> In the USA he would be bankrupt (or dead)

Why? I live in the US. I have the best healthcare coverage in the world. I pay absolutely nothing for it, ever. No matter the cost. And I have access tot he best doctors, innovations, and technology in the world.

Tell me again why your friend would be dead? It sounds like you really have a poor understanding of American health care.

I suppose you work... and have an employer who pays for your extraordinary insurance?