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That's not an option for many people, and that's what's scary as hell. For some it'll be impossible to ever price them out of insurance, because they need the care regardless of the debt they rack up. If insurance offsets even 10% that's a win.
Meanwhile in the healthy population, many will balk at the premiums, decide to drop the insurance and the whole house of cards falls down. GOP already got rid of the insurance mandate and that was a very popular move with their base. Slim chance mandatory coverage could be re-instated again.
Now the party is stuck and likely to let the entire system collapse. Maybe they'll bail out the hospitals and insurance companies along the way, at a much higher cost than getting people the care they needed, but it seems inevitable.