Worth noting that the German system is horrifically inefficient due to being half-privatised and having dozens of layers of bureaucracy doing the exact same thing in dozens of insurance companies.
And it still has holes that people can fall through and end up uncovered. Germany is not a good example for universal healthcare. We’ve basically coasted on “eh, good enough” since Bismarck and only made minor adjustments instead of creating something like a Federal Health Service.
Rats are smart.