Germany is public-private healthcare insurance driven healthcare model compared to the pure play private insurance or out-of-pocket driven healthcare model in the US and other poor countries. Germany has statutory public insurance while the examples I’m quoting including the US don’t have any such. For a private driven healthcare system, it’s strange there are no smaller, cheaper and nimble competitors.
the US is not a poor country, it is an astonishingly rich country whose elites want poor (and working-class more generally) people insecure so as to maximize the degree to which they can be exploited via economic coercion.
Of course the US is not a poor country. Sorry if my sentence structure meant that way. The US is in a special cohort when it comes to healthcare where rest in the group are all developing or under developed countries.
It’s the same in Germany, so I’m not sure that actually is what makes things different.