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Man I (as a german) often trash on the german insurance plan but from my perspective this is just insanity!
We also think that, unfortunately the poorest white Americans would rather die than risk giving insurance to minorites. So we have this system.
Oh, here’s another fun fact for you: an ambulance ride can be so prohibitively expensive that many people actively avoid calling 911 for fear of having to pay the ambulance bill. This results in people experiencing medical emergencies either: (a) driving themselves to the hospital while having their emergency, which is incredibly dangerous; (b) opting to call a ride share like Uber or Lyft instead; or © not doing anything at all and hoping the emergency resolves itself.