US healthcare is completely dysfunctional. Until the much-maligned Obamacare/ACA, my neighbor worked at gaming startups. His wife got pregnant and then his company collapsed, so he couldn't even do the COBRA thing and personally pay into his former employer's group plan. And with his wife's "pre-existing condition" of being pregnant, nobody would cover them. The system basically destroyed people from working in innovative startups if they wanted to have a family.
And while that is fixed, it still remains that healthcare is the #1 cause of bankruptcy in the U.S.
And while no health care is "free", I've witnessed the efficiencies Portugal gets by having a national cancer care system while eliminating the bureaucracies of 200 different care plans and administrators arguing over whether your care is covered or not. As a result, it's no Club Med, but the care is great in humble buildings and even people from other countries try to come here for care if they can, paying out of pocket to participate.