Historically Germany has been a world champion of the rights of workers related to their health. In 1883 Otto von Bismarck, chancellor of the German empire, set up the world’s first statutory health-insurance system with the Health Insurance Act, which included paid sick leave. Bismarck’s Krankenversicherungsgesetz was not motivated by concern for workers’ welfare so much as a strategy to beat socialists at their own game. Yet it laid the foundations of Germany’s welfare state and was followed by laws on accident and disability insurance.
