I’m an American immigrant in Germany. What I didn’t realize is how fucking cheap everything about healthcare is, not just insurance, but the various other costs. I take (generic) vyvanse, which cost me about a hundred bucks a month, in addition to monthly doctors visits and urine tests, totaling about $200-300 (it was still around $90 a month after hitting the deductible). In Germany, I go to a doctor every other month for free, don’t have to do any testing, and the prescription costs ~16€/month.