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The second largest insurance company in the US is Anthem (they run the Blue Cross Blue Shield of [state name] insurance companies). Their net income for 2018 according to the SEC filling was $3.750 billion (€3.198 billion). So they spend a good deal of money lobbying to ensure they can continue to make that kind of money.In Germany we pay a total of about 14,8% for the healthcare but it's split up between you and your employer evenly. So you end up paying around 7,4% yourself.

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