4 min read

Caring parents drowning in paperwork

A simple benefit turns into a paper war. Why do caring parents have to prove everything, while the system has to hold to nothing?

A simple benefit turns into a paper war. Why do caring parents have to prove everything, while the system has to hold to nothing? I've been living in this system for some time. As a parent of a child with a rare condition, I experience what many families experience — families I only got to know through our own story: a daily life in which caring for my child is only one half of the work. The other half is bureaucracy.

I'm not someone who easily despairs at systems. I build them myself. I've often understood administrative processes in my professional life before I had to. But the German care system has brought me to a point where I regularly sit very calmly at my desk and think: this can't have been the intention with which this system was built.

What paper war concretely means

For us, paper war doesn't mean filling in a form. Paper war means: for a single benefit, within a month, evidence is requested from several doctors, therapists, and assessors who in part confirm the same information, just on different forms, in different formatting, for different offices. Paper war means: after weeks of waiting, a letter comes back in which one phrase is minimally wrong, and the entire application starts over from the beginning. Paper war means: as a parent I am simultaneously case manager, translator between systems, archivist of my own child's medical history, and on top of that still a father.

What bothers me most about this setup is the asymmetry. The family has to prove everything. The family has to bring evidence, deliver diagnoses, obtain signatures, meet deadlines that are partly hidden in phrasing even lawyers have to read carefully. The system, on the other side, has to hold to little. There's no deadline by which my application has to be processed. There's no mechanism that automatically corrects a wrong rejection. There's no sanction when processing takes months. The burden lies entirely on the side that can carry it the least, because that side is also doing the caring.

Why this isn't a one-off experience

I now know that what we're experiencing isn't an oversight. I'm in contact with many other parents, in groups, in quiet messages, where families exchange experiences who don't have the strength to speak publicly. The stories are frighteningly similar. Not because we all have the same misfortune. But because the system apparently has a structure in which exactly this kind of attrition is to be expected.

That isn't, to be clear, an attack on the people in this system. I keep meeting case workers, assessors, employees in health insurance funds who do everything within their possibilities. Some take time they formally don't have. Some explain things beyond their official remit. They deserve respect. But they're working against an architecture that's built against families, not for them.

What I'd wish for

I know how hard it is to reform existing structures. I build systems in my profession and know that every change to a running process brings new risks. But there are things that don't even need reform. They need decisions.

A standard form for recurring benefits would be a decision. A binding processing deadline with a clear consequence would be a decision. Digital access to your own file that doesn't start over with every provider would be a decision. No new law, no complete restructuring. Just the willingness to acknowledge the reality of families.

And honestly, I'd wish for a linguistic shift. "Applicant" is a cold label for people who have often been supporting a child's existence for years. "Receiving benefits" sounds as if you stand there with your hand outstretched, not as if you're part of legally anchored support. Language shapes attitude. Anyone working in administration should remind themselves of that regularly.

Why I'm even writing this

I'm not writing this because I want pity. I'm writing it because I have a small platform and because I know many families don't. Visibility isn't a substitute for reform. But it's the precondition for anything to move in this area at all. A politician who's supposed to decide about caring parents has to know what their daily life looks like. An employer who has a team member from a caring family, too. A neighbour who wonders why our lights are sometimes on for a long time at night, also.

I live in this system. I won't change it by complaining. But I can contribute to less being said about caring parents and more being said with them. This text is my contribution this month.