Those insurance plans on the Obamacare market networks which have least expensive premiums also have the highest deductibles, often several thousand dollars. So, people who chose the cheaper plans because they cannot afford high premiums often cannot afford to meet the high deductible, either. As a result, such people are inclined to go without doctor visits or medical tests or procedures. So, they pay to get health insurance (as Obamacare requires them to do), but can't afford to get health care--the worst of both worlds.
On the plus side, their insurance does kick in after the deductible, such as if they have a health catastrophe--an expensive illness (which includes any with a long hospital stay).
Whereas here it is free at the point of use no matter how catastrophic or fleeting.
You'd think he would learn by now?
It's very good in Scotland at the moment. I believe Wales has some problems. Elderly care is what is eating into budgets. There is nowhere to move on elderly patients who need care for long-term illnesses. As we live longer and our expectations increase about what we need, budgets need to increase just to maintain services. I'm happy to fund that through my taxes but not everyone is.