It’s a republic. There’s a meaningful difference.
One name is about the act of governing and the other is about the property of the governing body.
Rank 6 on the Economic Freedom index https://www.fraserinstitute.org/economic-freedom/map?geozone...
Rank 17 on the Human Freedom index https://www.fraserinstitute.org/sites/default/files/human-fr...
Rank 45 on the Press Freedom Index https://en.wikipedia.org/wiki/Press_Freedom_Index
Rank 10 on the World Index of Moral Freedom http://www.fundalib.org/wp-content/uploads/2018/07/World-Ind...
Rank 53 in the Freedom of the World index https://freedomhouse.org/report/freedom-world-2018-table-cou...
Rank 12 in the Index of Economic Freedom https://www.heritage.org/index/ranking/
That is not a bad score overall, but is a far cry from an unchallenged "we are the most free".
Germany also has some of the most draconian anti-free speech laws of all first world nations, so I really don't think they're a good example to use as a pillar of freedom.
I know I am exaggerating and misrepresenting a lot of people with this characterization.
To me the solution seems obvious: you don't need private companies to do the job of the government. You need a less corrupt government, capable of doing its job. With the middlemen you just move the corruption around.
I don't know much about the German healthcare system but it's quite possible that you also don't have as many choices for healthcare as in the US due to increased governmental regulation.
I'd also add that healthcare is one of the least free aspects of US culture especially post-ACA. We are now mandated to have insurance, even if we don't want it.
You have strictly more choices. In the USA, chances are you cant afford healthcare and have none.
> Don't feel sorry, we are fine.