And they probably even spoke English with him.
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Of course they did. An US-american speaking any language but their version of English fluently is quite rare, if you don't count the latinos
Hey I love Germany and its healthcare system but I don't think it works like that.
If you're a foreigner in Germany you still get charged. They have a mandatory but still opt-in health insurance system.
I was living in Germany in the '80s. My mom, a civilian US citizen, had to get a hysterectomy. She chose to go to a German hospital (as opposed to the US Military hospital) and just pay whatever it cost. She mentioned the other day she doesn't think they ever sent her a bill.