> The cost of healthcare alone makes subsistence living impossible.

No. Subsistence living is entirely possible - there are millions of people doing just that somewhere in backwoods wherever, across a multitude of political systems and states, all over the world.

What you want as "subsistence living" is not its definition. What you're talking about is "how much labor cost it requires to maintain your current lifestyle in this current political system".

EDIT: I was late on this reply I guess.