Maybe, or maybe he’s just young and thinks he won’t need it.
Chances are he won’t in the early years of life. I know there’s always that unexpected event that might make him wish he’d thought otherwise.
When I was in my late 20s and early 30s, I went for several long periods without health insurance coverage. I didn’t have much money at the time, but when I had to go to the doctor or clinic for something, not a bill went unpaid, even if I had to make monthly payments until the balance was finished.