How Germany’s Universal Health-Care System Works

How Germany’s Universal Health-Care System Works

Seventy percent of Americans
say the U.S. health-care system is in a state of
crisis or that it has major problems. That’s why we’re hearing a
lot about Medicare for all, including some plans going as far
as banning private health insurance companies altogether. On page eight of the bill, it
says that we will no longer have private insurance as we know it. And that means that one hundred
and forty nine million Americans will no longer be able to
have their current insurance. That’s in four years. I don’t think that’s a bold idea. I think it’s a bad idea. Problem. Senator Sanders, with that damn
bill that you wrote and that Senator Warren backs, is that it
doesn’t trust the American people. I trust you to choose what
makes the most sense for you. Not my way or the highway. One country found a way to
provide universal health care coverage while maintaining a competitive insurance
market that offers citizens more choices: Germany. Here’s
how they did it. In 2017, U.S. health care spending came
to around $10,200 U.S. dollars per capita in Germany. It was a little under $6,000. Overall, Germany spent about 11.2 percent of its GDP on
health care, while the U.S. spent 17.1 percent. Germany manages to cover
100 percent of its population. In the United States, about 8.8 percent of the
population remains uninsured. That comes to about 28 million
people with even more people underinsured. Despite spending less, Germany
has better or comparable health outcomes to
the United States. Studies show that in Germany, there
were fewer deaths that could have been prevented with proper
access to care. In 2013, there were 83 avoidable
deaths out of every 100,000 people in Germany, while the
United States had 112. Life expectancy in Germany is 2.5 years higher than the United States,
and the infant mortality rate is lower in Germany, with 3.3 deaths per 1,000 live births
as opposed to 5.8 deaths in the United States. Additionally, the maternal mortality rate
in the United States is more than 2 times
higher than in Germany. So how does Germany manage to
have better health outcomes while spending nearly half as much
as the United States? Germany is a system that would
look familiar to Americans in that everybody buys health insurance from a
private company and then the doctors and the hospitals and the
labs are almost all private. That’s T.R. Reid, author of the
book “The Healing of America.” He traveled the world exploring different
health care systems and how well they worked. But it works better in
Germany for a couple reasons. One is everybody is covered. Everybody is required
to have insurance. Everybody’s in the system. The insurance companies can’t turn you
down because you had cancer last year or something, they
have to take you. They have to cover you. Everybody has access to the same
treatment and all the doctors. You can go to any doctor without
any limits set by the insurance company. In Germany, health insurance is
mandatory for all citizens and permanent residents. There are two different systems that
residents can turn to for insurance. SHI, which stands for
statutory health insurance and PHI or private health insurance. German citizens are eligible for PHI if
they make more than a roughly 60,000 U.S. dollars per year or if
they are self-employed . Citizens making under that threshold
must pay into S.H.I. S.H.I is made up of a network
of competing, not for profit private health insurance funds known
as sickness funds. In S.H.I., dependents are covered free
of charge and monthly costs are capped around 840
euro per month. Even though S.H.I sickness funds
are not government agencies, many Germans think of them as part of
a public system because of heavy regulation. Keith Tanner helps expats
navigate the German health care system and he considers SHI
sickness funds quasi -public organizations. Basically, they have to
do what they’re told. They they are told by the government
in what range they can charge. They they’re told what health procedures
they can fund and they are told by the government who they
can accept as clients so they’re really just carrying out orders. They’re basically charities. They don’t exist to make a
profit for investors like American health insurance companies. They’re there
to keep people healthy. That’s what they’re there for. They follow all sorts of
rules that American insurance companies wouldn’t dream of. This system is funded through
compulsory contributions based on a percentage of citizens’ salaries with
employers sharing the costs. There are also built
in safety nets. The government will pay into S.H.I. on behalf of the
long term unemployed. Despite being non-profit organizations,
sickness funds compete for customers by offering specific
coverage and perks. This competition has changed over the
years as the system has allowed citizens more choice. As of 2019, there are about
100 statutory health insurance companies, but there used to be many more. When Germany’s system was first
established in the late 1800s, sickness funds were linked
to a person’s profession. It used to be that people were
assigned to a specific sickness fund based on their
occupation or region. Now Germans can choose where they enroll
and they can change funds on a yearly basis. As a result, sickness funds begin
marketing themselves in order to retain customers and
