I really hope people don't think the health insurance market is "a market"

It's almost 90% regulated by the state and federal government. Why can't I buy health insurance from Oklahoma?

This whole thing is a wash. The "40 million" people that don't have health insurance are by and large:

~12 Million illegal immigrants
~15 Million people making 50k-75k per year
and largely between the ages of 23 and 32

The 40million number looks a lot weaker when it's suddenly only a very small fraction of what is generally a healthy and capable portion of the population.

Barring mental and physical disabilities, people are where they are in life due to the choices that they made.

They didn't value their public education much. They could have spent time reading history, political science, or engineering books at local libraries to make themselves better thinkers and conversationalists.

They decided to drop out of high school or college and work hard at a cheap job and live cheaply but drink beer on the weekends and develop expensive habits like smoking or playing the lottery.

I doubt many "poor" people take advantage of local libraries and spend their unemployed or off time bettering themselves or working as hard as they can to move up in whatever field they're in.

We live in a country where anyone can get to the top. But there isn't room for everyone at the top. The natural flow of human life makes each of us fundamentally different based on our willingness to better ourselves.