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1 Ishmael: Moby Tom ripped your arm off?!
2 Ishmael: We need to get you to a hospital!
3 Martian 1: I can't go to an Earthling hospital.
4 Ishmael: Oh, you're right, they won't know your anatomy.
4 Martian 1: I don't have health insurance.
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The punchline only really makes sense in the United States, but fortunately (for the joke) this theme is set in the US.
I could go on about the craziness that is health care in the US, but others have done it far more eloquently recently.
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