attract new ones. This also led to the funds
merging so they could become more competitive. Some of the sickness funds
offer perks that might seem similar to credit card rewards. You still can get a bonus for going
to the gym and a bonus having a checkup. This is in
the public system. And if you get a certain number
of bonus points, then you get a voucher. But kind of trivial stuff like
200 euros a year or something like that. 200 euros a year. Nothing which is particularly relevant
to the person who’s paying their 840 a month. As of 2017, roughly 87 percent
of Germans receive their primary coverage through S.H.I. and 11 percent of
the population through P.H.I. The remaining population, such as
soldiers, police officers and refugees receive health insurance
through specific government programs. All individuals
insured through P.H.I. pay a risk related premium with
separate premiums for each dependent. These risk based premiums mean that
costs will increase as the insured gets older. As a
result, the government regulates P.H.I. so people don’t become overburdened
by premiums as they age. The biggest issue with private health insurance
if you opt out of a public system is affordability
in old age. If you don’t impose these financial
constraints on insurers, then the government will be lumbered about a whole
lot of old people who reach 85, 90, 95. It’s gonna be totally able to
pay for their health insurance, so it’ll all fall back
on the government. Once someone switches to P.H.I., they can not switch back to S.H.I. in the future. But Tanner says
there are ways around that. If you’re a freelancer in the private
system, you just can’t get a job paying less than the threshold. Any employee earning under about 5000
euro a month is required to have public. If they own more than
that, they can opt out. So if you are a freelancer, you
want to go back into the public system for some reason. Then you’ll get a part time job with
a friend, pays you 500 a month for a few months, and then
you react in the public system. So there are ways to do it. The
only reason you probably want to do that, though, is if you have
lots of children, because children can be covered free in the public system,
in the private system, have to pay separately for each child. Germans can also buy supplemental
private insurance while staying in S.H.I.. For example, many Germans
buy supplemental dental insurance. The public system pays like for
major dental work, about half the cost and then you get supplementary to
take it up to 80, 90 percent of the cost. Germany’s system is not perfect. With so many different insurance
companies, there’s a lot of bureaucracy that contributes
to costs. One of the financial things thinking
it’s a big system administered by more than 100 organizations is
called krankenkassen, each of those has a head office and a president
and vice president and a financial officer, a whole lot
of unnecessary bureaucracy. This may be one of the reasons that
the German system is not as cost effective as other
European countries. More than 30 percent of both
Germans and Americans felt bureaucracy was a major issue
in their country’s system. Wait times can also be an
issue for people in S.H.I. Thirty seven percent of Germans cite wait
times as one of the biggest problems within their system, while 22
percent of Americans feel the same. Generally I think people are quite
happy with the public system. It works reasonably well. The major issue in big cities
— I’m in Berlin, Munich, Düsseldorf, Hamburg. It can take quite a while
to get an appointment with a specialist. It is the case that
the doctors prefer private patients because they own up to three times
more if they see a private patient. So what can the United States
learn from the German system? Germany has managed to balance
cost controls and universal coverage while also maintaining competition. And Germans generally
like their system. In one survey, not a single German
said they had to wait more than four months for an elective surgery,
while four percent of Americans said that they had to wait that
long for the same kinds of procedures. And only 7 percent of
Germans said they experienced a barrier to care because of cost in
the past year compared to 33 percent of Americans. Those citizens really like it. They like the fact
that everybody is covered. They like the fact that
the costs are totally predictable. You know what it’s going to cost
you and how much your insurance company is going to pay you before
you walk in, unlike the United States. They think it’s normal that
the insurance company pays every claim. They can’t believe that insurance
company might deny a claim. And they think it’s normal that
they get to choose the doctor. They don’t understand America, where
the insurance company says we won’t cover a doctor Jones. You have to go
to Dr. Smith instead. So the main thing I learned in going
around the world is you have to make the commitment to provide
health care for everybody. That’s the destination. It turns out there are many
different routes to that destination. I found, you know, the Canadian
model, the French model, the British model, the German model. They all get to this goal
in different ways and different models. So I don’t care what the model is. I think it’s important that you
make the commitment to cover everybody. And this is something
the world’s richest country has never done.

