I'm wondering how this article compares to other countries. In Germany you don’t necessarily need to pay expensive medical bills, and Universities have either n

I'm wondering how this article compares to other countries. In Germany you don’t necessarily need to pay expensive medical bills, and Universities have either no fee at all, or a very small one (500 € per Semester usually). So after getting a Bachelor’s degree, you can be pretty much debt free. Is this then only a problem for the USA?