I remember a podcast, it had an account of a guy. He woke up in the middle of the night with chest pain and in sweat. He though 'I think I might a heart-attack coming'. He drove his car as he might not be able to afford ambulance.

This was my first time i learnt of US health system.

Imagine waking up in the middle of night, realize you might have heart-attack and the next thing you think of is if you can afford an ambulance.