Is USA the only 1st world country without free healthcare is generally considered true among developed nations, with US being only developed country without universal healthcare. USA, which is United States of America, developed country with population around 340 million, is only member of OECD group of 38 developed countries without universal healthcare system providing free or low cost healthcare to all citizens, with healthcare system based on private insurance with employer sponsored, marketplace, and government programs like Medicare and Medicaid covering portions of population, but around 25 to 30 million Americans uninsured as of 2023, and many more underinsured, with healthcare costs high. Other 1st world countries including Canada, UK, Australia, New Zealand, Germany, France, Japan, and other OECD】 members have universal healthcare systems including single payer like Canada and UK NHS, or multi payer with mandates like Germany, providing healthcare free at point of service or with low cost sharing funded by taxes, with all citizens covered. While US has some public coverage like Medicare for seniors and Medicaid for low income, it does not provide universal coverage, with US spending around 18 percent of GDP on healthcare highest globally but with gaps in coverage. So USA is only 1st world developed OECD country without free universal healthcare for all citizens, with all other 1st world countries having universal healthcare systems providing free or low cost care to all residents, making US outlier among developed nations.
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