Daniel Yohans

100 thoughts on “How Germany’s Universal Health-Care System Works

  1. Eric Burton says:

    Basically what the U.S. companies and republicans are saying to the American people is if you have no money and can’t afford healthcare insurance, then just die quietly.

  2. Dan Underwood says:

    Pete and Amy are pushing for “insurance choice” because they are bought by the insurance industries and they know that keeping it privatized will bankrupt and deaden any kind of universal coverage. Go home republicans. Only Bernie is the one we’ll vote for

  3. Knalltüte duh says:

    But we germans are against the system of privatization of hospitals and we have a problem with covering rural areas. Also the coverage of citizens is defenetly not 100% but close. It's not perfect but it's pretty good. I think the most important part is that if you are employed than your employer pays like the half of the costs for the insurance. The system goes back to Bismarck who implemented the first version of health insurance and a work accident coverage.

    bismarck social insurance

  4. UranusRising says:

    I see you, CNBC. Clearly, your propaganda machine is working.

  5. Thalia's Muse says:

    As much as I appreciate the benefits of the German health care system especially the coverage of necessairy treatments there are also lots of non necessairy treatments, surgeries etc being done because they are being profitable to hospitals. Hospitals are getting more money if they are making more surgeries. Even if they aren't necessairy. So it occurs for example that patients are being told "You need your kneecap fixed" even though there is no issue but just because there are a few kneecap surgeries missing on the hospital's list for getting more money. Also, doctors get a financial reward from public insurances when they make a certain diagnosis. Public insurances are getting more money from the state when they have more clients with certain diseases (f.e. depression, autoimmune diseases, etc). So… if you really got a severe disease: Germany will not let you down. If you are healthy: it might be that German doctors might treat you until you're not.

  6. Timothy K says:

    Our system would be better without private insurance though.

  7. Martin Müller says:

    I would not change the German health care system for anything. No worries, when you get sick and they insurance companies even pay part of your salary when you have a long term illness and cannot work. So, in general a very good system and I am sure I can speak for most of my German compatriots that we are happy with the way it works.

  8. Aaron E says:

    I just want to call out some of the statistics used in the video. The infant mortality rate and maternal death rate have absolutely no correlation with health insurance. The reason these numbers are so high is due to the way child birth is practiced by doctors in America. If American doctors would stop intervening with pitocin, which then leads to C-sections, both of these death rates would drop dramatically. The use of midwives and natural delivery are much higher in Germany which leads to the decreased death rates.

  9. Lon Brooklyn says:

    Its a shame US has to spend so much more on healthcare compared to other nations and get relatively worse outcome (on average).Thank your monolithic powerful for profit insurance companies that Republicans nurture and Big Pharma!

  10. no name says:

    Germany doesn't offer quality health care- can't pay for something that costs more than 100 times more than you earn. Like Canada free health care means ZERO health care – you'll get sicker seeing a Canadian doctor than not seeing any doctor at all. Germany hasn't solved health care problems, they are just lying about health care

  11. Lorenzo says:

    What the American system needs to learn is that TO MAKE MONEY CANNOT BE THE MAIN ISSUE IN LIFE

  12. don't Care says:

    America is only 75 years behind.
    We have the best propagandists.

  13. Marius B says:

    You are missing one point: PHI is the only possible way for german state employees (Beamte) to be insured.

