i saw this movie again recently . the first time i saw it i be incredulous and and the second time and even more so . be this really truly how health care be fund in america . isn not there any kind of public system at all . i just can not get over the apparent fact that a country that claim to be the most advanced of the so call developed country would only have private health care . it ridiculous . here only elective surgery be ration and hip replacement and cataract surgery and that kind of thing . if you have get insurance and then you can go private and but otherwise and if you have get enough point and you get put on the wait list and you eventually get your op for free . ( the thing with the heart transplant would never happen here and that sort of thing isn not cover by our main health insurance company and a it fully fund by the government . ) although people be constantly wing and moan about expensive doctor visit and ( about nz $ 50 $ 60 for an unsubsidised adult ) if you need to go to a and e and you just go . in an ambulance and or otherwise . you do not have to ask permission . what and prey tell and do people do if they can not afford health insurance .