Bureaucratic it can be at times. Public healthcare though is very different from social support. Public healthcare is really simple compared to anything I've seen abroad, you sign up once and that's it. You only need to contact your (public) health care provider if your address changes or you marry, have children etc. At the doctor you present your health care ID, you usually don't have any interaction with your health care provider aside from that. Your monthly payment is automatically deducted from your salary (50%)/paid by your employer(50%).
There are many edge cases which _do_ get more complicated, as (public) health insurance premiums depend on your reported salary. Let's say you have different income streams from different countries, have to pay alimony but also support your parent financially.
> At the doctor you present your health care ID, you usually don't have any interaction with your health care provider aside from that.
Well, one thing. When your doctor writes you off sick, you get three copies of the sick note: One is for you, one is for your employer, and one is for your insurer. You get all three copies (they're carbon copies of the same form), so you have to mail the latter two. (The version for the employer has all the medical details blanked out.)
There are many edge cases which _do_ get more complicated, as (public) health insurance premiums depend on your reported salary. Let's say you have different income streams from different countries, have to pay alimony but also support your parent financially.