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Historical overview:
Germany has the world's oldest national social health insurance system,[10] with origins dating back to Otto von Bismarck's social legislation, which included the Health Insurance Bill of 1883, Accident Insurance Bill of 1884, and Old Age and Disability Insurance Bill of 1889.
Bismarck stressed the importance of three key principles: solidarity (the government is responsible for ensuring access by those who need it), subsidiarity (policies are implemented with the smallest political and administrative influence), and corporatism (the government representative bodies in health care professions set out procedures they deem feasible).[11] Mandatory health insurance originally applied only to low-income workers and certain government employees, but has gradually expanded to cover the great majority of the population.