Tag Archives: differences

Health and Illness in Germany and America

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From unsettled stomachs to stuffy noses to bronchial maladies to stress…here in Germany, there’s a tea, bath liquid or spray for everything that ails you.

‘Tis the season AFTER the season. The one where lights, decorations, cookies, carols and resolutions give way to sniffles, body aches, congestion, fevers and –if you’re really lucky–eruptive digestive tracts with projectile capabilities that not even the most beefed up national defense can hold a candle to (nor would I recommend trying to hold a candle to it, for a variety of reasons).

As folks file back into classrooms and offices, said venues become Ground Zero for long winter months’ worth of the time-honored pass-the-virus game.

Alas, illness is universal, and the United States of Norovirus and “Germ”any are sadly not exempted from the yearly ritual of misery. There are, however–as with so many other aspects of life–several cultural differences in how illness is defined, viewed and treated. Let’s grab our blankets, tissues and hot tea and have a look-see (and please remember to sneeze into the crook of your arm to avoid keyboard contamination)

One difference is at the most fundamental level: the collective ‘tude toward the germ itself. Although Americans are not quite at the point of popularizing everyday use of surgical masks, we sure diddly-do rely on our hand sanitizers. Although many restrooms and medical offices in Germany furnish sanitizer dispensers alongside soap at the sink, common areas of public venues in the States–from supermarkets to hotels to stadiums to office building lobbies–are much more likely to have gel or wipe sanitizing stations.
If you ask every German and American to empty their handbag or pockets (which could be easily misinterpreted, so let’s keep this theoretical), you are likely to see far fewer Purell bottles produced from Germans. It is simply not the go-to accessory like lipstick and a wallet that it seems to be for us Statesiders. The occasional old fashioned hand washing–maybe increased in frequency during the heavy contagion months–suffices for Germans.

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Ha! I did manage to unearth some sample-sized bottles of German hand sanitizer. It DOES exist…just not as abundantly as its U.S. counterparts.

By way of contrast, German sensibilities where microbes are concerned seem to be more attuned to the feet. Here, it is much more common to remove shoes at the front door to avoid tracking in all manner of nasty critters, visible and invisible. This commonly extends to visitors (that they should remove shoes, not that they are nasty critters), with those thoughtful Germans even often having extra sets of “house shoes” (i.e. slippers) for guests. In kindergartens and some elementary schools, it’s off with the “street shoes” and on with the slippers once inside the building.

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I try to play by the rules of a German household by encouraging street shoes–with all their microbes–to stay at the entryway. A bit deceptive about this photo is the implication that I conscientiously follow the second Golden Rule–slippers on…the tiles are cold!

So, suppose that despite the vigilant hand sanitizing and shoe changing, illness has taken hold. What can we expect in terms of treatment and standard procedure?

If we are talking about the onset of cold or flu-ish symptoms, expect a German to throw a warm scarf around the neck, drink herbal tea and rest. A trip to the Apotheker (pharmacist) for a consultation regarding gentle treatment (often plant-based syrup or tablets) may also occur at this point. Sports and exercise go on hold, as does work if symptoms escalate to moderate to severe.

This is not a go-to-work-sick culture; in fact, doing such will earn you frowns instead of accolades. Around this time of year, many employees get “Krankgemeldet” by way of an “Arbeitsunfaehigkeitsbescheinigung” (just saying that word can put you in the hospital). Translation: they obtain a certificate from the doctor verifying illness to officially excuse their absence. This document is required by the employer by the third sick day at the latest and is necessary to trigger salary payment via insurance should an illness extend beyond six weeks (up till that point an employee receives his/her full salary as paid by the company).
At this point, it should be noted that given these modern and business-intense times, German managers increasingly log into the office from home when they are under the weather.

An American with the same cold or flu-ish symptoms is more likely to stumble to the OTC section of Walmart, Walgreen’s  or Walsomethingorother to grab a box of whatever has a long list of unpronounceable ingredients that promises to knock away debilitating symptoms so you can rest and finally get back in the swing of things already.
As far as absence from the workplace is concerned, we Americans are a funny and somewhat contradictory bunch. On the one hand, no one relishes the idea of a highly symptomatic colleague coming in and spreading sick germs (here’s where the sanitizing kicks into high gear). On the other hand, “powering through” one’s illness at work is regarded as a sign of grit and determination. Surely also a crucial factor in this sick-to-work habit is that the United States does not mandate companies to offer sick pay at the federal level; ill employees need to rely on state laws, city ordinances or individual company policy to determine how absence due to illness affects their paycheck. Unpaid sick days are to a certain extent protected under the Family and Medical Leave Act.
All of this to say that grit and stoicism may have something to do with it, but it’s not the whole picture.

