Often universal healthcare isn't universal. In Germany, for example, it's illegal not to have health insurance. If you can't afford it then you'll only get emer

Often universal healthcare isn't universal. In Germany, for example, it's illegal not to have health insurance. If you can't afford it then you'll only get emergency care (but you would get that in the US too). If you don't have health insurance then you'll have to pay back the months you didn't have it.