Under a single-payer system, all health costs are paid by the government using tax revenue. This allows countries to control costs, in part, by having the government play a stronger role in negotiating prices for healthcare. Health insurance is universal and offered by a single entity.

Cons of universal healthcare From an individualistic perspective, the greatest argument against universal healthcare might be that each individual would likely lose a degree of choice. Under privatized care, individuals can choose their health insurance from different plans that fit their needs.

With notably high healthcare costs, the USA provides government programmes to help the disabled, old people and other vulnerable demographics. Other countries with no free healthcare include Nigeria, Yemen, South Africa, Egypt, Afghanistan, Pakistan, and Iran.

The terms are often used interchangeably, but they are not synonymous. Free Healthcare means that all citizens receive health care without having to pay for services. Universal Healthcare means there is a health care system that provides coverage to a high percentage of citizens.