Germany has a city medicine with “decentralized” management and “co-managed” with health professionals. Germany is number two in terms of health spending, just ahead of France (12.1%) and behind the United States (16.6%) Almost all French people are covered by compulsory health insurance, compared to 87% of Germans who can, above a certain level of income, leave it for private insurance.
The German hospital system appears “less efficient” than in France, but the organization of city medicine “seems to provide lessons”