No matter who the pastor voted for ... his personal financial position would be a whole lot better now ... if he had gotten an Obamacare policy, instead of refusing to do so ... and instead staying with his non-Obamacare policy.
It seems he is covered by ACA. But he didn't get covered until after paying out the $50k.
The article is really deceptive. I'm pretty upset about the whole ACA debacle but I haven't been too happy about the way medical insurance has gone over the last decade anyway (and his situation is a good example). But this kind of deceptive writing only muddies the water.