  14. Noobster says:

    The German health care system was introduced by the monarchist party during the german Empire…let that sink in for a moment….Propably some of the political right wing parties got together with the left and created this healthcare system as a compromise. That is how democracy is supposed to work.
    And by the way not even the nazis, the definition of right wing themself, wanted to change the healthcare system in general. They excluded certain groups from it, but the basic system remained the same.
    Then you look at US-politicians calling a german styled healthcare system is based on communism…

  15. tyqwan pettty says:

    Been saying this for years

  16. Kendrick Jacocks says:

    I didn't say I didn't buy health care, I said I wasn't allowed to use it — hence my citizen rights are discarded – no need to haze me still. I was forced to buy it again today on a credit card.

  17. fjellyo32 says:

    The USA society is just way too egoistic! And I very much fear that European society is getting more and more egoistic aswell.

  18. Mike Fernandez says:

    So it sounds like a Medical Free Market, which the US doesnt have. If we had a free market companies would compete with each other bringing ALL COSTS down in every aspect of Medical care. This is why OBAMACare DOESNT AND NEVER WILL WORK.

  19. Tamuno-Opubo Cookey-Gam says:

    Frankly, I think this is Bernie's realistic goal. However, he cannot start the negotiations from this position. He has to be a credible threat to the entire private industry so that they'll be very happy to stay in the game with a system like Germany's healthcare system.

  20. Julian Deschler says:

    You should also consider to adapt your gun laws to ours ( I am German ).

  21. Courtney Dowell says:

    Amazed but not surprised that they are trying to frame this as an attack on Bernie Sanders just because he’s standing up to the insurance industry

  22. intimissimi88 says:

    this health care system wont exist much longer thanks to the invasion of million migrants who dont give but only take.

  23. Fridolin Freundlich says:

    Greetings from germany. One thing is for sure, there are issues with our health care system, but it is not the system by itself that is the problem. Everyone is forced to join in, it costs quite a bit, still, this system is so good that i literally have never met anyone who did not like it. What people are talking about are adjustments, never a replacement or some different system. Hospitals are competing with each others, too few doctors overall, low wages for certain jobs in the health care sector, those are some of the problems.
    But you dont think about money when you have basic health issues, i don't think about my insurance. I have some skin issue since a while, i just went from doctor to doctor to hear different opinions, i think i have visited 5 or 6 so far and not a single time did i even think about that these things cost money, nor did i have any conversation with my insurance company about the doctors i visited, i just went there. Insurance companies dont cause any problems when you want to go to a doctor, they actually give you boni. Dental health is a problem, the insurance just covers basics, if you have a missing tooth the insurance wont pay for an implant unless it is the only solution, you usually just get a bridge or the money for it, if you want something better, you have to pay the difference by yourself. But if you go to the dentist at least once a year and make sure your teeth are taken care of, you get additional money in case you ever need a replacement, so the insurance actually urges you to go to doctors.

    It's sad that in america health care is just another business. I think it should be more than that.

  24. Yvonne Phillips says:

    Germany also allows new drugs to be used without proper testing. This results in terrible side effects and then the drug is finally taken off the list of available prescriptions. Life expectancy is higher because they don't have so many murders. They deal properly with their criminals. You don't get to see a doctor when you want to in countries with social government medical system. You see and RN and only after your condition worsens do are you put on a waiting list to see a doctor. There is a huge, horrible shortage of doctors. Why go through all the education, training and sacrifice to get paid so little. Talk to some europeans who have left their country and come to the USA. You get what you pay for. Even Putin said that socialism never works. Stop listening to people who tell you that you can get something for nothing. This isn't the world of Star Trek where people work for the satisfaction and pride. Only in television.

  25. Poop Brain says:

    Germany is also more capitalistic than the US.

  26. Stefan Gernert says:

    I am german. 15.1 percent of my salary goes to public health care. And there is nothing i can do about it

  27. ImperialLion says:

    Pay for your own healthcare. I don’t want to pay for anyone’s healthcare.

  28. guilrito says:

    Please help us Americans!!!!!

  29. qwert berd says:

    I'm from germany. Our health care system is good. Bernies system is so much superior that we will look like the US now when he gets elected. Bernie knows what he dose and when he doesn't he listens to experts. In my opinion he is by far the best candidate. UK has a Sanders. I'm still looking for a Sanders in german.

