I live here my friend, I pay the taxes, the affordable care act did indeed cost me my dream job, and I was unemployed except for small teaching and truck driving jobs for nearly two years as a direct result,,, remember the department of labor had to extend unemployment benefits to 99 weeks, that crazy....
and I had to pay a couple of grand to the govt as a penalty for not having health insurance, when I could NOT afford health insurance under the affordable care act....
At the present time, approximately 28 million Americans (9% of the population) do not have health insurance, mostly because they cannot afford it. But if those 28 million Americans don't have access to health care, they won't visit the doctor or seek medical treatment.
From a practical point of view, those uninsured will end up spreading COVID-19 to the rest of the population.
So it makes sense that SOMEONE has to pay for basic health care for the poorest 9%.
Otherwise the other 91% of the population will suffer as well.
There are studies which show that universal health coverage (which has to involve subsidies to the poorest), results in a healthier population OVERALL.
The original goal of Obamacare was that the poorest would barely have to pay anything.
It would be along the lines of the UK or Germany for example, where the unemployed and low income earners barely pay anything, but still have access to basic healthcare.
They would be subsidised by the middle and higher income earners.
But then the Republicans gutted Obamacare so this didn't happen.
From a moral and philosophical point of view, a nation which see sees itself as a single people, shouldn't begrudge basic health care for the poorest sections of its fellow citizens.
After all, who knows if you will lose your own job and then need basic health care provided by the government?
And looking forward to the future after COVID-19 has passed, a rational US would enact universal health care for the entire population, and ensure the poorest only pay minimally. We're talking like a $5 copayment for each visit to a family doctor.
But Republican ideology is against government intervention and subsidies to the poorest.
Plus the existing entrenched healthcare lobby is happy with the situation as it is.
Remember, they did manage to gut Obamacare.