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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A home help takes care of the household of a senior citizen
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Household-related services: supported "from the spot"

Household-related services are becoming increasingly popular. Our service agency "Vom Fleck weg" provides support for every need and creates secure working conditions.

Whether it's help in the house and garden, family care or everyday care for the elderly: Household-related services are in vogue.

Around 10% of private households already employ domestic help and use the time gained for professional projects, care work and recreation. The number of interested users will continue to rise due to demographic change - an increase in single households and an ageing society. 

Source: Prognos

Service agencies bring benefits for everyone

To date, the majority of household-related services have been provided illegally . This often seems cheaper for the client. Many people shy away from the effort of registering domestic help, especially if they only use household-related services irregularly and on a small scale.

A service agency such as "Vom Fleck weg" is the ideal solution here, as it also takes on jobs for a few hours or on an occasional basis. It combines various assignments into one employment relationship and creates fair job prospects. Users receive the right support for every need and do not have to worry about formalities. 

Secure permanent employment and jobs subject to social insurance contributions

Our employees are trained in housekeeping and everyday support, are permanently employed and some of them are supported as part of the "Participation in the job market" program. For the most part, we create jobs for them that are subject to social insurance contributions, with vacation entitlement, continued payment of wages in the event of illness and cover arrangements, as well as close supervision and regular training.

As an employer, we combine various assignments into one employment relationship and help people to build up career prospects. Through your assignment, you make an important contribution to participation in the labor market and ensure greater fairness in this field of work. 

"From the spot": help in the household and everyday support:

The pme service agency "Vom Fleck weg" is open to a wide variety of target groups - whether families with children, senior citizens, people with disabilities or singles.

We currently operate "Vom Fleck weg" at several locations and are working hard to be able to offer you this service nationwide soon. You can find more information here:

Deducting household-related services from tax

What many people don't know is that you can deduct your expenses for household-related services from your taxes. Each year, you can claim 20 percent of the actual costs up to a maximum of 20,000 euros for tax purposes. The bottom line is that a deduction of up to 4,000 euros per year is possible.

The requirements for this are that the services must be provided in the home or on the property and they must be provided by household members. This includes basic cleaning of the home, sidewalk cleaning and winter maintenance, janitor services, gardening, childcare at home, pet care, care of a relative in need of care or assistance (even if the service is not provided in your own home but in that of the relative).

You will need an invoice as proof of expenditure, which must be paid by bank transfer. 

Settlement with health and long-term care insurance companies possible where applicable

We are actively working on cooperations with cost bearers such as nursing care and substitute health insurance funds in order to be able to offer our services to low-income households - for example by being recognized as a provider of support in everyday life or for respite care. Our service agency "Vom Fleck weg" can also take on family care assignments that are paid for by the substitute health insurance fund. 

Passion and the "personal touch": a portrait of our team members

Our team members are passionate about helping people with their household chores and everyday life. The personal touch is always important to them.

"I really enjoy helping older people who find it difficult to go shopping or clean their own home - or who simply need someone to be there and listen."
Hendrikje, "From the spot" Leipzig

"Older people in particular often struggle with household chores. Through my work for 'Vom Fleck weg', I can make everyday life easier for them."
Franz, "Vom Fleck weg" Munich

"I really enjoy doing something meaningful and helpful and being able to help people with a lot of freedom and support from colleagues. I can contribute a lot of my experience here, e.g. in the medical sector."
Miriam, "From the spot" Düsseldorf

About the pme Familienservice

On behalf of more than 900 employers, the pme Familienservice Group supports employees in achieving a successful work-life balance and being able to work with a clear head. You can find out more about the pme Familienservice Group here: www.familienservice.de/wer-wir-sind