@jeffowski
Well, to be honest, that universal in many developed nations. E.g. in Austria it's attached to all kind of things, e.g. employment, benefits, but in theory (although it's rather hard), you can be privately insured. Even harder, but even that is possible, to be not insured at all.

So in effect, healthcare (and social security, all kinds of benefits) are universal. There are literally very few forms of income without “payroll taxes” attached, rent income mostly.

@jeffowski Ireland has a dual system, a state run system for people earning up to a threshold, and everybody above needs to insure themselves, sigh.

Yet again, the end product is similar, between the state system and the mandate, you get a mostly universal system.

And yes, all these systems are not without faults.

But a hospital visit is generally not a reason for a bankruptcy, at least not via a hospital bill as such.