Digital Health Expert Inga Bergen
Body & Soul

Inga Bergen: How Generation Z Is Changing Healthcare

Inga Bergen is THE expert when it comes to digital health in Germany. As an entrepreneur, investor, podcaster, and sought-after speaker, she is shaping the discussion on the future of healthcare. In this interview, she discusses why our healthcare system still lags behind technological possibilities, how Generation Z is changing the way we approach health, and which innovations are actually making a difference. Inga Bergen will be speaking at Health Day 2026.Interview: Simone Bohny/Christin Müller

​​​​​​​"I look forward to a medical field that recognizes that women aren't just little men." (Inga Bergen)

What motivates you to be so passionate about the future of healthcare?

Inga Bergen: I’ve founded and led two companies in the digital health sector—and in doing so, I’ve learned just how slowly a system moves that should actually be the most innovative one we have. What drives me is the gap between what has long been medically and technologically possible and what people actually experience when they’re sick. This gap isn’t a technological problem. It’s a problem of structure, incentives, and courage. And that’s exactly why I’m staying the course: because it can be solved.

In your opinion, what makes Generation Z different from other generations when it comes to health?

I’m cautious about generational narratives—they often explain less than they claim to. But what I really observe is this: This generation no longer makes a clear distinction between health and everyday life. Mental health, sleep, nutrition, exercise, work—these form a continuum, not a set of separate areas of responsibility. This clashes with a system that is organized precisely along lines of responsibility: boundaries between medical specialties, between sectors, and between payers. The conflict isn’t “young versus old.” It’s “integrated experience versus fragmented care.”

Gen Z is the first generation to have grown up entirely with digital technologies. What expectations will they therefore have of doctors, hospitals, and health insurance companies in the future?

Three that I consider to be structural:

First: Expectation sovereignty. People who are used to every service being transparent, bookable, and easy to track won’t accept that an appointment takes six weeks and no one can explain why.

Second: Access to data as a given. Not as a right that must be fought for, but as a fundamental condition.

Third—and this is often underestimated—is the quality of the relationship. Digital literacy does not mean a desire for distance. On the contrary: the more interchangeable the transaction, the greater the value of genuine medical care. Anyone who thinks an app can replace that connection has misunderstood the issue.

What digital developments will truly change the way we approach health in the coming years?

Not so much the spectacular ones, but rather the mundane ones. Interoperable data. AI in documentation and decision support—not because it replaces doctors, but because it frees up their time. And above all: moving diagnostics forward—from the hospital to everyday life, from acute care to early detection.

What interests me more than the technology is the question of who benefits from it. We’re currently in danger of building a system that works exceptionally well for digitally empowered, well-insured people who are health-conscious—and makes things worse than before for everyone else. This isn’t a technical issue, but a matter of distribution.

Many young people today are much more critical of medical advice than previous generations. Is this a sign of greater health literacy or a dangerous overconfidence?

To be honest: neither. I think the question doesn't quite capture the issue.

What we are seeing is not an increase in competence or arrogance, but a loss of trust in institutions coupled with a radical shift in information sources. That is something different.

Health literacy—as measured by standard tools—tends to be rather low across all age groups in Germany, including among young people. What has changed is not people’s ability, but their access: Today, every recommendation is immediately accompanied by a thousand other voices, and none of them bears a seal that can be recognized at a glance.

The answer to this isn’t to reclaim authority. You either have it or you don’t. The answer is to provide a rationale. Saying “That’s just how we do it” doesn’t work anymore. Saying “That’s how we do it because—and here’s the evidence, and here are its limitations” does work very well. It’s more work. But it’s also better.

You speak with many thought leaders in the healthcare sector and have been following innovations for years. Looking ahead to the next ten years, which developments are you most excited about?

The moment when “prevention” is no longer just a buzzword everyone tosses around in political speeches but that no one actually funds. We’re currently witnessing a rare convergence of factors: the technology is here, cost pressures are inevitable, and a new generation is emerging for whom prevention isn’t a sacrifice but a form of self-empowerment. When these three elements come together, something fundamental shifts.

And, to be more specific: I’m looking forward to a medical field that recognizes that women aren’t just little men. Things are finally moving in that direction—too slowly, but they’re moving.

To wrap things up, here’s a quick generational quiz: If you could “steal” one trait from Generation Z, which one would it be? And conversely, is there anything Generation Z could perhaps learn from older generations?

If I could, I’d steal the ease with which this generation talks about mental health. My generation dealt with it on our own and called it strength. It wasn’t.

Conversely: Be patient with systems. Not compliance—patience. Some important things don’t change in eighteen months, but in eighteen years, and anyone who’s only looking for quick results will walk out before things get interesting.

No one approaches the truly major shifts in the healthcare sector as a sprint.

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zero Spouses' emergency representation law: What you need to know!

Spouses' right of emergency representation
Age & care

Spouses' emergency representation law: What you need to know!

If a person was no longer able to make decisions about their own health due to an accident or serious illness, this often came as a nasty surprise for their spouse or partner.

Contrary to what they often thought, life partners were not automatically entitled to make decisions for their partner. The emergency spouse representation law gives spouses and civil partners the opportunity to make decisions in emergency medical situations, for example regarding medical examinations or treatments. 

In this article you will learn

  • When does the spouse's right of emergency representation apply and what options does it offer?
  • In which areas spouses will be able to make decisions in emergencies in future.
  • What limits the spouse's right of emergency representation has.
  • Why individual provision is still important.

When does the emergency spouse representation law apply and what does it include?

The "Right of emergency representation between spouses in health matters" comes into force in January 2023 .

According to this regulation, spouses can represent each other in emergency medical situations even without a living will or power of attorney and take over the healthcare of their partner who is unable to make decisions. However, this right only applies for a maximum of six months. 

If the condition has not improved after this, a legal guardian can be appointed by the guardianship court. Relatives, volunteers or full-time caregivers are usually considered for this.

In which areas will spouses be able to make decisions in future?

They can make decisions about treatments and examinations as well as decisions relating to property law that are directly connected to this (e.g. concluding treatment and care contracts). 

What are the limits of the spouse's right of emergency representation?

The new regulation expressly refers only to emergencies.

For example, spouses are only authorized to act once a doctor has confirmed their partner's incapacity in writing. In addition, the right of emergency representation only applies in direct connection with health care - but not for residential matters or the care of property.

Is the right of emergency representation mandatory?

No, it does not apply if it is contrary to the wishes of the patient. It does not apply if the patient has previously authorized another person in a health care proxy or has expressed a different will.

It also does not apply to spouses who are separated. 

What is recommended for comprehensive prevention? 

The spouse's right of emergency representation can be a great relief in acute situations. However, it does not replace the tried and tested precautionary options such as a health care proxy and living will.

On the one hand, these are not limited in time, and on the other hand, they offer considerably more freedom of design because they allow very individual arrangements for a wide variety of areas. 

An overview of spousal emergency representation law: 5 key points 

  • The emergency representation law comes into force in January 2023.
  • Spouses and registered partners can represent each other in healthcare matters.
  • The right of representation is only valid for a maximum of 6 months. 
  • A doctor must have confirmed the partner's legal incapacity.
  • Living wills and health care proxies are still recommended for comprehensive provision.
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Learn more about pme Familienservice

 

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