Healthcare in Israel is different from healthcare in the U.S. That doesn’t mean it’s worse, just different.
Yes, I pay for the top-level supplement offer by my kupah. But it doesn’t cost all that much. My co-pay for doctor visits is laughable – 7 shekels per quarter for my regular doc and 26 (I think) for specialists.
My medications are also quite inexpensive.
BTW, years ago I had a different kupat cholim. My experience was not nearly as good. They aren’t all the same.
In the U.S. I was not able to get insurance at all. That’s not quite true. I could have gotten insurance through the state government, but the cost of the insurance premium plus the cost of my rent was more than I earned each month. How would I have been able to eat?