Those are likely to be the starting point for the draw. There are two ways to make them. By casting or by extrusion. For volume production, extrusion would be more likely as it provides a more even grain structure.
It's probably cut to a convenient length and then the flux forced through the holes by hydraulic pressure to ensure a complete fill. An air bubble in the flux would cause the wire to break during the draw. The drawing machine would have multiple carbide or diamond dies in series. For certain metals, there would be an annealing furnace between the dies to counteract the work hardening of most metals. Copper and silver are particularly prone to work hardening.
The final ratio of flux to metal would change depending upon the relative bulk moduli (incompressibilities) of the metal and flux.
I don't know how hypodermic tubing is made, but I'd guess that it is drawn with liquid sealed inside. If tubing is being bent in complex shapes it is common to fill it with sand to prevent it collapsing.
At high school physics level, students are told that water and other liquids are incompressible, but that is only relative to gases. I was involved at the research level with the relative compressibilities of porous media when I was working in the oil industry. The changes in the bulk modulus of the fluids from oil to water to gas produce distinctive changes in the reflections. Gas filled formations produce very large reflections relative to oil or water. Just to keep things interesting, the moduli vary with temperature and pressure and the reflection amplitude varies with angle of incidence.
I have a roll of 0.35 mm Multicore and find it is quite difficult to keep it from bending when I touch it to the joint. Eventually I plan to make a dispenser that looks like a pen with a roller to feed the solder from a small spool. The flint wheel from a disposable lighter for the feed roller, a piece of fine hypodermic tubing and an old ball point pen. I shudder to think what 0.2 mm will be like, but I ordered draw plate along with half round and square plates and drawing tongs.