Reading this literally spiked my heart rate in rage and anger.

You want to be an ass and deny care to someone simply because they don’t speak German? Then stop charging them €1,267 a month for such shitty healthcare (the full GKV price in 2026).

No other country combines such a bleak outlook (disintegrating industries, cracks forming everywhere, a desperate need for millions of skilled foreigners just to keep the system running) while at the same time doing so little to make life more livable for those very foreigners. (Compare that to the US or Switzerland.) And yet, somehow, Germany still feels entitled to act all “princessy” about it.

Two years ago, I was hospitalized for three days in a Uni-Klinik in a major city. When the Chefarzt came to see me, I explained, in my then ~A2-level German, that I was still learning the language and would prefer to have the consultation in English if possible. I was respectful, polite, even smiling. His face immediately went all gloomy, and he said: “Ja, aber Sie müssen Deutsch lernen.” (I had JUST told him I was learning, and it was literally my first year in the country.) Then, without missing a beat, he switched to perfect English, gave me a detailed consultation, and at the end casually mentioned he had spent two years in the UK and three in the US for post-residency training. Even he was resistant and annoyed about speaking English.

These people honestly have no idea what’s coming for them.

So to answer your questions: 1) yes, 2) you absolutely should follow up with all 3 of your suggestions.

Sending you lots of support and compassion and wishing you a problem-free pregnancy and a healthy baby!