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 He was unemployed, so he was likely eligible for Medicaid, but might not have been previous to the Medicaid expansion depending on his income for the year up until he became unemployed. The ACA included an option for states toOriginal Halloween Skateboarder Costume Kids Gift Shirt  expand their Medicaid eligibility. If he wasn't eligible for Medicaid he likely qualified for a subsidized plan and might not have known that he was and neglected to get insured because he thought he wouldn't be able to afford it while unemployed. Why do you assume the worst? Most people want to be able to go to the doctor regularly and want health coverage, but some think they can't afford it or have trouble navigating the system or don't know they can enroll after losing their job or any number of other things that might mean they lack coverage for a period of time.

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