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The U.S. could consider several healthcare policy changes inspired by Germany's system, such as adopting a standardized billing system to reduce administrative costs, empowering Medicare to negotiate drug prices for better alignment with value, implementing global budgeting for hospitals to control cost inflation, and expanding value-based care models that prioritize outcomes over volume; however, stakeholder perspectives vary, with healthcare providers showing mixed reactions, insurers likely opposing changes that diminish their control and profits, and patients generally supportive of lower costs but concerned about potential restrictions on provider networks and care rationing, making it clear that while the U.S. can learn from Germany's efficient approach, any reforms must navigate complex political and cultural challenges for successful implementation.