What Germany’s Coal Miners Can Teach America About Medical Debt

Two hands reach up to a heart with a medical cross inside it

From Noam N. Levey / KFF Health News: Germany, like the U.S., has a largely private healthcare system that relies on private doctors and private insurers. Like Americans, many Germans enroll in a health plan through work, splitting the cost with their employer. But Germany strictly limits how much patients have to pay out of their own pockets for a trip to the doctor, the hospital, or the pharmacy, making medical debt practically nonexistent.

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Anita Chandra (she/her) is vice president and director of RAND Social and Economic Well-Being and a senior policy researcher at RAND. The division that she leads covers a range of topics at the intersection of social and economic policy and...

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