Mackey opposed the public health insurance option that ultimately did not become part of the Patient Protection and Affordable Care Act. Mackey asserted that a better plan would be allowing consumers to purchase health insurance across state lines and use a combination of health savings accounts and catastrophic insurance, as Whole Foods does. Mackey's statement that Americans do not have an intrinsic right to healthcare led to calls for a boycott of Whole Foods Market from the "Progressive Review" and from numerous groups on Facebook. Alternatively, Tea Party movement advocates organized a number of buycotts in support of Mackey's suggestions.