well, Germany requires you spend 15% of your salary for healthcare coverage, so yes, you do. How do you think it gets paid for, anyway? My quick Google search yields that this is also how France and the Netherlands do it. UK Spain and Italy fund out of general taxation so it's income, VAT and corporate taxes.Also, from Google: Social Health Insurance Contributions: In countries with Bismarck-style insurance models, the combined employee/employer contribution rate usually ranges from \(10\%\) to \(15\%\) of gross income. The employee's share typically falls between \(7\%\) and \(8\%\) of their pay.General Income Tax: In tax-funded systems, the portion of your total income tax bill that goes to the health ministry is embedded in the overall tax bracket system. These general income tax rates can range from \(10\%\) in lower-taxed Eastern European countries to upwards of \(40\%\) to \(50\%\) in high-tax Northern and Western European nations.