August 11, 1997

The German Health System: Lessons for Reform in the United States-Reply

Author Affiliations

Tacoma, Wash

Arch Intern Med. 1997;157(15):1774. doi:10.1001/archinte.1997.00440360219034

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My interest in the German health system sprang from experiences I had as a military physician in Germany from 1991 to 1994. As any first-time visitor to another country will report, I was surprised to find just how different things were from back home. Writing about Germany in particular was difficult because the system itself is in the throes of marked changes. I greatly appreciate Knuth and colleagues' update on how the system is currently structured, more recent figures on a number of parameters of their system, and clarification on several points from people who understand the system better than an auslander ever could.

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