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Winning is relative
(sh.itjust.works)
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this post was submitted on 04 Aug 2023
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You technically can fall out off the system, bit it rarely happens. Not sure about the details though.
https://www.vdk.de/deutschland/pages/themen/gesundheit/82041/rueckkehr_zur_krankenversicherung_nicht_aufschieben?dscc=ok