Income-based health gap High health inequalities By addressing its large income-based health gap (20th) Germany could improve its score on the Quality Vital Sign (11th). View this data Market Access Delays Fastest access to medicines Germany ranks 1st in average time between marketing authorisation and patient access to medicines, indicating a timely reimbursement process. View this data Medical R&D Medical research needs attention Germany’s high score on the Innovation vital sign (ranked 4th) could be further improved by increasing government investment in medical R&D (10th). View this data