Sorry, you need to do a little more real research about the history of health care.  What do you think people did before health care insurance????  And, yes, health care does cost something especially if you don't plan on taking good care of your one asset, your body.  The poor or low income in my experience as a volunteer fo over 12 years is that they always have money for cell phones, big screen tvs, drugs (if that is their issue) which means h/c is just not important.  Medicare is already "spread over the whole population (except those who don't work) and will be insolvent in a few years meaning, it won't have enough money to even cover the people on Medicare!  And, there is no such thing as 100% coverage.  There is always some out of pocket expense whether it be copays, prescriptions, whatever.  And, it is managed by a bureaucracy so that if you reach a certain age or have certain medical issues, some things will not be made available to you.