  30. Shikhar Srivastava says:

    For serious illness it's true but sometimes German system can also be broken. Dental care in Germany is terrible.
    I had two simple fillings last year and the doctor charged me 990 Euros! The insurance paid only half of that.

  31. Trolliverpust says:

    So how much stock footage do you want in your health-care video?
    CNBC: Yes.

  32. Roberto Hernández says:

    Spanisch Healthsystem is way more better

  33. Good old Blighty says:

    Most Americans are getting ripped of on their health care system

  34. Steffen Rosmus says:

    One mayor problem of the health care in the US is, that some of the mayor hospitals belong to the pension fonds of the pD, so you pay them twice and the pension funds also own shares of the kare pharmaceutical companies so you pay them in triple

  35. Djed Vartanes says:

    Germany's system is ok, but there are problems. The government regulates which treatments fall under insurance and which do not. Dental does not, neither do glasses. Insurance companies don't cover that if they do not choose to willingly. Many insurance companies do cover pseudo-medicine like homeopathy and other unnecessary stuff. Also there are problems with the absurdly high costs of medical equipment like walking frames. And don't get me started on care. That's a whole other issue, and a different social insurance.

  36. Hedning1390 says:

    "Compulsory contributions"? Anything to avoid the t-word?

  37. Max Schmidt says:

    There is another very important factor to mention: Suing!
    Of course, mistakes can happen and will happen eventually. But you will NOT get millions out of those mistakes. Maybe a couple thousands, if its a very big mistake maybe even close to 100k but that is extremely rare. Therefore, doctors and hospitals have to spent WAY LESS in insurance companies. Therefore, treatments are WAY cheaper than in USA.

    Oh, and the reason why the mortality rate is lower in Germany is because we don't own f*cking guns!

  38. Frozen Harlequin says:

    One of the main problems in German healthcare is hospitals being privatised. That results in many hospitals caring more about their bottom lines than the well-being of their patients and forces doctors to worry about money when they should be worried about finding the best treatment for their patient. There are cases where hospitals have performed unnecessary invasive surgery because it made them more money than a non-invasive treatment would have.

  39. conservativehawk says:

    I needed to see an orthopedic surgeon a couple of months ago. I called on a Monday and was able to see him on Thursday. The reason for my visit was not urgent at all. I just had shoulder bothering me and I was going to a race 4 weeks later. Can I see a specialist so quickly in Germany?

  40. Human NCIC says:

    Americans- 70% Of The Americans Believe The US Health Care System Is In A State Of Crisis Or Has Major Problems.
    Asians:- Hold By Beer……..

  41. Ahrimus Ifosil says:

    Yes, i am happy with our healthcare system. I know, its not perfect but i hope it will become better.

  42. Der desen Name nicht genannt werden darf says:

    The German health Care isn't that great. I like the way of Austria more.

  43. Kaspar Maximilian Brand says:


  44. Trevor Oswald says:

    A third of the self empolyed germans have no PHI – they don´t have the money. And it is not easy to get back in SHI.

  45. Alex Hamburg says:

    In 2015 the german chancellor Merkel took in like 1.5 million refugees who will never contribute. Our retirementsytem is already subsidised by german tax payers. now our government goes socialism with retirement age , motherhood (raising kids) a.s.o. Germany is doomed.

  46. Lennart.K Jago says:

    PHI in Germany 🇩🇪 ist usual 90%user by teachers and policeman because there is a kind of rule that says is.Its not a law but….

  47. Bruges Manioracci says:

    Missed the part where the cost of medicine is subsidized by the shi and you pay pennies for that when it is not free.

  48. K C says:

    I guess it's time to move lol 😂 😂😂 😂😂 😂😂 😂

  49. Katrin A. says:

    Another fact, Medical Doctors don’t get that much money like in the US. The bill after leaving the hospital is not that high compared to the US 😉

  50. Danny Aikin says:

    Republicans in America's health care plan : "Don't Get Sick ! If You Do Get Sick, Die Quickly !!"

