[thomascarney]

We have get healthcare, disability pensions, pensions and care via insurance in Germany. They aren't provided via government budgets.

If you earn enough or you are self employed, you can in some case opt out of the public insurances, and get private insurance.

[tfourb]

Essentially all of these insurances are subsidized by the government and would not function without taxpayer money. Also because the insurance part is in many cases compulsory, not having these programs run on the government budget is mostly an accounting trick. The effect is essentially the same as leveling a tax it is just called differently.

[thomascarney]

In the case of health insurance, AFAIK the subsidies are the government paying on behalf of people who are insured but don't pay in (children, spouses out of the labour market, unemployed - "versicherungsfremde Leistungen") and amounts to about 14 billion out of the 280 billion paid in via employees.

My point is that we don't have "free healthcare" over here in Germany, as Americans often think. We pay in 15% of our income up to the limit into health insurance and we get ok, no-frills healthcare (shared rooms in hospitals, waiting times in big cities to see specialists) relatively equally distributed to the population.

German education systems scores slightly worse than US's system on the 2018 PISA score for what it is worth.