That's actually not true in any of the states that didn't sign on to the ACA Medicaid expansion, which, yes, was designed so that between exchange subsidies and Medicaid eligibility there would be affordable subsidized or government provided coverage across the whole spectrum where people didn't have employer coverage or the ability to afford unsubsidized coverage.
It's also not true of extremely high cost of living areas such as NYC or the bay area where you're living beyond your means long before you qualify for government programs based on poverty levels that are calculated averaged across the nation.
The system has warts. There are good reasons to criticize it. But saying we leave the poor dying in the streets because, well, fuck 'em they're poor, is both untrue and insulting.
> But saying we leave the poor dying in the streets because, well, fuck 'em they're poor, is both untrue and insulting.
Well, except that it's exactly true that that’s why the “warts” that you acknowledge which do, in fact, deny swaths of the poor access to care are tolerated.
