Hospitals in the US are also non-profits. Many insurers used to be as well. The difference really is in who negotiates. In the US, it is usually individuals or

Hospitals in the US are also non-profits. Many insurers used to be as well. The difference really is in who negotiates. In the US, it is usually individuals organizations or companies - in Germany it is mostly the state, though people still have choice. It's not administrated by the state, though - it's administrated through public/private partnership. Personally, I think it's a great system, and I wish the US would have implemented a version of it more successfully.