I haven't talked about that too much, but I imagine it being something akin to either the German system (multi-payer with a public option) or the Dutch model (all insurance is private, but heavily regulated and universal).
Who is the current leader of Eurasia? I assume Zhukov is dead by now.
Unfortunately, the true scale of South Africa's war crimes has been kept secret. Some of Germany's allies might break off, but most of them will probably just put up with it for fear of sacrificing a good status quo.
I can see Germany losing clout in Asia as some of this comes out (no coverup is perfect). I have a hard time imagining European states getting angry enough over the deaths of non-white people who posed an existential threat to their economies (fuel riots suck) to leave Berlin's sphere. Scandinavia and Italy might move away, and this could play a role, but it won't be the only reason.
A interesting if chilling update. I haven't commented on LtES much, but this is a good example of why I like this story Murrica. The way I'd describe it is that the narrative is dark in places, but not grimdark. Ie, people are still people, and they have a variety of reactions to things.
Grimdark is overdone and boring. I'm glad I'm striking that balance.