Well, Jonesle, in the US, you can pay high premiums out of your paycheck, and then pay again when you go to the doctor, and then receive an additional bill in the mail, after you've been to the doctor. Healthcare is a joke here, too. You have to either be rich or poor. The rich can afford their healthcare, and the poor don't have to pay anything. In fact, you can come here, unauthorized, not work, and demand free healthcare benefits.