Trumpcare is "be rich or die". Actually everything about Trump is "be rich or die". Let's go further. The rich shall inheret the Earth. The rich shall increase among themselves, the rich DESERVE better medical support than the poor , the rich DESERVE a better life.
The poor should exist only for the convenience of the rich. After all, they need gardeners and maids, cooks and drivers, toilet-scrubbers, pool-cleaners, and trophy wives. How could they exist otherwise? In fact, the poor should exist just to have their organs harvested when needed. There is probably a contract for that.