And now for some completely random-ish items relating to health that struck me as unique in my early years here in Germany:

-Germans hold much more to weather-temperature-health connection beliefs. For instance, sitting on cold surfaces or failing to wear a long enough winter coat could lead to bad kidneys! Wet hair in the cold is an invitation to a week sick in bed! Bare feet on cold tiles? Where are your house shoes! Also, before moving here, I had no idea how many afflictions could be caused by a small draft.

-I was alarmed by the number of folks here who reported to suffer or to have suffered from “angina” Turns out this is a reference to “angina tonsillaris”, otherwise known to Americans as tonsillitis. No defibrillators necessary.

-A commonly prescribed treatment here in Germany for chronic conditions of varying degrees and types is a “Kur” (resort therapy), which involves an extended stay at a facility that offers healing (or preventative) therapies in locations along the German coast or in mountainous regions that offer fresh air. Stays can last up to six weeks, are often covered by insurance (if sufficiently justified by a physician) and are an acceptable medical excuse for extended work absence. Respiratory ailments, circulatory problems and burnout are common conditions treated by resort therapy.

It is my sincere wish that you make it through the winter season in robust health. As for me, it’s time to put on my warm socks, drink a cup of relaxation tea…and maybe sneak a dollop of hand sanitizer.

If you plan on doing business with Americans, or even just visiting in your private time, you would be well advised to understand the cultural differences to Germany regarding illness, health care and/or basic vocabulary for a productive doctor’s visit. Book an intercultural training or English language course today. Be well!

 

 

German Schools, American Schools: 12 Key Differences

Ah, the hot-button topic of education…and the endless discussions of what is and what should be. The trend out of the States now seems to be lavishing praise on the utopian education system in Finland while throwing fifty shades of shade at the education-trend-of the-minute known as Common Core (I am supposed to capitalize that, right?)
Well, can’t help you there, folks. C.C. arrived on the scene after I left, and I don’t live anywhere near Scandanavia. What I can do is offer a comparison / contrast of school systems in the US and Germany– based on my experiences as a student and later guidance counselor in the former, and as a parent of school children in the latter– on a selected smattering of aspects. No “betters” and “worses”, only differences.

first day of school
First day of first grade (“Einschulung”) means one thing…little peanuts hobbling around with structured backpacks (“Schulranzen”) and a cone full of celebratory goodies (“Schultuete”)

1. Security:
In Germany, there are generally speaking far fewer obstacles to entering a school building. While secondary entrances/exits do tend to be locked, main entrances remain open and unmonitored throughout the day. One time, when my son forgot his mid-morning snack at home, I brought it to him, expecting to hand it over to school personnel for delivery to his classroom. Instead, when I explained to  the secretary why I was there, she told me I should bring it to the classroom myself. Much to my boy’s embarrassment, I did just that. Likewise, I have stopped into my daughter’s school a few times to relay various messages, again with barely a sideways glance from anyone else.
Thanks to the input of various parents of schoolchildren in the US, I have learned that, at a minimum, visitors must be buzzed into the building and announce themselves at the office. More urban schools have metal detectors and security presence. Lockdown drills occur at regular intervals, much like fire drills.

2. Freedom of student movement
Somewhat related to the first point, students at both the elementary and secondary level can visit the loo without bureaucracy in Germany. They are, of course, expected to return promptly and will get in trouble if they don’t, along the lines of having to write a “Strafarbeit” (i.e., “I will not linger in the loo” x 50), or at the secondary level having the infraction reflected in the class participation grade.
Although I cannot speak for how every school handles restroom visits in U.S. schools, I can say I remember being allowed to use the facilities simply with verbal permission in the elementary school. Ironically, the older we got, the more tightly controlled restroom visits were; in junior and senior high there was no roaming the halls–for potty breaks or otherwise–without a signed “pass”

3. Transportation to / from school
No car drop-off and pick-up lines here in Germany; most kids come to school in walking or bike groups. Secondary school kids who are attending a school outside their town of residence rely on normal public transportation (students are not assigned to secondary school according to district, another difference to the US, but man is this post starting to get wordy)

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No school premesis is complete without a generous bike parking lot.

4. Helicopter parenting more discouraged
One major area where schools in Germany appear to be more successful than those in the U.S. is on the topic of handling so-called helicopter parents. When I worked as a school counselor in the States, parents were much more heavily involved in and informed about the details (and frankly, sometimes the minutiae) of their children’s academic endeavors. My experience with my own children here in Germany is that a higher degree of independence from parents is expected from students; starting in the secondary school, parental involvement in schoolwork is explicitly discouraged. This serves the purpose of helping students to develop a more realistic sense of their own abilities.

5. Tougher grading
On a related note, giving kids a realistic sense of their abilities means not doling out “A’s” as frequently as teachers tend to in the States. The grading scale in Germany is 1=A, 2=B, 3=C, etc.; students here are quite happy with 2s and 3s; the top note is truly reserved for work of extraordinary quality.

