As an American, it's funny how ahead and "first world" the US can be in some things, but how backwards and "developing country" the US can be in other things.
Medicine itself is very first-world. But medical insurance is one of those "worse than developing country" things. The fact that Americans need medical insurance at all is appalling to many countries, first world and otherwise.
And of course, by funny I mean "I can only laugh otherwise I'd cry"