section_path: Demographics/Health
section_name: Health
paragraph_text: Health
  
  Germany's system of hospitals, called Krankenhäuser, dates from medieval times, and today, Germany has the world's oldest universal health care system, dating from Bismarck's social legislation of the 1880s. Since the 1880s, reforms and provisions have ensured a balanced health care system. The population is covered by a health insurance plan provided by statute, with criteria allowing some groups to opt for a private health insurance contract. According to the World Health Organization (WHO), Germany's health care system was 77% government-funded and 23% privately funded as of 2013. In 2014, Germany spent 11.3% of its GDP on health care.
  
  Germany ranked 21st in the world in 2019 in life expectancy with 78.7 years for men and 84.8 years for women according to the WHO, and it had a very low infant mortality rate (4 per 1,000 live births). In 2019, the principal cause of death was cardiovascular disease, at 37%. Obesity in Germany has been increasingly cited as a major health issue. A 2014 study showed that 52 per cent of the adult German population was overweight or obese.