The American Gesundheitssystem (healthcare system) is incomparable with systems used across Europe. Every US-Bürger (US citizen) is responsible for his own health insurance protection.
In general the die Beiträge (contributions) for private Krankenversicherung (health insurance) is very high. Only large companies can negotiate a group discount for their employees. Many small organisations would not be able to achieve this. This is the reason why most Arbeitnehmer (employees) in the US are under insured or not insured at all. More specifically, there are around 40 Million US citizens that are under insured and almost the same again that have no insurance.
Only the poorest of the poor, that have virtually no Einkommen (income), will receive help from the government in medical Notfällen (emergencies).
The American healthcare system is by far the most expensive in the World. However the Lebenserwartung (life expectancy) of Americans is lower than that of Europeans. It is no wonder that an over proportional amount of people in America die due to diseases like Pneumonia as they cannot afford the Behandlung (treatment). Hopefully in the near future Barack Obama will be able to change this situation.
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