From what I’ve seen, treatments not being covered are only the case were those treatments are very expensive and there are other effective treatments (though less effective) which are much cheaper.

There’s also often a delay between a new and very expensive experimental treatment coming out and it becoming covered because it won’t be covered if it doesn’t demonstrate that it’s advantages over the other available treatments are sufficient to justify the additional cost.

Mind you, I’m talking about Public Healthcare Systems, not the so-called Mixed Systems that have mandatory Health Insurance (usually highly regulated and with a Public Insurance option for the less well off) - Mixed Systems have some of the same problems as the US System at least in my experience living in countries with one and with the other kind of system.

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