List of figures and tables ix Acknowledgements xi German 15 46,249 8 h 30 min Indian 18 73,704 11 h 15 min Japanese 15 38,760 10 h Physicians/ Dentists 17 55,496 9 h 50 min TOTAL 65 214,209 'I really dislike insurance . . . I don't know how the concept works': the culture of health insuranceI think it says a lot about the health care system here, that they say you have to shop for an insurance . . . I think the biggest difference for me is, I experience, I experience . . . the US health care to be a privilege where in Germany it is a right, it is a human right. And I think that shows, that shows in the system, and also it shows in the way language is used, like shopping for insurances, and also shows in the price.(Christine, German female, Green Card holder, in the US since 2015)In India, it's not to say that it's all clean and all good. But accessibility, access to medicine, access to doctors, is much better, much easier.There is a lot of human component, less procedural . . . And the major difference I feel here . . . I think they make you take test over test over test . . . Excessive force, they would prescribe stronger doses, stronger medicines and then, if it is anything slightly more, not complex, something they can't cure with pill bomb, then they test, test, test, test. And in the end it is either antibiotics or surgery. And I have seen that over and over.(Chetan, Indian male, G4 visa, in the US since 2013) seeing the doctor here, if the kind of disease is kind of small, you know, like a regular flu or regular cold, then I think I will try to, you know, ahmm, lying on the bed . . . But if I were in Japan and had the same disease, I am 100 per cent certain that I would see the doctor . . . I think this is probably because of the kind of fear of the cost. And fear . . . of the communication . . . actually prevents me from you know, going to see a doctor.(Hitoshi, Japanese male, J1 visa, in the US since 2014)think for me it has been really useful to have a physician in India I could always check back with . . . to have a personal physician I could call and say, you know, 'I am having this really bad throat'. I wouldn't go to the physician here, if I had to, if I just had a cold or cough or anything like that. If it is something, I guess if it is something that is more serious, more chronic I wouldn't go to a doctor here . . . in India, I would definitely go and check, because like I said, it is just like getting a cup of coffee. (Alia, Indian female, J2 visa, in the US since 2016)