@Walter Hinteler,
It was the same in Sweden.
During the Catholic time the cloisters often took care of old, sick and other needing help.
After the reformation one had to depend on the family.
The families gave the network needed when Sweden was purely a farming land.
With idustralization around 1500 the guilds also started with giving the sick and old the help which earlier the farmer family had done.
Around 1750 the first kind of health insurances started.
Also in Sweden the health insurances - in whatever form - started from the idea of helping the needy as the Bible says.