  51. Peter Schenk says:

    Born and raised in Germany and having lived in the US for 20+ years, it still amazed me how inefficient and hostile to patients the US system is. The key for improvement would be a mandate to force everyone to get insured, eliminate preexisting conditions and limit what insurances can charge as premiums as well as for procedures. Problem is the even the attempt, such as the ACA, is considered socialism or another way of government oppression. The truth is, healthcare costs money but access to it and to treatment & RX should not be a life and death decision or the potential loss of property. Because of the nay Sayers in this country I doubt we'll ever get a system even close to Germany.

  52. Addie Olive says:

    Not alone Germany, vut almost all the European countries have much beter and much cheaper healthcare systems. And they all have simular systems. Americans just have to copy them. But, (just as a lot other institutes in de USA) they refuse to reform their rules because companies wil make less profit. Therefore they lobby and manipulate the people by saying that it are communist or socialist systems. And the people buy this. Besides this, they think that they are better in almost everything, and also with their healthcare system. But in fact America is decades behind Europe with a lot of things, but to arrogant to see that. In Europe they pay much more taxes they say.And yes, we pay some more taxes. But all the things we get back for it cost much less than Americans pay for it. Childcare, healtcare, and so on. Giving birth in Europe for example is free, or almost free. What do Americans pay for this? Calling an ambulance, staying in hospitals, is free. You people get screwed by the big companies and while we in Europe are laughing about you, about your prisonsystrm, your pathetic guncontrol laws you handle it all totally wrong. But, hey, it's your country.

  53. Sammy X says:

    In Germany you pay for shi through your taxes

  54. RachelsSweetie says:

    I don't want choice, I don't want mere coverage, I want health care.

  55. TheShreester says:

    I love your informative short videos but your graphs are awful.
    1:00 Please include sensible labels on BOTH axes.
    This is something we learn to do in school!

  56. Elektrogstanzl says:

    Not one single European will ever understand why Americans are calling a system „freedom“ in which people die because they don’t have the money.
    This is sick!
    Health insurance HAS TO BE public!

  57. Jose Lora says:

    Bernie sanders 2020!!
    Thats it!!
    Because we can do it way better then any one eles

  58. Shana Andrews says:


  59. Mariana Creatza says:

    Well USA should Stopp all wars… And should look for The People from America

  60. Jek Saak says:

    A Republican senator (from Minnesota, if I recall correctly) actually said he doesn't care if people are dying in the streets because they can't afford health care.

    So basically the U.S. health care system is: if you can't afford health care, we'll fire up the crematorium for you. (But you'll have to pay for that, too.)

  61. blubb blubb says:

    minute 3:00 not everything that shines is gold. For sure better than US, but not as nice, as shown. NO, not everyone gets the same treatment. NO, there are people without insurance, NO, there are companies trying to refuse to take or keep you in.

  62. MrEntertainer89 says:

    Here in austria very similar
    +the 5 week paid vacation
    + 2 extra monthly salary per year

  63. tnightwolf says:

    (After all these videos) When you realize, as an European: Well… you know… my country sure isn't perfect, and we (Europe) all will face great challenges in the next decades… but goddam if i would trade it to live in the US!

  64. krzysio53a says:

    There is no perfect solution , but meny European (public or heavily regulated) health systems focus on healing patients or prevent the disease, american commercialize model focus on treatment as long as possible because when they heal you they will loose the business.
    Nothing will change until USA fix that problem

  65. John Altz says:

    Does it matter?? As long as trump is president, the republicans won’t back him and democrats will phuck him and us TRUMP 2020

  66. Terri Katz says:

    It is not clear to me how much premiums germans pay per month. Does the video say Germans pay as a premium 840 Euros per person per month in the SHI, the public insurance system?

  67. BIBCRAFT says:

    As a German citizen, I can say that not everything is perfect in Germany either. Privately insured, have partial advantages, with dates or the speed of a treatment. This is simply because a doctor who sometimes gets the money faster or even more.

