I imagine medicaid funding is directly tied to the enrollment count so they are very aggressive about getting people on it. Granted it was trash insurance and most specialists wouldn't take it, but it covered basic care fully.
Yes, after paying approximately $70,000 per year in premiums, I still have to pay a couple thousand dollars for routine, non-emergency, common healthcare procedures.
Technology wise, I think we have the greatest healthcare system in the world. Finance wise, it feels like the worst parts of Cyberpunk 2077.