The Affordable Care Act required purchasing of individual health insurance for everyone in your household, and provided a penalty to those who could not. There was a gap between where this requirement was effective (the income tax filing requirement) and the poverty line, which meant that Medicaid was understood to be the coverage of last resort.

But new immigrants are barred from access to Medicaid, meaning if we had returned to the US, we would have had a 5 year period where we could be fined for me losing my job just because I am married to a non-citizen.

Now, the first policy (Medicaid exclusion) was a part of Bill Clinton's re-election campaign (and when Hillary responded to the accusation of helping round up votes for it, she defended that law, guaranteeing there was no way I would vote for her). The requirement to purchase without undoing the exclusion was done entirely by Democrats without any GOP help.

When your family has been sold down the river enough times, there's a lack of trust. I maintain that the Democratic Party treats families like mine as cheap bargaining chips because we only get one vote as a household while other families get two, so there is not much harm in throwing my family under the bus or off the boat if it gets some other votes somewhere.

At the end of the day the only two things politicians want is your money and your vote. And it is only in these ways we can hold them accountable.