In 2002 the top diagnosis for male patients released from the hospital was chronic heart disease, followed by alcohol-related disorders and hernias. For women, the top diagnoses related to pregnancies, breast cancer, and heart weakness. At the end of 2004, some 44,000 Germans, or less than 0.1 percent of the population, were infected with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS). In the first half of 2005, German health authorities registered 1,164 new infections; about 60 percent of the cases involved homosexual men. Since the beginning of the HIV/AIDS epidemic, about 24,000 Germans have died from the disease. Widespread smoking also has a deleterious impact on health. According to a 2003 survey, 37 percent of adult males and 28 percent of adult females in Germany are smokers.
Welfare: Three non-health-related social benefits are pension insurance, unemployment insurance, and social assistance. Each of these long-entrenched and very generous benefits has been pared back modestly under the Agenda 2010 reform program, which takes into account Germany’s aging population and stubbornly high unemployment. New policies introduced in 2005 under a related initiative known as Hartz IV limit unemployment payments to 12 months in most cases. Those more than 55 years of age may receive support for 18 months. The unemployed face pressure to accept job opportunities presented to them. In 2003 the average pension in western Germany was US$1,188 for men and US$780 per month for women. In eastern Germany, the average pension was US$1,248 for men and US$1,005 for women. The current payroll deduction for pensions is 19.5 percent. This deduction is expected to rise, but it is capped at 20 percent until 2020 and 22 percent until 2030. The standard retirement age is 65, and early retirements are discouraged. Monetary and material social assistance is available for those who cannot support themselves. At the end of 2001, 2.7 million Germans received such assistance.