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He ruled Germany by making himself indispensable to a decent, kindly old man, who happened to be a king.
In the end Bismarck got his way but paid a price in physical symptoms, sleeplessness, attacks of neuralgia, stomach problems, and anxiety symptoms. He could not live without the power that he extracted from the royal person but could not live with it either. For twenty-six years Bismarck and the King lived in this constant love/hate relationship.