This is exactly how things should be, only more so, according to the freakshow libertarianism that prevails in - or at least provides ideological cover for - the Republican Party.
If you want medical care then you should get off the couch and earn what it takes to pay the market rate, else rely on the private kindness of strangers. It would be immoral to reduce by so much as a penny the wealth of multibillionaires in order to subsidize your own physical or moral shortcomings. If the logical outcome of this approach is neofeudalism, with the United States permanently stratified into impermeable social and economic classes, then so be it. Whatever outcome the market delivers is the Best of All Possible Worlds, and nobody has any right to interfere.
When Grover Norquist whines that Brownback failed in Kansas only because its voters were to cowardly to cut spending, this is the alternative he envisions.
This is the endgame of Republican healthcare legislation, which so far nobody is permitted even to review prior to approval.