It is or it’s heavily subsidized and what you pay for is the admin costs typically, which end up <$1000/year.

I got downvoted, and you replied this... when tuition is not free in most European countries, at least not for higher education. In my country, med school used to cost over $18k, which is probably higher now.

Also the very hidden caveat of low or no tuition fee in some other countries is that you study in their language, not English.