
立法者在其关于重度护理需求的文本中，给法律文本的阐释者设定了一项艰巨任务。在实践中，此类文本的“使用者”寻求解决方案的尝试必然会导致困境。负责决策的是健康保险公司，医生仅作为医疗方面的顾问行事。立法者并未要求为确定重度护理需求而与同龄人士进行建议性比较，而且很难明白这样做有何意义。主要协会制定的相应指导方针并不明确，因此容易产生误解。
