Apparently some Chinese people thought we had free healthcare for some reason.

Sometimes (and I emphasize Sometimes) Chinese can be sarcastic in ways that are not going to translate into American English.

Even paying outright for healthcare in China is cheap. There was a youtuber living in KunMing who said she usually visits an english speaking GP paying a little under $10 because of the convenience rather than using her employer provided healthcare fund.

FYI. Chinese Insulin <$1. US Insulin $100.