It is a common misunderstanding that if you’re poor you get Medicaid. Eg. In Florida no matter how poor your are you don’t qualify unless you’re disabled, have children, or are pregnant. In other states there are hard income limits which are incredibly low, and earns a dollar more, you don’t qualify. You go from having free Medicaid to needing to pay $1000 per month in premiums which obviously you still can’t afford.

Edit: actually looks like it’s the same thing in Texas, if you’re poor you don’t qualify. You have to have kids or be disabled. These are all the states that refused the federal funding for Medicaid expansion I guess.