It is imperative for all citizens to have medical insurance in Germany. They purchase these from non-profit funds. Of these 200 plans available, no entity is allowed to deny a citizen of coverage, even for pre-existing conditions. To afford this kind of health care, Germans dedicate 8% of their salaries into a sickness fund and their employers consequently match it.
Public assistance is available for those who can’t afford it. Children, however, are covered by taxpayers’ fund. Disease management programs have been made successful in Germany as well. They found that when doctors or nurses follow up on patients through counseling, rates of prevalent diseases such as heart defects and diabetes substantially decrease. However, German doctors feel that they are somewhat underpaid because instead of charging per test or per appointment, they are provided with quarterly budgets that are determined by the average number of patients they see.