Even in countries with universal health care, the care is not free. The funding is diverse, spending is controlled, quality is mandated and the costs spread over the entire population making them very inexpensive compared to ours. From the standpoint of outcomes however the main thing is that the quality of health care is relatively the same across the population.
Captain Obvious! Healthcare if "free" for the person receiving healthcare on Medicaid. They don't pay a dime. They go to the same hospital and receive the same level of care the paying customers do.