No they don't:
If you work, you automatically get enrolled in a hybrid healthcare system (state+private)
If you are young or elderly you get automatic coverage.
If you are working age but have no job --then you get basic healthcare (not comprehensive)
Lots of people who can afford will buy private insurance on top if they have a serious illness (basic healthcare is not comprehensive)
Also copays and high deductibles. People can end up footing 20 to 50% of their medical bills (out of pocket).
Pretty spot on for most urban ppl, a few comments
- Private insurance is always up to one's own, very few employers provide this.
- If young, your parents or yourself have to pay for coverage until you graduate, otherwise no coverage.
- If elderly, depends on your employment history. To qualify, your employers have to contribute continuously for decades and it's tied with social security. Otherwise you are on your own.
- If working age but no job, similar to being young you have to pay.