Healthcare is available to those who can pay for it. Want the best? Pay for it and you'll get it. My wife and I pay for ours. Doctors accept cash, credit card, atm, lawful check, qualified insurance, finance, just about any form of payment you may choose, even gold/silver. Can't pay? Perhaps the Dr will accept some other form, such as a 150# pig ideal for roasting; that is if you are a pig farmer and raise fine pigs. Just ask the Dr what form of payment he will accept. If you are indigent, that poses some problems. You must find a Dr willing to do something for nothing.
Simple enough. Why do we need a 4000+ page federal law to do what I just wrote in one paragraph?