My wife is German born and all her family lives in Germany. Her sister manages a doctor's office. In Germany, not sure of the other European countries, if you work you are required to purchase health insurance. There are different levels of coverage you can sign up for but the higher the level of coverage the higher the premium. The cost for the insurance is not cheap. There is "free" medical care for the indigent or incapacitated, something similar to our Medicaid, but if you work there is no free medical care.
My brother-in-law's income is taxed at 50%. Half of everything he earns is taken by the government. At the end of the tax year he has to file an income tax return and pays even more money. No he is not a millionaire or even close. There is a 20% value added tax on everything you purchase. Gasoline is around $6.00 a gallon. After all the taxes he pays he still doesn't have free medical. It's amazing how some people believe that grass is always greener on the other side of the fence.
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