Everyone pretending Europe doesn’t exist? Most countries have most healthcare for “free” (mandatory healthcare taxes).

It is different in spoken form, written form (chat) and written as a post (like here).

In person, you get a reaction almost immediately. Written as a short chat, you also get a reaction. But like this is more of an accessibility thing rather than the joke not being funny. You know, like those text descriptions of an image (usually for memes).