"Free Healthcare" is awarded to all ethnic Americans for the western drive to conquer the existing ethnic Americans from coast to coast to create the United States.  It is merely payment for the taking of the lands.  So the Indian families who were dispersed and conquered were not going to get their land back in this system of things.  They were not going to be paid in cash for the taking of their property.  They were offered free medical care instead.  They had no other option but to take that offer.  The medicines are often only those available to meet military needs.  For instance: medicine such as you might have prescribed for your skin condition is not kept in inventory so is not prescribed so medical conditions are sometimes insufficiently treated etc. I hope that helps you.