When it comes to healthcare in Germany, the government's role is to make healthcare mandatory for all citizens and residents. According to the Common Wealth Fund, insurance is administered by private, nonprofit insurers and non-governmental health funds, known as “sickness funds.” Not for profit, it works closely with private insurers to achieve governments' common goal of a quality, cost-effective system. Germany has two health insurance systems. One is a compulsory health insurance (SHI) system. The other is private health insurance (PHI). With the IUS, employed citizens who earn less than 55,000 EURO per year are automatically covered (common wealth). The SHI covers numerous medical services, from prevention to hospital care and other fields of care. PHI is on the opposite spectrum of SHI. High-income earners are offered contracts with a wider variety of services and lower premiums. To guarantee healthcare for everyone, there is no such thing as free healthcare. “As of 2015, the
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