Its not that. we pay for our healthcare separately, rather than roll the cost into everything we buy and whatever money we make. how it works out is open for discussion.
I remember an advert for Jazz, with a guy in a suit up on his toes in some sort of dance move. But I was puzzled at the time about what exactly Jazz was. the ad did not tell me anything besides that I needed to buy it. I never really figured out what it was, until it was gone.