Washington State, where I live, and perhaps all states (but I'm not totally sure about this) have a system called "Medicaid," which will take care of those people who do not qualify for Medicare, but who are below the poverty line, need emergency care, and are simply unable to pay. I'm not sure what all the qualifications are, but it is paid for by state taxes I believe.

But no, this certainly could not replace the Affordable Health Care Act.

Don Firth