I deal with parolees coming out of prison in the USA and try to get them set up with healthcare under the State plan here in Illinois. It is a pain. Most of these guys would have a lot of trouble getting set up and qualified if left to their own devices. Very complicated system that is tangled up in the fact that it is socialized healthcare sitting on top of mostly privatized healthcare. At least Chicago (Cook County) has its own healthcare system that plugs in to the system and offers a great backstop.