US governments - both from Democratic and Republican parties - managed to rack up trilions of debt in the last decades, while still having people to pay thousands of USD for birthing a baby or calling an ambulance.
This might technically get in to the realm of off-topic,
it does however directly connect with the content written there,
At this point in my life my income is provided by that US Federal Government, Social Security Disability,
(and has been for a while after my health crashed bigtime and my working days were forced to end)
at a current monthly amount which is something like $4, Four Dollars, above poverty level monthly income for a household of 1 according to income levels designated by the US Department of Health and Human Services.
From that poverty level monthly income provided by the US Federal Government that same US Federal Government deducts a $175 premium for US Federal Government medical insurance named Medicare.
Thereby reducing my "take home pay" to $171 per month below the Federal government designated poverty level
AND
I still have medical copays, which have run anywhere from $11 to $320 and usually fall in the $90 range.
Last time I needed an ambulance was pre-pandemic,
and yeah, something like $1200 copay for it.
The US Federal Government giveth and the US Federal Government taketh away.
Blessed be the US Federal Government.