Christa Altenstetter is with the Graduate Center and Queens College, City University of New York, NY.
Correspondence: Requests for reprints should be sent to Christa Altenstetter, PhD, 365 Fifth Ave, New York, NY 10016-4039 (e-mail: caltenstetter{at}gc.cuny.edu).
German Statutory Health Insurance (national health insurance)has remained relatively intact over the past century, even inthe face of governmental change and recent reforms.
The overall story of German national health insurance is oneof political compromise and successful implementation of communitarianvalues.
Several key lessons from the German experience can be appliedto the American health care system.
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