Is the quality and accessibility of healthcare in those countries equal? There are very few countries in which all healthcare is paid by the government and private insurance is banned. Most developed countries have a two-tier system where poor people with only the government health plan get reasonable access to essential healthcare services but often can't obtain more advanced treatments, or have to wait in long queues. Affluent people then pay for supplemental private insurance to obtain faster and higher quality services. Healthcare providers typically prioritize patients who have private insurance that pays higher rates.