In Austria we have an obligatory national health insurance - health treatment basically is for free (you only have to pay small fees of a more symbolic nature). But people aren't treated equal nevertheless: if you have an additional (private) health insurance you receive preferential treatment (you may be allowed to skip the queue*, or you may not have to wait as long as "normal" patients for surgery because there are long waiting lists for many treatments). *) Even bullied to; a friend of mine with such an additional insurance told me that she wanted to wait, as everyone else did, but was told that she should skip the queue. People who have this additional insurance also are insured through the national insurance system here in Austria: it only guarantees better covering of health insurance. Those who are insured privately only - that is, "private patients" - are of course treated even better. So in theory Austrian health care system is equal for everyone - it is (basically) free of charge and (virtually) everyone is insured - but treatment in fact is far from being equal. Thus my question: how is it in your country?