Thank you I thought this was correct ! I knew you would be able to clarify this! As our rats want us to think otherwise and oh poor is me I know it is totally different from US but they want us to think it’s not!There are private clinics that you can choose to pay for if you want. He’s Tunisian and clearly doesn’t have much money (so he says) so can get free healthcare. Don’t let him sway your mind as healthcare in the US is expensive, Tunisia is a different country and as a citizen he can get that operation in the government hospital. If he lives outside of the bigger cities he can still travel to a city to get it, everyone has cars here so he will be able to find someone to drive him.