indistinguishable from a paid vacation. irs an ex· ample, they cite the German experience in 1930. That was a depression year in Germany. Increased unemployment and decreased contributions created a budget emergency. There wasn't enough money com· ing in to pay everybody's medical bills. So an emer gency decree was issued, effective September l. It required insured persons, formerly treated "free," to pay, in addition to their regular contributions, 12 cents for their first v...