you don't need additional coverage in Germany either. but if you dont want to wait for non-emergency procedures, or coverage for elective procedures etc etc, you can buy and source additional services. but you basic and emergency needs are taken care of. interestingly, it is still multi-pool.
its tough to pin down until there is an actual policy proposal. id encourage you too look deeper than the 2 or 3 word catch phrases though at what the actual proposals are. free college is agree is a little silly, but i don't think i've seen all college, free to all, proposed anywhere. some college, for some folks, free, yes.