if you are american working-class [i.e., toiling in a minimum-wage mcjob, for the most part] you are left to rot, unless you are exceptionally high-functioning and you luck into one of the few living-wage jobs with decent health benefits. the american underclass [below the working class, unemployable and homeless outside of rare subsidized housing] are the majority recipients of subsidized health care. individual plan american health insurance is unaffordable [IOW said premiums/copays/deductibles consume more than a minimum wage paycheck] and mostly unavailable to those with pre-existing conditions. and out in the sticks where i live, the local doc-in-a-box wants $200 cash [no checks] just to walk in his door. who in the hell carries that much cash? in america, health care is a racket.