The US is the only developed nation that doesn’t provide universal health care to its citizens. The ACA was a step in the wrong direction, enforcing the current medical syndicate skim of the US economy that nearly doubles the cost of medical services in the US versus other nations. The immorality and costly inefficiency of US policy is clear.
The immorality of those who oppose universal medical care, limiting it only to those who can afford it, is even clearer. It is class sociopathy at its worst.
Near elderly, middle income couples in their sixties who do not yet qualify for Medicare, currently receive subsidies of up to $8000 per year. Requiring them to pay back those subsidies would be devastating. Even worse, those receiving care for life threatening illness could be given death sentences if ACA subsidies are struck down.
This is a question of what kind of society you want–dog eat dog, every man for himself chaos, where only the fittest survive, or something more. We have a choice as a people. What do we want to be?