Where in the world exactly is a private health insurance model working any longer?  If you can't find that example then adopt a single payer system and be done with this nonsense.  Pending creation of those "death panels", the government is going to pay for the care of the destitute.  While a politician demanding productive labor before a public benefit is received is laughable, "able bodied" is a relative term.  "Able bodied" to tote cement bags by hand all day is not the same as "able bodied" to sit on your derriere and pontificate in the halls of a legislative body (But you wouldn't ever have Paul Ryan et. al. admit that).  Now look for the "able bodied" police in a state near you.