6. More class cancellations
Something I really have to get used to here is Germany is the routineness of “Kursausfaelle”, or a class canceled for whatever reason on a given day. At the elementary school level, students will be redistributed to other parallel classes, but starting in secondary school, students may well find themselves with extra free time if the canceled class falls at the first or last periods. All mid-day classes will meet with a substitute teacher (who may or may not teach a lesson in the subject matter at hand).
Starting in grade 11, students may leave the premesis when a class is cancelled and return for the next period.

7. Separation after grade four
In Germany, elementary school spans grades one through four. Secondary schools run from grades five through ten or five through twelve (or thirteen), depending on which type of school you are attending.  University-bound students go to Gymnasium and complete comprehensive end exams in either grade 12 or 13. Students who are working toward vocations that do not require a university degree go to Realschule, which ends at grade ten. There are a few chances throughout a child’s school career to move between schools.
Other school models exist as well, such as the “Gesamtschule”, where students of all academic levels attend the same school (like the American high school), Walldorf and/or Montessori schools, and private parochial schools.

First day of secondary school
Grade 5 is a new beginning for school students, who move on to one of 2-3 forms of secondary school. No school cones full of goodies this time around!

8. Nine grades in one building
This type of school structure leads to the amusing phenomenon of students ranging from early tweens to young adults attending the same school. They are, of course, grouped together by grade level.

9. Much less mainstreaming
Having worked as a school counselor who sat in on many, many Individual Education Plan meetings, I can say that the United States is quite a bit more progressive in accommodating students with a constellation a special learning needs. There are signs of Germany catching up to a limited extent on this front, but the concept of “the least restrictive environment” appears not to be nearly the mandate here that it is in the States.

10. Shorter school day
The first grade school day runs from 8 a.m.-12 p.m.; after this it is gradually extended to 1 p.m. Students then take their lunch at home, where they also finish homework and move on to afternoon extracurricular activities. Many schools now have “all day” (generally till about 4 p.m.) programs of various models. In some states, these are free of charge, in others, they are not. In secondary schools, kids can join an array of school-run clubs; just don’t expect competitive sports to be amongst them. These are organized by various community sports clubs that have no connection to the school.
In grades eleven, twelve and thirteen, students have academic classes throughout the day, with breaks in between classes.

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Both our kiddos attended “Ganztagschule”, a cost-free offering from the school that extends the day till 4 p.m. The program includes a warm lunch (which we do pay for), homework time and a variety of activities.

 

11. Distribution of school holidays
The difference here between American and German schools is that in Germany, school holidays are distributed more evenly throughout the school year. This surely has led to the (mis)perception that we are constantly on vacation, but I digress. Consistent among all German states is that the summer holiday is six weeks. The start and end dates are staggered from state to state to avoid mass overcrowdings of German highways and airports accomodating vacationers.
Depending on your (German) state, Fall holidays will be either one or two weeks and fall (ha!) somewhere between mid- to late-October. Winter break is two weeks, “Fasching” break–falling anywhere from early February to mid-March, depending on the year, usually scores school kids two days off on a Monday and Tuesday. Following this comes spring break, falling to encompass the Easter holiday. Again, depending on your state, this will be one or two weeks. May and June include a smattering of traditional church holidays with funny names that result in a string of 3-4 day weekends.
The total number of 5-day weeks German kids are in school ranges by state between 37-41 (for reference, a 180 day, 5-day-a-week school year is 36 weeks).

12. Homecoming means dragging your fanny from school back to where your bread is buttered, and not much more
For better or worse (pssst…my dirty little secret: Team Better), school in Germany is for classes and perhaps an extracurricular club or two (which meet once a week) and not much more. Once the academic portion of the program is over, the non-school dimension of life kicks in–community clubs (“Vereine”) or privately-run organizations (like dance schools, etc.) take the lead here. Perhaps this reflects the overall cultural proclivity of Germans to separate work from private spheres. Here you can find a comprehensive list of “Verein” offerings in Speyer alone (where I live). Vereine will often organize activities such as holiday parties, outings, dinners, dances, parade marchings, etc….i.e., the types of things schools (or school groups) take care of in the USA. Mascots are part of sports clubs, not of schools, in Germany. The closest thing German schools have to Prom is a “Graduation Ball”.  My understanding is that the entire class attends date-free, and since students at that point are of legal beer and wine age, the kegs do flow. I’ll tell you all about it when we actually get to that point.

There are other topics I could touch on here, such as the use / misuse of standardized testing, teacher accountability and homeschooling (which is not practiced here in Germany), but these warrant posts unto themselves, and I need to gather more information on both ends before I wade into such potentially touchy territory.

Whew…loooong post! This could easily fill an intercultural seminar for educators, but for now it’s Saturday and school’s out for the weekend!