  68. L.L S. says:

    All this happens in Germany is because it is not a country of 50 federated states with their own government and judicial systems, be one federal government run from judiciary to fire department.

  69. Buck I Fan says:

    Confused about what the 850 a month was. Is that what Germans were paying a month for health insurance?

  70. Devils advocate121 says:

    Ive had firsthand experience of the American Healthcare System. Long live the NHS!

  71. compuholic82 says:

    I really like our SHI system. I even think it would be even better to remove the PHI option completely. I would qualify for PHI, yet I wouldn't dream of enrolling in it even though the premiums generally are higher with SHI for people who earn well (premiums are based on your income).
    Here is the scam: PHI companies try to lure you in with the promise of lower premiums: And that is true as long as you are young and don't have a family. But if you get older the premiums go up. If you start a family your spouse and your kids have to be insured separately (In SHI your family is always covered as well). And it's hard to change back then (as it should be). If you chose not to contribute to society why should society pick up your tab?

  72. James Boland says:

    Ban insurance company lobbying?

  73. Felix Midas says:

    Pretty accurate description of the German health care system. Unlike it says here though if you're in the state-observed part of the system you cannot pick absolutely every doctor since some doctors only take on private patients or people who pay for themselves.

  74. DerJames87 says:

    There is a trick of old white men in the US, if something is against their interest: They say, it's "Communism". And as mass media controled the most people are, they believe it and are afraid.

  75. Dolce Va Naaz says:

    Is this a Butigige ad? I think this was suppose to be an alternative to Medicare for All. By the end of the segment though you can see the flaws in the German system, which they're saying is similar to Medicare for all who want it. I think Medicare for All is superior because it will cover dental and eye exams. And it is an easier system for senior citizens to navigate. And unlike the German system you won't have to buy Supplemental coverage for dental work.

  76. M M says:

    We pay waaay more in the US for far worse results. Thanks Republicans!

  77. Alana Stone says:

    Britain is best in everything.

  78. Alana Stone says:

    NHS in Britain is best of all.

  79. Google User says:

    Pete buttigieg annoys me so much, he’s so inauthentic and doesn’t actually have any policies

  80. Free Smoker's World says:

    that's not correct ! in germany are also many people without health insurance, but the goverment ignores this group of people. and the people who has health insurance often can't pay the additional money for pills, teeth, special medication.

  81. Martin Weihrauch says:

    I am a German physician (oncologist) with also experience in the American system and this video is very accurate. In summary, I really like the German healthcare system, because I had never to put down any patient for being uninsured. The medicine is excellent and especially in a serious area like oncology, all people, no matter if publicly or privately insured, get the best oncology treatment available. This is very fair and social.

    It is true that German publicly insured patients have to wait longer for some procedures, but this is never true for emergencies and I count cancer in as an emergency. Generally, they have to wait longer for an appointment e. g. at an orthopedic or dermatologist, but this is never health-threatening. If you have something serious like heart attack, stroke, cancer, there is absolutely the same quality for different insurances.

  82. Jörg Dähn says:

    T.R. Reid is horribly wrong: nothing is private. Everything is state controlled. And the system is collapsing. I studied there, I worked there as a doctor and I was born there.

  83. Jörg Dähn says:

    And competition is non-existent in SHIs.

  84. Jörg Dähn says:

    This is completely misrepresenting the German system.

  85. Land Lord says:

    Think here in Finland it is same or better. I need to call to work place in case I am sick and during 3 days dont need show doctors paper, and its payed 100%.

  86. Sarah R. says:

    This is so sick. I am so glad I dont’t live in a country where getting sick or losing your job might leave you homeless.

  87. Max Life says:

    As a German, I‘m not able to comprehend how a highly developed country like the US lets their citizens go uninsured. My whole life I have not met one single soul who had to worry about getting the most advanced treatment available. I cant imagine to live in fear of getting sick.

  88. Tiger Tiger says:

    America doesn’t seem to want understand, know or grow..

