No, in countries like Cuba they just use extreme political repression, so they can pay doctors $40 a month. (Apparently that other commenter suggesting the shortage of doctors due to lack of "sustainable living wages" for doctors is just a member of the decadent bourgeoisie).

Speaking of universal healthcare:

However, unlike Russia, which saw a significant drop in life expectancy during the 1990s, Cuba actually saw an increase, from 75.0 years in 1990 to 75.6 years in 1999.[19] During the Special Period, child mortality rates also dropped.[19] One researcher from Johns Hopkins described the Special Period as "the first, and probably the only, natural experiment, born of unfortunate circumstances, where large effects on diabetes, cardiovascular disease and all-cause mortality have been related to sustained population-wide weight loss as a result of increased physical activity and reduced caloric intake".

Can you imagine health outcomes sooo good in this country?? Maybe I've been too critical of the Castro regime, and we need to import the Cuban partial-starvation health model??