The root of the problem here is the fact the US (and increasingly here in the UK) people are not viewed as citizens, but consumers. Your sole purpose is to be sold things mainly stuff yuou don't need, but in a very aggressive capitalist system this includes healthcare.

As long as your politicians and business leaders see you as a method of funding their own war/lifestyle/etc then you're lumped with it. The notion everyone is free to choose in the market economy is revealed for the falsehood it is in the case of the US healthcare system. If you don't have the cash then you don't have any choice, no matter what the constitution says.

Lemons to be squeezed.