  89. Henry Lorenz says:

    And this is why we should have no homeless people in germany, but there are still people living on the street begging for money

  90. Manuel García Barbero says:

    It is funny how they presented Spain at the beginning of the statistics, (lower costs per cápita for healthcare), and then took It away in Life expectancy, satisfaction, etc. Way higher than Germany, but following the model of Bernie Sanders.
    I lived and worked un Germany and prefer the spanish model. Less boureaucracy, etc.

  91. Luci151085 says:

    Germany here, two years ago I went to the hospital for pneumonia, had just half of my lung capacity when I went in. Spent 11 days there and got operated twice.
    At the end I had to pay 110 euros, 10 euros per day for catering in the hospital. Imagine this my American friends.

  92. Manfred Schmidt says:

    Believe it or not, but Germany is the better America.

  93. J.C. Kersh says:

    Moral of the story, don't come to the United States for healthcare.

  94. chattenmetchad says:

    Yes it is better that the us healthcare system but, private companies that aren’t allowed to make a profit always find a (criminal) way tot fill their pockets. It certainty is not a perfect system!

  95. thedarksire - Lord of everything. says:

    Naja.. Es ist nicht mehr so perfekt. Das Problem liegt an der Art der Krankheit und dem Geld. Ich bin Arbeitslos geworden und dann wirst du als 2 Klasse Patienten behandelt. Dieser Bericht ist sehr oberflächlich, er zeigt viele Faceten nicht. Wenn du eine Wurzelbehandlung brauchst, und dir diese nicht leisten kannst, dann gibt man sich keine Mühe, wenn ich Zeit habe, mache ich mal ein Right to you Face! BOOM Die Hardcore Wahrheit über das Gesundheitssystem in Deutschland. In Deutschland geht es über 30 Millionen schlecht, doch die Wahrheit wird meisten immer verschwiegen. Leider.

  96. fenderguitargirl says:

    This is so true. I moved to Germany two years ago, I have never been so well taken care of. I can go to whichever doctor I want to, I was in the hospital and I wasn't worried about how am I going to pay for it. The patient is at the first place here.

  97. Amanda Escobar says:

    This German health system will get changed in the next 10 years. Due to ignorant German citizens and politicians , million of immigrants not paying into the health care system. I know, sounds racist, but it's the tendency and logic.
    Germany goes downhill. I've been watching the tendency for years. Germans won't benefit from this generous system any longer… Sooner or later.

  98. Live Music says:

    Education and health should never need to make profit, hospitals and universities shouldn't face market competition. In Austria we have the same system if I would get bad burned I would be flown to a specialized hospital. When a friend was ten years old he broke his leg while being on a mountain, a helicpoter came to pick him up. Hes parents paid no cent for the transport. I studied on a great university (google WU Wien) for only 14€ per semester. And yes therefore I am willing to pay (but I would have no choice) a higher income tax rate (a so called progressive tax system the highest would be 55%) than someone who is only a plumper. So I am giving back to society since they paid for my chance to have a better education. Our streets, highways, railways, bridges etc. are also financed by tax money which leads to a well looked after infrastructure. Some Americans call our system communism, which is wrong. Btw we have 5 weeks of paid holidays and get 14 salaries a year. To me freetime is in this stressfull world one of the most precious belongings. And this should not be seen as USA bashing, I only want to show how other countries you woudln't read about (we are a small "Schnitzel") deal with their health care system.

  99. IN_DEI_XICHT___ says:

    Still americans: "ThAts SoCiALiSm!1!1"

  100. Emil Sørensen says:

    This is why Sanders is the only candidate.
    For one thing, he understands that you can't compromise with American insurance companies before you even start writing the bill.
    For another, he's the one proposing a system that has a chance to out-perform even Germany or Denmark by bringing in dental and mental health.
    It's perfectly fair to argue that we can let private and charitable actors into the system, but in practice, in the US, the huge corporate insurers are a threat to any progress, as Obamacare proved both during Senate deliberations, and through the sabotage that health insurance companies are committing against Obamacare now.

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