US consumers also have high standards for healthcare.

I interact with a lot of engineers moving from Europe and US and it’s never how US politics portray it. German friends talk about paying for private insurance because the public one is so bad.

How do you define good/bad? People mostly seem to talk about wait time for socialized health care, but where we live in US there's plenty of specialists that you gotta book months ahead of time. When my mom needed a pacemaker it was a 4 month process. My wife's OBGYN is booked a year out - god help you if you miss an appointment. Anyone working in pediatrics look like zombies.

Urgent care clinics have been big in our region. The primary system is obviously overloaded, and 2 of these have popped up in the last 3 years. It's more expensive per visit than our primary physician, but cheaper than an ER visit, which could easily take half a day anyways.

Complaining about the service quality for public health insurance customers in Germany is pretty much the definition of "first world problem" though. FWIW I never switched over to private insurance even though my income would allow it, also once you get above a certain age you can't switch back and that's when the private insurers really start to rip you off ;)