You already did that.
And?
The answer to "what I would do" depends on the question. I'm not even really sure what problem PPACA (guaranteed issue insurance combined with the individual mandate) is trying to solve.
In my view, there are two distinct problems with the health care market. And the problems require different, and in some ways conflicting, solutions.
First is the problem of runaway health care inflation. Health care prices have been increasing much faster than the rate of inflation for several generations now. There are many factors causing that, not the least of which is that most people who are insured are "over-insured". Their inherent lack of normal consumer motivations distorts the market and drives prices ever higher.
The second problem, which sounds closer to what you're concerned with, is what to do about health care for the poor. Which is a special case of what to do about the poor in general. As someone who values voluntary cooperation and freedom over dictatorial government, I prefer a voluntary approach toward community responsibility. But I also understand that's not very popular these days. People like the idea of passing laws that force someone else to do the dirty work for them.
Recognizing that political reality, I'd say we simply beef up Medicare. Government run safety nets, while not my first choice, aren't the worst solution. Certainly not as bad as the lunacy being promoted by PPACA.
EDIT: I'd also add that, while the first of these problems seems less urgent (certainly to sick people without insurance coverage) it's actually the more important of the two. Because as health care prices continue to climb, more and more of us can't afford it. To put it another way, if health care prices were to come down, less of us would be affected by the second problem. So reversing health care inflation is crucial, otherwise we won't be able to build a 'safety-net' large enough or strong enough.
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