This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Concept of health and disease, Subject name: Social & Preventive Medicine
[{'content': 'Which of the following countries was the first to institute compulsory sickness insurance \nSelect and explain. \nA. USA, B. England, C. France, D. Germany', 'role': 'user'}, {'content': "Answer: D \nExplanation: Germany led by the way to instituting compulsory sickness insurance in 1883. Ref : Park's Textbook of Preventive and Social Medicine; 23rd edition", 'role': 'assistant'}]