Not everyone. In NC alone, there are 377,000 people who make too little to qualify for ACA subsidies yet are not covered by Medicaid. That's a lot of people, and that's just one state. There are 19 other states that also don't have expanded Medicaid.

http://www.hhs.gov/healthcare/facts-and-features/state-by-st...

Even with subsidized ACA, the Bronze plans are pretty shit. Average family deductibles in 2017 will be $12,393, with the average monthly premium for a 40-year-old costing $350. Other than 1 checkup per year and female care, these families get to pay $1,000+ per month in premiums (assuming 2 adults and 2 kids) and another $12,000+ on top of that before their plan does much of anything for them.

http://www.cnbc.com/2016/10/26/obamacare-deductibles-are-on-...

Even with a subsidy I don't think it makes sense for a lower middle class family to pay $5,000-10,000 for 3-5 checkups, and $20,000+ if they actually need to use that coverage. Yet they'll be hit with a tax penalty if they don't do that.

How is this good?