Good morning (in my time zone)
@Lerwick8
I'm so pleased to get the news today that your swelling has subsided. May it subside further.
You're right about the different health systems. The idea in Germany is for the health service to be affordable to everybody. So it's a system based on solidarity so to speak - everybody is paying in.
While - as a colleague of mine put it - he doesn't think there really is a national health service in the US (its all based on private insurance or - I've heard - some employers contribute) they of course have the NHS in the UK and a health service also exists in Australia, but I'm not familiar with that. I have read recovery threads from people with hip replacements in the UK and they were satisfied with the operation and the follow-up.
All systems of course have advantages and disadvantages. In Germany, the risk could be that the system gets abused, money is wasted, for instance in the bureaucracy and one point I have to make about rehab was that they seem to disregard that every patient/every recovery is different. In rehab we had a patient in our activity group for whom the activities were not really suitable because the doctor had prescribed non-weight-bearing treatment for at least 2 weeks while the activities were weight-bearing.
You don't have to go to a rehab centre after hip replacement in Germany - it's not compulsory. You can have rehab at home. I decided to go because I have a husband at home and was worrying that I would not ask him to do things in the household but do too much too soon by myself and end up in the ODIC. Well, I ended up there anyway long after rehab - after two months during our holiday in Cairns, Australia, when I was attempting to help my husband furnish a house my husband had bought. I walked miles and miles in hot weather while carrying heavy objects in a rucksack while I left my husband at home to recover from his cold. I refused to go by bus because the air conditioning was so high on and I don't like the cold air. Then a man in the hotel noticed I was limping (oh dear, shame on me

). But then I rested and got better again.
Will you have gait training with your in-home physiotherapist (of course later when you are healed a bit more)? The gait training at my rehab was very good. I also thing it's important because during the period with osteoarthritis the thigh muscles atrophy and so the leg is not quite better after the op and take a while to get strong again. The gait training serves to prevent you from getting into bad habits and walking unevenly etc. It's also important not to throw the walking aids away too soon and to wait until you can walk unaided without a limp. We'll another thing I did. I tried to practice walking without crutches a bit as soon as 2 weeks after the op and promptly got told off by the physiotherapist at my rehab and by Josephine from Bonesmart (smile).
I wish you a great recovery - may your progress continue.
Constanze