So you don't get any say in which doctor you go to? What about things the public health system doesn't pay for, are they not being done at all? Germany has a r

So you don't get any say in which doctor you go to? What about things the public health system doesn't pay for, are they not being done at all? Germany has a rule for public insurance where you need a referral to specialists from your general physician (but that's not the case for the ~10% that are privately insured), but you can freely choose that doctor, your dentist etc. Since the public option doesn't cover a lot of the latest therapies (... not even glasses unless your eyes are very bad!), there's a secondary market where patients pay privately, or have a special private insurance for certain things.