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World
Herz — World Desk · · 30s summary · 2 min read
In 2025, 4,389 of 7,267 open positions in Germany's health crafts (Gesundheitshandwerk) remained unfilled on average, according to research by Kofa (Kompetenzzentrum Fachkräftesicherung), a workforce research center under the Institute for the German Economy. The most severe shortages affect optical and hearing aid professions. Among master craftsmen (Meister), more than eight out of ten positions went unfilled. Researcher Lydia Malin predicts worsening shortages in coming years, particularly in rural regions.
In 2025, 4,389 of 7,267 open positions in Germany's health crafts remained unfilled on average. These professions—grouped under the term Gesundheitshandwerk—include optometry, hearing aid fitting, orthopedics, and dental technology. The figures come from a study by Kofa (Kompetenzzentrum Fachkräftesicherung), a workforce security research center under the Institute for the German Economy (Institut der deutschen Wirtschaft), according to Handelsblatt.
The most significant shortages affect optometry and hearing aid fitting, followed by orthopedics and dental technology. For hearing aid specialists alone, nearly 900 positions remained vacant.
The situation is particularly acute for master craftsmen (Meister): 1,344 positions, or more than eight out of ten, remained unfilled. This represents one of the largest skilled labor shortages in German crafts.
A legal requirement applies in these trades: only Meister can establish, operate, and provide training in an establishment (Meisterpflicht). If journeymen (Gesellen) also become scarce, the pool of potential future master craftsmen shrinks further.
Lydia Malin, the study's author, points out that hiring foreign workers faces a structural barrier. These professions require explaining complex technical subjects to clients, demanding excellent German language skills.
In most of these professions, the number of apprenticeship positions offered exceeds the applications received. Lydia Malin calls for greater visibility of these trades and their social value, following the model used for 'climate jobs'.
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The ongoing rise in demand for hearing aids, eyeglasses, and orthopedic devices stems from population aging and the growing number of elderly people. Lydia Malin predicts worsening shortages in coming years, particularly in rural regions, where wait times are lengthening and access to care is narrowing.
The study does not provide a breakdown of vacant positions by state or city. Information about Kofa and the Institute for the German Economy came solely from the study itself: available documentary definitions did not match these two institutions, and no independent external verification could be performed.
The study examines Gesundheitshandwerk, the term for health professions practiced as crafts in Germany: optometry, hearing aid fitting, orthopedics, and dental technology.
These professions require explaining complex technical subjects to clients in German, demanding excellent language skills, according to researcher Lydia Malin.
Meisterpflicht is the legal requirement to hold a master craftsman credential to establish, operate, and provide apprenticeship training in a craft. A shortage of master craftsmen mechanically reduces the number of apprentices trained, further restricting the future labor pool.
No, according to Lydia Malin: population aging will increase demand for hearing aids, eyeglasses, and orthopedic devices. Rural regions will be most affected, experiencing longer wait times and limited access to care.