IIRC before Obamacare everyone had health care. Even those that crossed the border illegally could walk into any hospital and get health care. Of course those who had insurance actually paid for those that didn't in radically inflated prices charged by the hospitals. A small box of tissues priced at $0.59 at the grocery store would cost the insurance company $35.00. A face cloth 47.95. and a Bath towel cost over $75.00. Instead of these prices being reduced by everyone having insurance they were increased.