Oh, I'm dense. I thought it portrayed a scenario in which tokens were unaffordable to individuals, yet necessary for survival. Kinda like US health insurance.
The best satire works at more than one level, I think
Medical care is what you’re talking about. Insurance is just a construct around it.
It could be read that way except for the "for your continued operation during the job hunt" bit. That's the line that's supposed to tip you off, I think.