Medicaid isn’t really changing is it? Nobody on Medicaid is going to pay any “penalties”.
No, they are the bottom layer. In about half the states Medicaid is expanding to accommodate something like 14 million new patients. So the poor are no better off with ObamaCare and in many areas they will be worse off because a limited number of doctors and medical services—willing to treat Medicaid clients—will be stretched even farther.
Which will mean even more paupers crowding into emergency rooms.