@alexey Not true, the US system will happily take care of you without insurance, it will just cost a fortune and you have to pay up front... but anyone who is too poor to afford insurance gets it for free. Those who can afford it have a choice. They can make the irresponsible choice not to have insurance, sure, freedom means the freedom to make bad financial decisions too.

The urgent care exception that germany has so does the USA... Hospitals are required to provide unconditional emergency care in life threatening situations.